No guaranteed approval
Submitting the screening or paying for a consultation does not entitle you to a letter. Only a licensed clinician can decide whether an emotional support animal is clinically appropriate for you, and that decision is theirs alone.
There is no official ESA registry
No government agency maintains a registry of emotional support animals. Certificates, ID cards, vests, and registration numbers have no legal force. The only document that matters is a letter signed by a licensed mental health professional.
Not legal advice
Content on this site about the Fair Housing Act and related rules is general information, not legal advice. Laws change and vary by location. Consult a qualified attorney about your specific circumstances.
Not medical advice or a treatment plan
Information published on this website is educational. Your clinical care comes from the licensed professional you consult with, not from these pages.
Air travel
Airlines are no longer required under US federal rules to accommodate emotional support animals. ESA letters are primarily a housing accommodation. Always check your airline's current policy before booking.
In an emergency
This service is not for urgent or emergency mental health needs. If you are in crisis, call or text 988 in the US, or contact your local emergency services immediately.