What if my landlord rejects my letter?

Contact us directly. We liaise with your landlord on your behalf. If the issue is not resolved, you get a full refund.

Get Your PSD Letter Online in 24 Hours

Real clinical evaluation from a licensed therapist in your state. Valid for housing and public access with a task-trained dog.

Live call — not an automated form
ADA + FHA compliant documentation
Full refund if not accepted

Start your Evaluation $199 · no hidden fees

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$199 flat fee · no hidden costs

Live call with a licensed therapist
Signed PSD Letter in 24 hours
All 50 states covered
Landlord and DOT form support

Check If You Qualify 100% refund guarantee

The process

How to Get Your PSD Letter Online

Answer a few questions

Short screening. No office visit, no commitment.

Speak with your therapist

Licensed clinician in your state. Live call.

Get your PSD letter

Signed PDF by email within 24 hours.

*CA, AR, IA, LA, MT: evaluation begins same day. Two consultations required. Letter issued 30 days after your first call.

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$199 at booking · full refund if not accepted

Who Qualifies?

Any DSM condition that significantly limits a major life activity may qualify.

Anxiety Depression PTSD ADHD OCD

Your therapist makes the final determination on your call.

Start Your Evaluation

Not sure if you need a PSD letter?

Read the full Psychiatric Service Dog Letter guide

Need housing protection only?

An ESA letter covers housing for $149

Thousands Got Their PSD Letter Here.
Here’s what they said.

4.7 · 1,900+ reviews

4.8 · 2,400+ reviews

Accredited · A+ Rating

Hannah

Saved my bearded dragon!

"realesaletter.com helped me keep my bearded dragon despite my landlord's no-pet policy — highly recommend!"

Carla

Jazzy keeps me calm every day

"Getting my real ESA letter was easy and efficient, and now Jazzy helps me stay calm through every stressful situation!"

Ashley

Stress-free start to finish

"From a quick questionnaire to constant support, realesaletter.com made my entire ESA letter process smooth and stress-free!"

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Why Our Letters Get Accepted

Real clinical evaluation — no instant approvals, no automated sign-offs

Licensed in all 50 states — LCSW, LMFT, Psychologist, or Psychiatric NP with active state credentials

HIPAA compliant — your diagnosis is never shared with your landlord

Landlord + DOT support — we liaise directly if your letter is questioned

100% money-back guarantee

Full refund if not accepted. No questions asked.

The Licensed Therapists Behind
Your PSD Letter

Darren Rafel LCSW

Licensed in 13 states

10+ years in practice

Direct clinical experience with pet therapy.

View full profile →

Precious Lester LMHC

Licensed in 21+ states

8+ years in practice

ESA evaluations in English and Spanish.

View full profile →

Tina Logan LMFT

Licensed in California

20+ years in practice

Anxiety, trauma, and family therapy.

View full profile →

Coverage

Available in Every U.S. State

California Texas Florida New York Illinois Pennsylvania Georgia Ohio Washington Colorado + All 50 states

*CA, AR, IA, LA, MT: evaluation begins same day. Two consultations required. Letter issued 30 days after your first call.

Frequently Asked Questions

Yes. You can get a PSD letter online from a licensed therapist in your state. The entire process is remote. Complete a short screening, speak with your assigned clinician on a live call, and receive your signed letter by email within 24 hours.

No. The letter documents your eligibility as a handler. Training your dog to perform a specific task is your responsibility and is what unlocks ADA public access rights.

Your licensed therapist reviews your mental health history, assesses your condition, and determines whether a psychiatric service dog would provide therapeutic benefit. If you qualify, they issue the letter. If not, you get a full refund.

Signed PDF within 24 hours of your call. Hard copy mailed within 3 business days. CA, AR, IA, LA, MT: letter issued 30 days after your first call. Two consultations required.

12 months. Most housing providers and airlines require documentation issued within the past year.

A PSD letter alone is not sufficient. You also need the DOT Service Animal Air Transportation Form. With both completed and a task-trained dog, your PSD may fly in the cabin.

No. There is no federal registry for psychiatric service dogs. Services selling registrations, certificates, or vest kits are not providing legally recognized documentation.

Your PSD Letter Is One Call Away

The average renter pays $900+ a year in pet fees. One call ends that.

Begin Your Evaluation →

$199 · no hidden fees

Written by

RealESALetter Editorial Team Last updated: June 2026

Medically reviewed by

Darren Rafel, LCSW Licensed Clinical Social Worker Reviewed June 2026

Medical Disclaimer: The information on this page is for general guidance only and is not legal or medical advice. Eligibility for a psychiatric service dog letter is determined by a licensed mental health professional during your evaluation. Letters are issued only when clinically appropriate. A PSD Letter documents your eligibility as a handler. It does not train your dog. Your dog must independently meet ADA task-training standards to have full public access rights.

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Get Your PSD Letter Online in 24 Hours

How to Get Your PSD Letter Online

Who Qualifies?

Thousands Got Their PSD Letter Here.Here’s what they said.

Why Our Letters Get Accepted

The Licensed Therapists BehindYour PSD Letter

Available in Every U.S. State

Frequently Asked Questions

Your PSD Letter Is One Call Away

Thousands Got Their PSD Letter Here.
Here’s what they said.

The Licensed Therapists Behind
Your PSD Letter