About RealESALetter.com
Founded in 2019. BBB A+ accredited. 45+ state-licensed clinicians nationwide.
Get Started →The clinician-first model
Every letter follows a real clinical evaluation by our licensed clinician panel. No auto-approvals. Letters issued only when clinically appropriate.
BBB accreditation
Third-party verificationA+ Accredited Business. Better Business Bureau · Since 2019.
A+ rating with the Better Business Bureau since 2019.
HUD compliance and May 2026 guidance
Regulatory complianceEvery letter is prepared under HUD Notice FHEO-2020-01, reflecting the May 2026 guidance update. A valid letter requires a licensed clinician with direct knowledge of the tenant's condition.
HUD FHEO-2020-01 CompliantReach us anytime
A registered US business, available seven days a week, 365 days a year.
About our service
RealESALetter is a registered US business, founded in 2019. We connect renters with state-licensed mental health professionals who issue ESA and PSD letters under the Fair Housing Act.
Yes. Every letter is prepared in compliance with HUD Notice FHEO-2020-01 and reflects the May 2026 guidance update, issued by a licensed clinician with direct knowledge of the tenant's condition.
Letters are written by our panel of 45+ state-licensed mental health professionals. You can review their credentials on our licensed clinician panel page.
Yes. RealESALetter holds an A+ rating with the Better Business Bureau.
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Licensed therapists in all 50 states. Letter delivered in 24 hours. Full refund if not accepted.
Get Started →100% Money-Back Guarantee · 24-Hour Delivery · All 50 States · BBB Accredited · A+