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ESA Letters

A real ESA assessment from a licensed mental-health professional.

Emotional support animal letters are issued only after a state-licensed mental-health professional completes an assessment and determines one is clinically warranted. You're only charged if a letter is issued.

From $99· You're only charged if a provider approves treatment.

ESA Letters
Licensed U.S. providersHIPAA-secureNo insurance requiredFree discreet shippingNo charge unless treated50 states + D.C., P.R. & GuamLicensed U.S. providersHIPAA-secureNo insurance requiredFree discreet shippingNo charge unless treated50 states + D.C., P.R. & Guam

How it works

Care in three simple steps.

  1. 01

    Complete an assessment

    Answer a confidential questionnaire reviewed by a state-licensed mental-health professional.

  2. 02

    Clinical review

    The professional evaluates whether an emotional support animal is clinically appropriate for your situation.

  3. 03

    Receive your letter

    If clinically warranted, your signed letter is issued and delivered to you securely.

What's included

Everything in one flat price.

Assessment by a state-licensed mental-health professional
Letters issued only when clinically warranted
Professionals licensed across all 50 states + D.C., P.R. & Guam
No charge unless a letter is issued
HIPAA-compliant, confidential process
Secure digital delivery

Transparent pricing

From $99

One flat price — no insurance, no surprise fees. You're only charged if a licensed provider approves treatment.

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A better way to get care.

Time to start
MDsideMinutes, fully online
TraditionalDays to weeks for an appointment
In-person visits
MDsideNone required
TraditionalOffice visits & waiting rooms
Pricing
MDsideFlat & transparent
TraditionalInsurance + surprise bills
Providers
MDsideU.S.-licensed in your state
TraditionalVaries
Ongoing support
MDsideMessage your care team
TraditionalCall & wait on hold
Discretion
MDsidePlain, unmarked shipping
TraditionalPharmacy pickup

Questions, answered.

Yes. Your letter is issued by a state-licensed mental-health professional only after a genuine clinical assessment, not generated automatically.

Member reviews

96% of members recommend MDside.

★★★★★Based on 101 reviews on Facebook

★★★★★
Incredible service, state of the art design and caring staff.
Sumeet T.· Verified review on Facebook
★★★★★Mike M.★★★★★Kristine G.★★★★★Jaz L.★★★★★Rob A.★★★★★Kierstin C.

A genuine clinical assessment, with a letter issued only when it's warranted.

Start your visit.

Five minutes, completely online. From $99— a full refund if a provider can't treat you.

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