Ordering the ESA Letter combo automatically signs you up as a patient. Once you're registered, you're in our system forever.

Choose the type of ESA letter (single, multi-animal). Add ID cards or service vests to support your paperwork. Fill out your payment info on our encrypted secure site. You pay nothing if your ESA letter is not approved

One of licensed clinical psychologists will assess an information assessment questionairre you receive after you order.

Your ESA doctor will send you a Certified ESA Letter within 12hrs that is valid on airlines and housing in all 50 states! Need extra forms filled out? No Problem, we do that FREE!