ESA Doctors Letter Service Review 2024: Our Expert’s Breakdown

Our Final Verdict

We give ESA Doctors a rating of 4.9 out of 5 stars.

Quality: 5/5

Turnaround Time: 5/5

Customer Service: 4.8/5

Value: 4.8/5

Your pet is your family. They love you unconditionally and are there for you through the ups and downs of life. As a source of comfort and healing, they offer so much more than just companionship. This is especially true if you rely on your furry friend to get through the day or depend on your pet to perform a service. If your mental health impacts your quality of life, having an emotional support animal (ESA) or psychiatric service dog (PSD) can be life-changing. But having your animal companion accepted in public can be a challenge without the right documentation.

That’s where ESA Doctors comes in. ESA Doctors is an online resource that provides ESA and PSD letters to qualifying individuals. After completing an online assessment, ESA Doctors connects you with a licensed mental health provider who helps you get an official ESA letter for you and your animal. From housing accommodations to airline travel, ESA Doctors provides you with everything you need to navigate life with your pet.

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At a Glance: Types of Letters

ESA Letter

  • Grants housing rights
  • 100% money-back guarantee
  • Fast response

PSD Letter

  • Transparent pricing
  • The process is 100% online
  • Easy access to licensed professionals

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About ESA Doctors

About Us page with ratingsAbout Us page with ratings

What is ESA Doctors?

ESA Doctors is an online platform that helps people get ESA and PSD letters. The idea was born when ESA Doctors’ founder struggled to get a housing letter for his emotional support dog, Buddy. Even though ESAs have federally protected housing rights, finding a practitioner to write the letter was a challenge. Inspired by his own experience, he created ESA Doctors to help animal owners get legitimate ESA documentation.

Since its founding in 2015, ESA Doctors has made it their mission to make ESAs more accessible. A few ways they’ve done this is through online assessments and easy access to licensed mental health practitioners. As a leading provider of ESA accommodations, ESA Doctors makes getting ESA and PSD letters a smooth and simple process.

Who is ESA Doctors Best Suited For?

ESA Doctors is great for anyone with an ESA or PSD who needs valid documentation for their pet. Since ESA Doctors pairs you with a licensed professional, it’s a great option for anyone who needs a letter but doesn’t have a practitioner to write one. Even if you don’t have a pet but think you’d benefit from an ESA, ESA Doctors is worth checking out. They have all the resources you need to see if you qualify for an ESA, find a pet, and get a letter. Whether you have questions about support animals or need help with your landlord, ESA Doctors is there to help you get the accommodations you need.

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Key Features

Types of assistance animalsTypes of assistance animals

If you have an assistance animal, there’s a good chance you’ve been denied ESA rights at least once. This can be stressful and frustrating, especially if it limits your access to housing. Luckily, ESA Doctors gives you all the tools you need to get legitimate ESA documentation.

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How it Works

There are a few steps to follow to get an ESA or PSD letter, and the process is the same for both.

You’ll start by filling out your personal information and choosing a plan that’s right for you. When choosing a plan, you’ll have the option to add extra services, like expedited delivery, extra documentation, or a custom ID card. Once you finalize your selections, you’ll pay for the letter. If for any reason you don’t qualify for the letter later in the process, ESA Doctors will give you a full refund.

Next, you’ll answer a few questions about your mental and emotional health. The questionnaire is entirely confidential and only shared with the provider you’re paired with. After completing the assessment, you’ll be connected with a licensed mental health professional to complete your assessment and discuss how an ESA or PSD would benefit you. If you qualify for documentation, you’ll receive a digital copy of your letter within a few days.


ESA and PSD letters are incredibly valuable and can help you gain access to things like housing accommodations and fee waivers. They can also be a source of validation when dealing with landlords and HOAs.

A few additional perks of ESA and PSD letters include:

  • You can live anywhere (including no-pet buildings)
  • You don’t have to pay additional housing fees for your pet
  • Your ESA is exempt from breed and weight restrictions
  • You can bring your pet on flights (PSDs only)

Turnaround Time

Getting an ESA letter can be a hassle, especially if you have to wait several weeks to receive a copy. A great thing about ESA Doctors is that, once you’re approved, you’ll get a digital copy of your letter within 1-3 days. If you’d like a paper copy of your letter, you can email ESA Doctors and their support team will ship you a paper copy. Shipping is only available within the United States.

Pricing Plans

Pricing plansPricing plans

ESA Doctors has three plans to choose from including

  • Emotional Support Animal Housing ($159)
  • Emotional Support Animal Housing Plus ($189)
  • Psychiatric Service Dog ($199)

As their most basic plan, ESA Housing includes an assessment by a licensed professional, a signed letter with digital delivery, and an exemption from residential pet restrictions. ESA Housing Plus has all the benefits of ESA Housing, as well as priority support, discounted yearly renewal, and a discounted PSD letter.

The PSD plan includes everything in the ESA Housing plan along with access to air travel and a discounted renewal rate. It’s important to note that the PSD plan is only available to those who qualify for a service dog.

All pricing plans allow you to add extra services, like a custom ID card or expedited delivery, for an additional cost.

