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ESA & PSD letters

ESA and psychiatric service dog letters

Clinical letters for people whose animal helps with a mental health condition, written only after a real evaluation with a licensed clinician. Choose the letter that matches your animal and where you need it.

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Medically reviewed byDr. Vanessa Niles, R.N., M.D., F.A.C.O.G.Written byHealifyMD Editorial Team Updated · 2 min read

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Featured

ESA letter
$129 up to 2 pets; $199 for 3+
College housing ESA letter
$129
PSD letter
$149 up to 2 dogs; $229 up to 3
Delivery
Within 24 hours after approval

Which letter fits

Choose an ESA letter if your animal helps simply by being with you. Choose a PSD letter only if your dog is trained to perform specific tasks for a psychiatric disability. Students in dorms or campus housing should choose the college letter.

What these letters are for

All three are mainly for housing. Emotional support animals have no public access rights and are usually treated as pets by airlines. Psychiatric service dogs have public access under the ADA, but no documentation can be demanded there. No letter is a registration or certificate, and no official registry exists.

Not sure which one you need?

Book a free call with our care team and we will help you choose before you pay for anything. If you are in crisis, call or text 988. In an emergency, call 911.

Common questions

Is approval guaranteed?

No. A letter is issued only if the clinician finds that you qualify. If they don't, no letter is issued.

How quickly will I get my letter?

It is emailed within 24 hours after the clinician approves it.

Can I use the letter on a plane?

Not for an ESA. For a trained service dog, airlines use the DOT form you sign yourself.

Sources

We cite government agencies, professional societies and peer-reviewed research. See our editorial policy.

  1. Enforcement guidance on requests to use an animal as a reasonable accommodation (May 2026)U.S. Department of Housing and Urban Development
  2. Frequently asked questions about service animals and the ADAADA.gov (U.S. Department of Justice)
  3. Service animalsU.S. Department of Transportation
  4. Joint Statement on Reasonable Accommodations under the Fair Housing Act (2004)HUD and U.S. Department of Justice

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