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Who Can Write An Esa Letter

Harper Jefcoat
Harper Jefcoat

Who Can Write an ESA Letter: A Complete List of Healthcare Professionals

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Not everyone can write an ESA letter for you. For it to be valid and legally enforceable, only specific certified healthcare professionals are authorized. 

Typically, this means getting an ESA letter from a licensed mental health professional (LMHP), someone who is qualified to assess your mental health needs and provide appropriate documentation.

This blog post breaks down exactly who can issue a letter for emotional support animals (ESAs). Besides, it describes what qualifications are required, including a helpful checklist and state-by-state regulations for the U.S.

So, let’s get started!

Emotional Support Animals: A Brief Overview

ESAs are animals that provide comfort and support to people struggling with mental health conditions. Unlike service animals, especially psychiatric service dogs trained to perform specific tasks, ESAs help simply by being present for their owner. 

They’re protected under the Fair Housing Act, meaning you can live with your ESA in housing that typically prohibits pets (provided you have a valid ESA letter).

What is an ESA Letter

An ESA letter is a signed recommendation from a licensed healthcare provider confirming that your emotional support animal is part of your treatment plan for a mental or emotional disability. This documentation plays a key role in ensuring your rights are protected under emotional support animal laws.

Expert Tip

If you’re unsure what one looks like, check out this sample ESA letter to better understand what information is typically included.

Valid ESA Letter Requirements (2025)

To be legally valid, your ESA letter must meet the following federal standards:

Requirement

Description

Official Letterhead

From a clinic or licensed provider's practice

Mental Health Disability Confirmation

Clearly states you have a qualifying condition

ESA Recommendation

Explains the benefit of the ESA

Provider License Info

Includes name, license number, credentials, and contact information

Signature and Date

Signed by the provider within the last 12 months

Healthcare Professionals Who Can Write an ESA Letter for You

To receive a valid ESA letter for housing or travel under the Fair Housing Act and Air Carrier Access Act, the letter must come from a provider licensed to diagnose and treat mental health conditions. 

Here are the professionals who qualify:

Licensed Mental Health Professionals (LMHPs)

These professionals are trained to evaluate, diagnose, and treat mental health disorders. Their recommendation carries the weight needed for a valid ESA letter.

Licensed Therapists

These individuals offer talk therapy and are legally qualified to assess mental health and write ESA letters if they determine therapeutic need.

Licensed Psychologists

These doctorate-level providers can diagnose psychological disorders and recommend ESAs as part of a broader treatment strategy.

Licensed Psychiatrists

Psychiatrists are medical doctors who can both prescribe medication and issue ESA letters. Their recommendations are highly credible.

Licensed Clinical Social Workers (LCSW)

LCSWs specialize in emotional and mental well-being and are licensed to diagnose and provide treatment, including writing an ESA letter.

Psychiatric Mental Health Nurses (PMHN)

These advanced practice nurses are trained in psychiatric care and can assess your condition and prepare ESA letters accordingly.

Primary Care Physicians

While not mental health specialists, PCPs can issue ESA letters if they have evaluated or treated your emotional or psychological health condition.

Licensed Professional Counselors

LPCs offer talk therapy and emotional support for diagnosed mental health conditions. They’re qualified to evaluate and recommend ESAs.

Marriage and Family Therapists

LMFTs treat family-based emotional issues and are allowed to write ESA letters if your condition falls under their clinical expertise.

Patient Evaluation for Emotional Support Animals (ESAs)

Before writing an ESA letter, a provider must evaluate whether you have a qualifying mental health condition like anxiety, depression, or PTSD. The evaluation must be thorough, based on a real provider-patient relationship, and can take place via telehealth or in-person appointments. The letter must explicitly mention how the ESA supports your mental well-being.

Qualification Criteria for an Emotional Support Animal

You may qualify for an ESA if you meet certain clinical criteria:

  • Have a diagnosable mental health condition such as anxiety, depression, PTSD, or panic disorder.
  • Your condition significantly impacts daily life functioning.
  • A licensed provider confirms that the ESA helps alleviate one or more symptoms.

Order Your Legitimate ESA Letter with RealESALetter Now!

RealESALetter is one of the best ESA letter websites trusted by thousands for secure and fast service. Whether you’re seeking a cheap ESA letter that’s still legitimate or need one specifically for housing or your dog, this platform connects you with licensed mental health professionals (LMHPs) in your state.

Avoid scams and get a valid ESA letter online today that includes license number, contact information, and meets Department of Housing and Urban Development standards.

Frequently Asked Questions

Who is not eligible to write an ESA letter?

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Unlicensed individuals, including personal trainers and coaches, friends, or online sellers without licensed providers, cannot legally issue valid ESA letters. Besides, pharmacists, massage and physical therapists, acupuncturists, nutritionists, chiropractors, veterinarians, naturopaths, and medical lab technicians are also not eligible.

Can my therapist write an ESA letter for me?

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Yes, if your therapist is licensed and has evaluated your mental health, they can provide an ESA letter that meets legal standards.

Why won't my therapist write an ESA letter?

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Some therapists may not write ESA letters due to clinic policy, lack of evaluation history, or if they feel it’s not clinically justified.

Who can write an ESA letter for mental health?

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Licensed therapists, psychologists, psychiatrists, social workers, and counselors are qualified to write ESA letters for mental health conditions.

Can a nurse practitioner write an ESA letter?

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Yes, especially psychiatric nurse practitioners who are trained to diagnose and treat mental health conditions, are fully eligible for this task.

What kind of doctor can write an ESA letter in the US?

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Psychiatrists, psychologists, and general physicians who are licensed and evaluating your mental health can issue ESA letters without any problem.

Can a primary care physician write an ESA letter?

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Yes, if they have assessed your emotional condition and believe an ESA would help, they can legally write the letter.

What points must a LMHP keep in mind when writing an ESA letter?

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They must confirm diagnosis, explain how the ESA helps, include their license number, contact info, and sign and date the letter.

Harper Jefcoat

WRITTEN BY

Harper Jefcoat

Harper Jefcoat is a dedicated pet enthusiast and esteemed author at RealESALetter.com. With a profound passion for animals, Harper combines extensive knowledge and personal experience to provide insightful and informative content. Specializing in canine behavior and wellness, he strives to empower pet owners with the tools and understanding they need to nurture and care for their furry friends effectively. Harper’s writings reflect his commitment to enhancing the lives of pets and their owners, making him a trusted voice in the pet community.

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