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A Comprehensive Guide to Asking Your Doctor for an Emotional Support Animal (ESA) Letter

April 25, 2022

Updated May 30. 2023

Understanding the Importance of an ESA Letter and Housing Accommodation Rights

If you’re considering getting an emotional support animal (ESA) to help with your mental health, obtaining an ESA letter is a crucial step in securing housing accommodations. An ESA letter serves as a legal document that grants you certain rights under the Fair Housing Act, ensuring that you can live with your emotional support animal even in housing communities with strict no-pet policies. In this comprehensive guide, we will walk you through the process of asking your doctor for an ESA letter, providing step-by-step instructions and tips for effective communication.

The Fair Housing Act and the Protection Provided by an ESA Letter

Before delving into the process, let’s first understand the legal framework that supports the need for an ESA letter. The Fair Housing Act (FHA), enacted in 1968, prohibits housing discrimination based on disability. This includes mental health conditions that may benefit from an emotional support animal. According to the FHA, housing providers are required to make reasonable accommodations for individuals with disabilities, which includes allowing ESAs in housing communities with no-pet policies.

To qualify for these accommodations, you need an ESA letter from a licensed healthcare professional, such as a doctor or therapist. The ESA letter serves as evidence that you have a disability and that your emotional support animal is necessary to alleviate symptoms of that disability. It is essential to have this documentation to protect your rights under the law.

Initiating the Conversation with Your Doctor

When it comes to asking your doctor for an ESA letter, open and honest communication is key. Here are some steps to follow:

Step 1: Research and Prepare Before speaking with your doctor, gather information about emotional support animals, their benefits, and how they can help with your specific mental health condition. Educate yourself about the Fair Housing Act and familiarize yourself with the legal requirements. This preparation will help you approach the conversation confidently and address any concerns your doctor might have.

Step 2: Schedule an Appointment Request a dedicated appointment with your doctor to discuss your need for an ESA letter. This will ensure that you have enough time to discuss your situation thoroughly.

Step 3: Communicating Your Need During the appointment, express your feelings and emotions openly, explaining how your mental health condition affects your daily life. Be honest about the challenges you face and how an emotional support animal can provide the necessary support and comfort. Share specific examples of how an ESA can alleviate symptoms and improve your overall well-being.

Step 4: Addressing Concerns Your doctor may have concerns or questions about issuing an ESA letter. Be prepared to address these by providing information about the benefits of ESAs, relevant studies supporting their effectiveness, and any research you have done. Reassure your doctor that you understand the responsibilities that come with having an emotional support animal and that you are committed to providing proper care and training.

What Information to Provide

To help your doctor understand your situation better and to ensure the ESA letter contains all the necessary information, consider providing the following:

  1. Medical History: Share your mental health history, including any diagnoses you have received and the treatments you have tried in the past.
  2. Symptoms and Limitations: Explain the specific symptoms you experience and how they impact your daily life. Emphasize the areas where an emotional support animal can provide assistance.
  3. Previous Treatment: Discuss any previous treatments you have undergone, including therapy, counseling, medication, or other interventions.
  4. Benefits of an ESA: Clearly articulate how an emotional support animal can help alleviate your symptoms and improve your overall well-being. Provide examples

Tips for Effective Communication

In addition to the steps outlined above, here are some tips for effectively communicating your need for an ESA letter to your doctor:

  1. Be Open and Honest: Share your experiences, thoughts, and feelings openly. Your doctor needs to understand the impact your mental health condition has on your life.
  2. Stay Focused and Concise: Be clear and concise when describing your symptoms and how an emotional support animal can help. Stick to the relevant information to ensure a productive conversation.
  3. Provide Supporting Evidence: If you have any relevant research articles, studies, or testimonials that support the effectiveness of ESAs for your specific condition, bring them to the appointment to provide additional validation.
  4. Listen and Respond: Give your doctor the opportunity to express any concerns or questions they may have. Listen attentively and respond respectfully, addressing each point thoughtfully.


Obtaining an emotional support animal (ESA) letter is an important step in securing housing accommodations under the Fair Housing Act. By following the steps outlined in this comprehensive guide, you can effectively communicate with your doctor and increase your chances of receiving the necessary documentation to protect your rights.

Remember, open and honest communication with your doctor is essential. Take the time to educate yourself about emotional support animals and their benefits, and be prepared to address any concerns or questions your doctor may have. By providing thorough information about your mental health condition, symptoms, and the ways an ESA can help, you can demonstrate the genuine need for an ESA letter.

Always approach the conversation with respect and understanding, acknowledging the responsibilities that come with having an emotional support animal. Show your commitment to proper care and training, as this will help alleviate any concerns your doctor may have.

Obtaining an ESA letter can make a significant difference in your quality of life, allowing you to have your emotional support animal by your side in housing communities with strict no-pet policies. Remember to familiarize yourself with the Fair Housing Act and your rights as an individual with a disability. With proper documentation and understanding of the process, you can confidently advocate for yourself and your mental health needs. Take the first step today by scheduling an appointment with your doctor, and together, you can work towards securing an ESA letter that will provide the necessary legal protection and accommodation for you and your emotional support animal.

If your doctor or clinician is unwilling or unable to write the letter for you, contact us to set up your clinical evaluation today! Referred by the VA and Kaiser doctors.

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