All therapeutic care sessions are conducted by a licensed mental health care professional.
A therapeutic relationship is “the provision of medical care, program care, or personal care services, in good faith, for and with actual knowledge of, an individual’s disability and that individual’s disability-related need for an assistance animal by a mental health service provider.
FHEO 2020 – Assistance Animals Notice
FHEO-2020-01 notice states that a housing provider may request reliable documentation to demonstrate a disability related need and that “documentation from the internet, is not, by itself, sufficient to reliably establish that an individual has a non-observable disability or disability related-need for an assistance animal.” HUD now requires medical/mental health care providers to have “personal client knowledge” of the client’s disability and an active therapeutic relationship.
Because a therapeutic relationship requires that care services be provided, in good faith, for an individual’s disability, documentation submitted on the basis of a single visit to a health care provider solely to obtain a “doctor’s note” will generally be rejected.