Step 1: See If You Qualify

Have you experienced signs and symptoms of depression in the last 6 months?(Required)(Required)

YES

Have you experienced significant anxiety or panic in the last 6 months?(Required)

YES

Are you currently experiencing significant stress or difficulty adjusting to a major life change?(Required)

YES

Is your stress or mood impacting your social, occupational, or educational performance or ability to engage in these activities?(Required)

YES

Have you experienced a major life change in the last 6 months?(Required)

YES

Does your pet help you cope with your mental health symptoms?(Required)

YES

You do not qualify.

You have not answered yes to any of these questions and may not qualify for an ESA letter. You may resubmit your responses if needed.

You Qualify!

First, tell us about your emotional support animal.

What type of pet are you seeking an ESA letter for?(Required)

Enter the type of animal(Required)

What breed is your pet?(Required)

What is your pet's name?(Required)

How much does your pet weigh?(Required)

Your Information

Your Name(Required)

First Last

Enter the email address where you would like to receive your ESA Letter.(Required)

Phone(Required)

General Mental Health Questions

I am overwhelmed or highly stressed given my current life circumstances and/or situation?(Required)

I find myself withdrawn or isolating because of overwhelming feelings:(Required)

I am frequently sad or tearful, I cry without reason or at the slightest provocation:(Required)

It is difficult for me to engage my life as I had previously, and my daily functioning is significantly impaired. I am missing my routine and find a lack of pleasures in activities I once enjoyed due to my current situation:(Required)

I drink or use drugs to cope with my mental health condition or with my current life stressors:(Required)

My stress and/or mental health condition causes difficulties with falling asleep, staying asleep, or waking early and unable to return to sleep:(Required)

I find it hard to control my worry, my mind often races ahead to the future or to events of the past:(Required)

I have found myself tense, irritable, and have trouble concentrating:(Required)

In my daily life, I am finding myself highly anxious, always on alert, easily startled, or irritable:(Required)

In the past few weeks, have you wished you were dead or have you felt that you or your family would be better off if you were dead? (Doctor might contact you if selected)(Required)

In the past 12 months, I have been hospitalized for a mental health/psychiatric issue (Doctor might contact):(Required)

I have seen a mental health professional in the last 12 months(Required)

Please check any of the following you have experienced in the past six months

Agitation

Anxiety

Decreased appetite

Depressed mood

Difficulty being alone

Difficulty falling asleep

Excessive sleep

Excessive worry or concern

Fatigue/low energy

Fear

Hopelessness

Increased appetite

Isolation from others

Low motivation

Low self-esteem

Panic

Racing thoughts

Restlessness

Tearful or crying spells

Trouble concentrating

Waking up early without intention

Please check any of the following health conditions that apply:

Angina or chest pain

Arthritis

Asthma

Bone or joint problems

Cancer

Chronic fatigue

Chronic pain

Diabetes

Dizziness

Gastritis or esophagitis

HIV/AIDS

Head injury

Headache

Heart attack

Heart valve problems

Hepatitis

High blood pressure

Hormone-related problems

Irritable bowel

Kidney-related issues

Loss of consciousness

Numbness & tingling

Seizures

Shortness of breath

Thyroid issues

Urinary tract problems

Other (Please Specify)

Other(Required)

Your Emotional Support Animal Letter Order Includes:

• PDF download of ESA Housing Letter - delivered within 2 business days
• Automatic Activation of Your Registration on the National ESA Directory (ESAC)
• Official Certificate of ESA Registration

These documents can be used as proof that your pet is an emotional support animal - nationwide for housing and on most airlines.

Total cost: $80

Complete Your Order

Billing Address(Required)

Street Address City State ZIP Code

ESA LETTER PACKAGE

Price:

Credit Card(Required)

Cardholder Name

Card Details