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ESA and PSD Letter Reviews

Dog with ESA LetterDog with ESA Letter

ESA Letter

An ESA letter is one of the only legally recognized ways to live with your pet restriction-free. That’s why ESA Doctors provides letters specifically for housing accommodations. While anyone can apply for an ESA letter, it’s up to your practitioner to decide if an ESA is right for you. Mental health conditions that often qualify for an ESA letter include anxiety, depression, and ADHD.

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Getting an ESA letter from ESA Doctors is an easy process. The intake form is easy to follow and the assessment only takes about 10-15 minutes. Once you meet with a licensed practitioner, you’ll receive your letter within a few days.

The letter is written with your privacy in mind and won’t disclose any specific information about your diagnosis. That said, it will state that you qualify for an ESA due to a disability and that having an ESA helps reduce your symptoms. It will also include the signature of a licensed professional and their contact information so third parties can verify its authenticity.


  • Fast turnaround time
  • Confidential
  • Issued by a licensed healthcare professional
  • Reliable service
  • Multiple ESAs per letter
  • Two pricing plans to choose from


  • Can get expensive
  • Doesn’t grant access to air travel

PSD Letter

The process of getting a PSD letter is similar to getting an ESA letter. Just like an ESA letter, you’ll fill out the intake and assessment forms. The PSD and ESA forms are identical except for a few questions that ask about service dogs.

PSD letters are for people interested in qualifying for a trained psychiatric service dog. With the PSD plan, you’ll meet with a licensed professional to discuss your needs for a service dog. Mental health conditions that often qualify for a PSD letter include PTSD, learning disorders, and autism. If you qualify for a letter, you’ll receive a signed copy with the provider’s letterhead on it.

Since PSDs are fully trained to perform a task, they have more rights than ESAs. This means you can take your PSD in more public places than ESAs. This also means you’re eligible for more accommodations than support animals. Unlike ESA letters, PSD letters confirm you have an eligible ADA disability. Once your dog is appropriately trained, you can have airline travel rights, enter public venues that don’t allow pets and be exempt from residential pet restrictions.


  • Issued by a licensed healthcare professional
  • Grants access to air travel
  • Assessment by a licensed professional
  • Convenient process
  • Legitimate letter
  • Assessment is quick and easy


  • Can get expensive
  • No phone support

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Our Experience with ESA Doctors

Review with dog photoReview with dog photo

As a dog owner, I know the benefits of having a four-legged companion at your side. I can only imagine how important it is to not only have an ESA but have proper documentation for your animal. Fortunately, one of the best ways to get an ESA or PSD letter is through ESA Doctors. ESA Doctors has a lot of great information on their website and they make getting an ESA letter a smooth and easy process.

One of the first steps you’ll take to get your letter is filling out the intake and assessment forms. I found both forms to be user-friendly and easy to navigate. For the intake form, you’ll fill out your contact information and answer a few questions about your ESA. After finishing the form and paying for a plan, you’ll complete the assessment. The assessment is made up of several multiple-choice and free-response questions that ask you about your mental and emotional health. These questions help your practitioner determine if you qualify for an assistance animal so it’s important to take your time here.

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When completing the forms, I liked having multiple pricing plans to choose from. I also appreciated having the option to add extra services. The entire process is online too, which is great for anyone needing convenient access to mental healthcare.

Along with providing ESA and PSD letters, ESA Doctors does an amazing job of educating people about assistance animals. As a company that wants to advocate for ESA owners, ESA Doctors offers so much support on their website.

One way they do this is through an interactive map where you can look up ESA information by state. Since each state has its own ESA laws, this is a great place to start, especially if you’re new to ESA rules. To use the map, click on your state and a box will appear with one or more links. The links include topics like ESA laws, how to register an ESA, and how to get a PSD. If you click on a link, you’ll be taken to a post with everything you need to know about the topic you selected.

Similar to the interactive map, ESA Doctors has a form for finding licensed mental health professionals near you. Since your letter must be written by a practitioner in your state, this is a great resource to use when starting the process. It’s also reassuring to know that every ESA and PSD letter is legitimate and written by a licensed practitioner.

If you’d like more information, you can also check out their blog, which covers everything from ESA regulations to advice for traveling with a support animal or service dog.

Overall, I found ESA Doctors to be an incredibly helpful resource for getting ESA documentation. Even if you don’t have an ESA but know someone who does, this is a great website to check out to learn more about assistance animals.

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If you need an ESA or PSD letter, I would highly recommend checking out ESA Doctors. As a leading provider of ESA letters, ESA Doctors is one of the best places to get legitimate documentation for your pet. The application is straightforward and there are several package options to choose from. They also offer add-on services, so you can customize the letter to fit your needs.

One of the best things about the company is their partnership with licensed professionals. When completing the application, you get to meet with the same practitioner who evaluates you and writes your letter. Since the practitioner’s information is included in the letter, you shouldn’t run into any issues with housing providers. And if you do, the team at ESA Doctors has your back.

If there’s one thing that stands out about ESA Doctors, it’s their passion for advocacy. This is a company that wants you to get the accommodations you deserve and they offer so much support throughout the entire process.


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