A person completing an online assessment at home
Simple Process

How It Works

A simple four-step process to get evaluated for an ESA or PSD letter online.

View Pricing

The Steps

From assessment to letter delivery in four straightforward steps

A person completing an online assessment

Complete the Online Assessment

Answer a series of confidential questions about your mental health history, daily life, and how an emotional support animal or psychiatric service dog may support your wellbeing.

Time: 5–10 minutes

A person scheduling a video consultation

Book Your Evaluation

Schedule a convenient video or phone consultation with one of our licensed mental health professionals. Appointments are typically available within 1–3 business days.

Time: Choose your slot

A licensed provider conducting a clinical evaluation

Meet with a Licensed Provider

During your consultation, your provider will conduct a thorough clinical evaluation to assess your needs and determine whether an ESA or PSD letter is clinically appropriate.

Time: 30–45 minutes

A person receiving their letter digitally

Receive Your Letter

If your provider determines that a letter is clinically appropriate, you will receive a professionally formatted, digitally signed letter delivered to your email inbox.

Delivery: If approved

What to Expect

Our commitment to a professional, transparent evaluation process

Honest Evaluation

We do not guarantee approval. Your provider makes an independent clinical determination.

Licensed Professionals

All evaluations are conducted by board-licensed mental health providers.

HIPAA Secure

Your information is protected with end-to-end encryption and HIPAA compliance.

No Guarantees

A letter is only issued when clinically appropriate. We prioritize integrity.

Simple, Transparent Pricing

No hidden fees. Pay only for the evaluation you need.

ESA Letter

Emotional Support Animal

$149

  • Online assessment
  • Licensed provider consultation
  • Digital letter delivery
  • Housing rights (FHA)
  • HIPAA secure process

PSD Letter

Psychiatric Service Dog

$199

  • Online assessment
  • Licensed provider consultation
  • Digital letter delivery
  • ADA public access rights
  • HIPAA secure process

Annual Renewal

ESA or PSD Letter Renewal

$99

  • Updated assessment
  • Provider re-evaluation
  • Renewed digital letter
  • Maintain housing rights
  • HIPAA secure process

View full pricing details →

Process Questions

The online assessment takes 5–10 minutes. Consultations are typically available within 1–3 business days. If approved, your letter is delivered digitally within 24 hours of your evaluation.

No. All consultations are conducted securely via video or phone, so you can complete the entire process from the comfort of your home.

If your provider determines that a letter is not clinically appropriate, you will still receive a complete evaluation record. You may seek a second opinion or re-evaluate in the future.

Yes. All information is protected with end-to-end encryption and our platform is HIPAA compliant. Your data is never shared without your consent.

We match you with a licensed provider based on your needs and availability. If you have a preference, let our support team know and we will do our best to accommodate.

A person with their support animal

Ready to Begin?

Start your confidential online assessment today. It only takes a few minutes, and there's no commitment required.

Evaluations are conducted by licensed mental health professionals. A letter is only issued when clinically appropriate.