Renewals Page | Emotional Pet Support

Best Food For An Italian Greyhound

Emotional Pet Support Team Dogs, other, Pet Health May 31, 2020
Dog Pimple: Simple and Natural Remedies to Treating It

Emotional Pet Support Team Emotional Support Animal September 28, 2020
Tips to Make your Dog’s Life Happy & Healthy

Emotional Pet Support Team Emotional Support Animal January 21, 2020
Why Are Dogs So Hyper After Bathing?

Emotional Pet Support Team Dogs August 24, 2016
7 Ways To Keep Your Pets Safe

Emotional Pet Support Team Dogs, other, Pet Health June 16, 2020
How Do You Keep a Dog House Warm in the Winter?

Emotional Pet Support Team Emotional Support Animal November 1, 2020

Emotional Support Animal Prescription Letters Written by Licensed Mental Health Professionals

How It Works
About us
Video
Online Exam
FAQs
Latest News
Blog
Write for Us

How It Works
About us
Video
Online Exam
FAQs
Latest News
Blog
Write for Us

welcome-back

TeleHealth requires reassessment
HUD (Housing and Urban Development) and ACAA (Air Carrier Access Act) both require updated ESA letters annually.
New Air Travel Requirements
Many airlines have implemented their own mental health verification forms. Please review the airline forms below.

Renewal and Annual Re-Assessment

Step 1 of 2

50%

Patient First Name*
Human ONLY Name (Not Animal's Name)
DO NOT SUBMIT THIS FORM USING A BROWSER AUTO COMPLETE / AUTO FILLER.
Patient Middle Name
Patient Last Name*
Current legal last name
Gender*
- Male
- Female
Birthdate*
Example: 12/01/1995 (Month/Day/Year)
Marital Status*
- Married
- Divorced
- Single
- Widowed
Email Address*
Enter Email Confirm Email
Phone (Cell Preferred)*
Previous Doctor's Name*
Please select the name of the doctor or therapist that wrote your ESA letter.
Previous Patient ID Number
Please locate your patient ID number (starting with 149-xxxxxxx)
Attending a College/University?
Warning! We recommend that you avoid ordering the housing ESA letter because colleges can block your request.
1) I am under high levels of Stress.*
2) I feel Overwhelmed by my current Life circumstances.*
3) I find myself feeling discouraged and pessimistic about my future.*
4) I find myself depressed and or saddened by my current life circumstances.*
5) I feel beat down and burnt out in my current life circumstances.*
6) I feel unhappy in my current life circumstances.*
7) I find myself worrying about my future, my finances, or my family.*
8) I feel frustrated and uneasy in my current life circumstances.*
9) I feel burdened by my current life circumstances.*
10) I find myself tense and up tight in my current life circumstances.*
11) My stress level is interfering with my work.*
12) My stress level is interfering with my sleep.*
13) My stress level is interfering with my ability to focus and concentrate on what I have to do.*
14) I turn to Alcohol, Food or drugs to comfort me in my current life circumstances.*
15) I am finding that Anxiety and restlessness are disrupting my everyday Lifestyle.*
16) I find myself irritable and often impatient in my current life circumstances.*
17) Do you find yourself lonely in your current life situation?*
18) Do you wish you had more and deeper emotional support systems?*
19) Does your stress level interfere with your communication with your loved ones, friends, or coworkers?*
20) I am subject to outbursts, Mood swings, or periods of negativity in my current life circumstances*
Acceptance score
The therapist/doctor requires a minimum threshold value of 20 or higher to property approve your request. Note: Each question above has a score of 1 to 4.
21) Which Life events have caused you significant stress this year?*
Please describe your stress levels in detail.*
Have you ever seen a doctor for your emotional or mental health? Also, have you ever taken medication for your mental health?*
If so, please list the medication (e.g., Zoloft, Celexa, Effexor, Ritalin, etc.).
How does your animal support you when you are experiencing anxiety, depression or other emotional issues? Please give specific examples.*
Have you ever received a mental health diagnosis such as depression, anxiety, PTSD, etc.?*
Pet Section:
You are not required to own your animal before applying for an ESA letter and can leave the weight, breed, and name fields blank till you get your animal. We can always update the letter later.
How many Pets
Pet #1 Type
Pet #1 Breed
Pet #1 Name
Pet #1 Weight
Pet #2 Type
Pet #2 Breed
Pet #2 Name
Pet #2 Weight
Pet #3 Type
Pet #3 Breed
Pet #3 Name
Pet #3 Weight
Hard Copy of ESA Letter to be Mailed via USPS
- No
- ESA Letter Only USPS Standard
- ESA Letter Only USPS PRIORITY w/Tracking
- ID Card & ESA Letter PRIORITY w/Tracking
The file uploader box will display below only if you select the ID card option. Email support@emotionalpetsupport.com anytime only if you don't have photo(s) of your animal at this time.

Note: The hardcopy ESA letter is printed on special parchment 24 lb. weighted paper and should be purchased when traveling overseas or if your landlord requires such.

