Three clear steps

From screening to letter without confusion.

National Service Pets keeps the process direct: you tell us what is happening, a licensed clinician reviews the case, and qualified clients receive documentation built for housing accommodation requests.

Step 1

Complete a secure intake

Share your contact details, animal information, housing situation, and mental health concerns through the encrypted online form.

  • Screening questions
  • Animal and housing details
  • Consent and contact preferences
Step 2

Receive licensed review

A mental health professional licensed for your state reviews whether an ESA or psychiatric service dog letter is clinically appropriate.

  • Provider review
  • Follow-up if more detail is needed
  • HIPAA-minded handling
Step 3

Download your document

If approved, your digital letter is delivered for housing use, with verification support if a property manager needs to confirm authenticity.

  • Digital PDF delivery
  • Document verification
  • Renewal reminders

Behind the scenes

The process is built to slow down the parts that matter.

The intake can be completed quickly, but documentation is not issued until the case has been reviewed for clinical fit, state licensing fit, and housing-use clarity.

State alignment

Provider assignment considers where the client lives or receives care.

Clinical fit

The clinician reviews symptoms, functional impact, and animal support role.

Letter quality

Approved letters are checked for clear, housing-focused language.

Verification

Documents can be confirmed without exposing unnecessary medical details.

The full timeline

From screening to a landlord-ready ESA letter

Five stages. Only stage three costs anything, and you see the price before you reach it. Psychiatric service dog evaluations follow the same track with an extra step for trained-task review.

  1. 1
    Minutes · free

    Free eligibility screening

    Focused questions about how symptoms affect daily life, your housing situation, the animal's role, and your state of residence. Nothing is charged and no card is required. You find out whether an ESA letter or a PSD evaluation is the pathway that fits — or whether neither does.

  2. 2
    Same day · free

    Account and secure clinical intake

    You create an account and complete a fuller intake: symptom history, functional impact at home, the animal, and your housing context. This is the material the clinician actually reviews, so accuracy here is what moves a case quickly.

  3. 3
    You choose · one-time payment

    Select the documentation pathway

    Choose an ESA housing letter, a multi-animal ESA plan, or a psychiatric service dog evaluation. Payment covers the professional review and the prepared document. It does not buy approval, and the clinician can still decline.

  4. 4
    Typically 24–48 hours

    Licensed clinical review in your state

    Your case routes to a professional licensed where you live. They may approve, decline, or come back with follow-up questions. A clarification request is what a genuine individualized evaluation looks like — instant approval is what a registry site looks like.

  5. 5
    On approval

    Digital delivery and landlord verification

    The signed letter lands in your account with the clinician's name, license type and jurisdiction, a current date and a verification route. You submit it with a written accommodation request; your landlord confirms authenticity without ever seeing your diagnosis.

Where the two pathways differ

ESA housing letter vs psychiatric service dog evaluation

The first four stages look similar. What the clinician is assessing, and what you can do with the result, is completely different.

Stage ESA housing letter PSD evaluation
What the clinician assessesA disability-related need for an assistance animal at homeFunctional limitation plus the dog's specific trained tasks
Does the animal need training?No — your existing pet usually qualifiesYes — individual task training is what creates the status
Which animalsDogs, cats and other ordinary household animalsDogs only, under the ADA
Typical follow-up questionsOccasionalCommon — tasks must be described specifically
Works for housing
Works for public access
Air travelAirlines may treat as a petDOT form submitted to the carrier in advance

Speed up your own case

What separates a 24-hour approval from a two-week one

Almost every delayed case is delayed for the same reason: the intake was vague, so the clinician had to ask. Answer these before you start and most follow-up rounds disappear.

Your exact housing situation

Rental, HOA, campus dorm or purchase — and whether a request has already been denied.

How symptoms affect daily life

Sleep, leaving the house, work, concentration. Functional impact matters more than a label.

The animal's actual role

What changes when the animal is present, in your own words, with a concrete example.

Trained tasks, if PSD

Name each task and its cue. "Interrupts a panic episode on command" beats "helps my anxiety".

Your current state

Licensure follows where you live. A recent move is the single most common routing problem.

Any real deadline

A lease signing or move-in date. Tell support up front rather than after the fact.

Set expectations correctly

What this process will and will not do for you

What you can expect

  • An individualized decision from a clinician licensed in your state
  • A signed, dated letter written for a Fair Housing accommodation request
  • Credentials and a verification route printed on the document
  • Your diagnosis kept out of the landlord's hands entirely
  • Support with resends, verification queries and renewal timing
  • Clear refund terms shown before you pay, not after a decision

What no service can promise

  • Guaranteed approval — the clinician decides, and may decline
  • That a specific landlord or HOA will grant the accommodation
  • Registration in a federal ESA or service dog database (none exists)
  • Public access for an ESA in shops, restaurants or hotels
  • Airline cabin travel for an emotional support animal
  • Any training, testing or certification of your animal

Process questions

Before you start the screening

No. The screening comes first and is free. You choose a paid pathway only after you understand which one applies to your situation.

It depends on your state's telehealth rules and what your case needs. Some reviews are completed from the written intake plus follow-up questions; others involve a live consultation. Either way a licensed professional makes the decision.

Tell support as soon as it happens. Licensure follows where you live, so the case may need rerouting to a clinician licensed in the new state. Catching it early avoids a letter that names the wrong jurisdiction.

They are separate evaluations answering separate legal questions, so each requires its own review and its own fee. Most people need only one. The screening will point you at the right one before you spend anything.

Housing providers generally expect current documentation, so most clients renew about once a year. A renewal is a fresh clinical look at your circumstances, not a reprint of the old letter.

Start with the free screening

A few minutes to find out which pathway fits — ESA housing letter, PSD evaluation, or neither. No card, no obligation, no registry nonsense.

Secure intakeHousing-focused lettersDocument verification