How This Works

Place your order—

Shopping on our site is safe!

Place your order online 24 hours / 7 days a week. Ordering is simple and easy, and we accept all credit cards and Paypal. ESAD employs industry-leading technology ensuring your personal and payment information is kept confidential and safe.


Create your profile—

Enter your mental health history

We’re going to need to know a few things about you before connecting you with a licensed mental health professional. We’ll ask questions about your lifestyle and mental health history.

Our exam is fully compliant with US law (HIPAA).


Speak with a clinician—

Enter your mental health history

Get connected with one of our licensed mental health professionals to start your assessment. It’s just like going to the doctor, without the hassle of going to the doctor. Coast to coast, and in Canada, we have clinicians ready to help.


Fast Delivery—

Get your letter in just a few days

At ESAD, we believe in fair housing and anxiety-free travel. Once approved, you’ll get your letter shipped by mail, right to your door. We even offer optional 2-day shipping.


Additional information

We emphasize with those who suffer from mental or emotional disabilities, and truly understand the daily difficulties of their life. While some of us recover using medication, many would prefer to use alternative therapies.

And that’s where an Emotional Support Animal, or ESA, through its affection and companionship, can help to relieve the symptoms associated with emotional disabilities.

An Emotional Support Animal Recommendation is a letter from a physician or Licensed Mental Health Counselor. Per Federal Law, this letter is the only requirement for your cat or dog to be an Emotional Support Animal.

About our process

  • Live therapeutic assessment via telephone or video call
  • Letter is issued by a licensed mental health care therapist on their letterhead
  • Therapist is located in your city/state/province

How long does it take?

Orders are typically fulfilled in five business days. Expedited service is available (additional fees will apply).

Avoid Scams.

Please be VERY CAUTIOUS about most online vendors, as they will NOT have in-state therapists issuing ESA letters. Due to increased landlord and airline scrutiny, you run a great risk of being denied accommodation, which is obviously a worst-case scenario.