The durable optional Photo ID card is made from the same material as your common credit card.

USPS Priority is 3 to 5 days depending what State you live in. https://www.usps.com/ship/priority-mail.htm
Upload a Photo for each animal.
Drop files here or
Please allow time to upload your photo(s) before submitting the exam.
Comments / Special Instructions
Please write any additional comments or instructions within this box.
Airline Optional Forms
- American Airlines Special Form
- United Airlines Special Form
- JetBlue Airlines Special Form
- Spirit Airlines Special Form
- Frontier Airlines Special Form
- Allegiant Airlines Special Form
- Hawaiian Airlines Special Form + Modified ESA Letter
- Air Canada Special Form
- WestJet Special Form
- Sun Country Special Form
- Alaska Airlines Special Form
Don't see your airline form? Just add the request to the comments section above. (Note: Southwest Airlines does not require any special form as our air travel ESA Letter covers their requirements).
Additional Housing Form
- Reasonable Accommodation Form
Optional service to use only if your landlord has their own form that needs to be filled out by our doctor (RAF: Reasonable Accommodation Form). You can always request this option in the future if you're not sure now.
Emotional Support Animal Certificate
- ESA Cert Emailed PDF + Mailed Via USPS
Sample:
Rush Option*
Optional review timeframe. Our therapists and doctors review cases 7 days a week / 365 days a year. We do our best to provide your digital ESA letter within the selected timeframe.
Pick Your Plan*
- Apartment Housing & Air Travel ESA Letters
- Apartment Housing ESA Letter
- Air Travel ESA Letter
The renewal plan is $59 for any selection above.

The plan above covers the doctor's assessment fees, prescription ESA letter, and verification. Note: The Apartment Housing letter works with all dwellings while the Air Travel letter is only good for flying with your animal in an airplane.

Note: As of 2020, airlines only allow DOGS or CATS and only ONE animal per passenger.
Sub Total
$0.00
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address Different?
- Select this option if your shipping address is different from your billing address
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Signature
By signing this form, the applicant is affirming or swearing that all information contained in the form is true and correct.

Note: If you are unable to sign it now, we will follow up with you later.

Types of licenses: D.O. (Doctor of Osteopathic Medicine), LCSW (Licensed clinical social worker), LPC (Licensed professional counselor), MA (Master of Arts in counseling), MD (Medical doctor), MFT (Marriage and Family Therapist), and MHC (Mental health counselor).
Currently living in the State of:*
This option is very important: If you are moving to another state, please select that state. Our doctors utilize “Telehealth” (telemedicine/telepsychology) which is a collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies. Over the past 40 years, telemedicine has been used to bring healthcare services to patients in distant locations. Not only does Telehealth improve access to patients but it also allows psychologists and physicians to expand their reach, beyond their own offices. Note: If you are moving soon, please select the state that you're moving to.
Currently living in the State of*
This option is very important: If you are moving to another state, please select that state. Our doctors utilize “Telehealth” (telemedicine/telepsychology) which is a collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies. Over the past 40 years, telemedicine has been used to bring healthcare services to patients in distant locations. Not only does Telehealth improve access to patients but it also allows psychologists and physicians to expand their reach, beyond their own offices. Note: If you are moving soon, please select the state that you're moving to.
Patient Consent To The Use of Telepsychology*
- I agree with the statement
I have read and understand the information provided regarding tele-psychology/tele-medicine, I agree to share my information with my assigned mental health professional per the HIPAA privacy rights. I hereby give my informed consent for the use of tele-psychology/tele-medicine in my care. CLICK HERE TO VIEW CONSENT FORM I confirm that this/these animal(s) has been trained to behave in a public setting and takes my direction upon command. I assume full responsibility for the behavior of this/these animal(s), including its interaction with others. I also understand that I accept all liability to any damages resulting from any misbehavior by my animal(s).
Approved? (Admin-only)
- Approved
Acceptance score
The therapist/doctor requires a minimum threshold value of 20 or higher to property approve your request. Increase your score by reviewing the top 20 questions again. The Next button will appear once the threshold has been achieved.

Coupon
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Contact Us

support@emotionalpetsupport.com
Processing Department
P.O. Box 793
Kilauea, HI 96754-5389

Popular Links

How It Works
About us
Video
Online Exam
FAQs
Latest News
Blog
Write for Us

More Resources

Resources
Careers
Video Resources
Media
Reviews
Sitemap
Widgets Graphics
Renewals Page

© Copyright 2014-2020 • All Rights Reserved
Privacy Policy
Terms of Service
Refund policy

Disclaimer: Emotionalpetsupport.com is a company that administers services for independent Mental Health Professionals and contracts with one or more licensed mental health professionals or licensed medical professionals to provide telephone, email, or online video consults to members. Emotionalpetsupport.com does not provide legal advice, medical advice, diagnosis or treatment. We are not a medical clinic or a law firm or a substitute for a doctor or attorney. The Website Content is educational and informational in nature and is provided only as general information and is not medical or psychological advice, diagnosis, opinion, treatment or guarantee.