How to Get an ESA Letter with GetPetESA: Step by Step
Getting an Emotional Support Animal (ESA) letter starts with understanding your needs and completing a clinical assessment. At GetPetESA, the process is designed to be straightforward. You can review the price before paying, complete a short assessment, and have your answers reviewed by a mental health professional licensed in your state.
The clinician independently decides whether an ESA letter is clinically appropriate. Approval is never automatic, and if no letter is issued, you receive a full refund according to our policy.

How the ESA Letter Process Works
The process includes five main steps, from completing your assessment to receiving your documentation. Most assessments take only a few minutes, although additional time may be required when state laws or your clinician's evaluation require it.
Step 1: Complete Your Free Assessment
Begin by selecting the type of letter you need and your current state of residence. This information helps determine which licensed professionals can evaluate you.
You will answer questions about your animal, housing situation, and how your emotional or mental health affects daily life. Answer honestly and provide accurate information so your clinician can understand your circumstances.
Time required: Approximately 4 minutes. No account is needed to begin.
Step 2: Review Your Plan and Pay Securely
After completing the assessment, you can review the available option and its price before proceeding with payment. The cost depends on the type of documentation you select.
Our standard ESA letter option starts at $99, with other options available for different needs. Payment is processed securely, and you are not automatically enrolled in a subscription.
If your clinician determines that a letter is not appropriate, you receive a full refund under our refund policy.
Step 3: Get Matched With a Licensed Clinician
Your assessment is reviewed by an independent mental health professional with an active license in your state. Depending on the clinician, this may include a licensed counselor, psychologist, clinical social worker, or another qualified professional.
The clinician is responsible for evaluating your information and making the final decision. GetPetESA does not guarantee approval or replace the professional judgment of your clinician.
Step 4: Complete Your Clinical Evaluation
Your clinician considers your reported symptoms, their impact on daily activities, and the role your animal may play in supporting your emotional well-being.
An ESA letter is clinical documentation, not simply a certificate or registration. Your answers should reflect your actual experiences. Your clinician may need additional information before reaching a decision.
Some states have additional requirements, including a minimum relationship period between the client and clinician. These rules can affect how quickly your evaluation is completed.
Step 5: Receive Your ESA Letter
If your clinician determines that an ESA letter is appropriate, they prepare and sign the documentation. The letter is generally delivered by email as a PDF, usually within 1–2 business days after the evaluation, subject to state-specific requirements and any additional clinical review.
You can then submit the letter to your landlord or property manager when requesting a reasonable accommodation. If questions arise about the documentation, our team can help with verification.
Why Your State Matters
ESA documentation requirements can differ depending on where you live. Certain states impose additional conditions that may affect the evaluation process or the timing of your letter.
California, Arkansas, Iowa, Louisiana, and Montana have specific requirements concerning the professional relationship or evaluation process. Arkansas also has additional rules concerning periodic re-evaluation for certain ESA documentation.
These requirements mean that some clients may need to wait longer than the standard processing time. We follow applicable state requirements rather than promising instant approval.
Before starting, review our ESA Letter by State guide to understand the requirements relevant to your location.
What to Prepare Before Starting
You do not need to gather extensive paperwork before beginning your assessment. However, having the following information ready can help make the process smoother:
- Your full legal name and current residential address.
- Your state of residence.
- Your animal's name and species, along with breed and weight when applicable.
- An email address where you can receive your documentation.
- Your landlord's or property manager's details, if you want them included where appropriate.
Provide accurate information throughout the assessment. Your clinician may request clarification if anything needs further review.

What Happens After You Receive Your Letter?
Receiving your letter is an important step, but you may still need to communicate with your housing provider.
Send your documentation with a written request explaining that you are seeking an accommodation for your assistance animal. Keep a copy of your request and the letter for your records.
A housing provider may take reasonable steps to verify documentation and assess an accommodation request. Your diagnosis and detailed medical records generally do not need to be disclosed simply to establish your request, although specific circumstances can affect what information is appropriate.
Read our guide to giving your landlord an ESA letter for practical guidance. You can also review our ESA housing rights guide to learn more about housing accommodations.

Important Things to Know About ESA Letters
An ESA letter is not the same as an online registration, ID card, vest, or certificate. There is no official federal ESA registry that automatically grants housing rights.
An ESA letter also does not automatically guarantee that every accommodation request will be approved. Eligibility, documentation, applicable laws, and the housing provider's review all matter.
Federal law does not establish one universal expiration date for every ESA letter, but housing providers may request updated documentation, and some states have additional requirements. If your documentation needs updating, learn about our ESA letter renewal service.
Frequently Asked Questions
1. Who decides whether I qualify for an ESA letter?
An independent mental health professional licensed in your state reviews your assessment and decides whether issuing a letter is clinically appropriate. Approval is never automatic.
2. How long does it take to receive an ESA letter?
When approved, most letters are delivered by email within 1–2 business days after the evaluation. Additional clinical review or state-specific waiting periods may extend the timeline.
3. Do I need to provide my medical records?
Medical records are not automatically required to begin the assessment. Your clinician may request additional information when necessary to evaluate your circumstances.
4. Can my existing therapist write an ESA letter?
Yes. If your therapist is appropriately licensed and determines that an ESA letter is clinically appropriate, they may be able to provide one. You can also explore an independent evaluation through GetPetESA.
5. What happens if my clinician does not issue a letter?
Your clinician makes the decision based on their professional judgment. If no letter is issued, GetPetESA provides a full refund according to its refund policy.
Start Your ESA Letter Assessment Today
Get started with a simple assessment, review your available options and price, and let a licensed mental health professional evaluate your circumstances. There is no automatic approval, and your clinician makes the final decision.