img Call us Text Us 443-598-BTC1 (2821)
Open 9 AM - 9 PM Sun-Sat
103 Old Court Rd. Baltimore, MD 21208

Emotional Support Animal (ESA) Letters

emotional support animal

Do you need an ESA letter for your emotional support animal in Baltimore?

We can help.

Our licensed therapists can evaluate you for the need for an emotional support animal and write a letter that will be accepted by airlines and landlords, the two entities required by the Americans with Disabilites Act to accommodate service pets and support animals.

The process is easy and quick: contact us to set up an appointment for an ESA evaluation. We can often get you in within the week – sometimes even the same day. The fee for the evaluation and letter is $200. You will pay this fee at the time of booking, but rest assured that this payment is completely refundable up to 24 hours before the appointment.

The evaluation will take approximately an hour, after which the therapist will render a diagnosis. We will then prepare your ESA letter and send it to you by mail or e-mail, according to your preference, within 3 business days.

That’s all it takes!

Contact us to get your emotional support animal letter today!


get an ESA letter


What conditions qualify someone for an emotional support animal?

According to the U.S. Department of Transportation in their regulations concerning Nondiscrimination on the Basis of Disability in Air Travel, passengers must have a “mental or emotional disability recognized in the Diagnostic and Statistical Manual of Mental Disorders.” According to the U.S. Department of Housing and Urban Development, residents must have a “physical or mental impairment that substantially limits one or more major life activities.” There are no designations as to which specific mental illnesses qualify one for an ESA. Here are some common ones that may apply:

  • Anxiety
  • Depression
  • Bipolar Disorder
  • Panic Attacks
  • Post-Traumatic Stress Disorder (PTSD)Autism
  • Social Phobia
Am I guaranteed to get an ESA letter after the evaluation?

No. We are assessing you for a mental illness that would qualify you for the need for an ESA. If we cannot reasonably diagnose you with such a mental illness, we cannot provide a letter. That is why you must have a licensed mental health clinician evaluate you.

Do I need to register my emotional support animal?

No. There is no such registry and registering the animal is not necessary. However, there may be medical or other forms regarding your animal needed by the organization to which you will be presenting your ESA letter.

Will I need anything more than the ESA letter you provide?

Most likely, yes. Please contact the relevant airline or housing unit and ask about any forms you need to complete and the deadlines for doing so. We can fill out any forms related to your mental health, but some places may ask for documentation regarding the health and/or safety of your animal, which we cannot provide.

How much does it cost?

The cost for the evaluation and ESA letter is $200.

How long will it take?

The evaluation is 1 hour. You will receive the letter within 3 business days.

Can you send a letter directly to an airline/housing complex?

You would need to sign a release of information form for us to do so. With that release we can.

How long is my ESA letter good for?

According to the federal regulations of the Department of Transportation, the letter “no older than one year from the date of the passenger’s scheduled initial flight.”

Do you only write letters for dogs?

No. We will write a letter certifying your need for an emotional support animal; we do not prescribe which animal that has to be. Note, however, that the laws permit airlines and landlords to refuse to accommodate “unusual” service animals, such as snakes, spiders, and others. Please consult a lawyer if you think your support animal may fall into this category.

Can I get an ESA evaluation online?

It is technically possible to get this done online, however, please note that in order for an ESA letter to be valid, it must be signed by a licensed mental health professional. These licenses operate by state, so you will need to be assessed by someone here in Maryland, or who has a Maryland license. You must also undergo a valid mental health assessment; text-based questionnaires such as offered by other online options are rarely sufficient to provide a valid diagnosis. In order to provide a reliable assessment, the Baltimore Therapy Center requires you to speak face-to-face with a clinician, but this can be done in person or via videoconference.

What if I need more help/therapy?

We can help with that too! Learn more about our counseling services here.

Contact us to get your emotional support animal letter today!


emotional support animal letter

Our Blog

October 29 Anger Management: Where to Start

People who struggle with anger management problems often feel like they are not in control when their anger gets the best of them. Have you ever felt like you go “from 0 to 100 in a second”? Or have others described you this way? Having a short fuse can certainly cause all manner of problems […]

By Raffi Bilek
Read More..
September 4 The Risks of Picky Eating (How Bad Is It Really?)

Have you seen this alarming article yet? ‘Picky’ teen goes blind after diet of only fries and chips, study says. Apparently a British teenager refused to eat anything but “french fries, Pringles, white bread, processed ham slices, and sausage” and the lack of proper nutrients actually caused him to go blind. So this is probably […]

By Raffi Bilek
Read More..
August 14 Why Don’t My Adult Children Want to Talk to Each Other?

The past couple of posts have been addressing parents of adult children and discussing the family conflicts that are not uncommon in such relationships. Continuing on the theme, I’d like to touch on the issue of strained relationships between adult siblings. This is often a cause of great pain for older parents who feel their […]

By Raffi Bilek
Read More..

Our Testimonials

First slide

Raffi led an informal group which I attended along with a few classmates from Israel in the summer of 2010. We had just returned to New Jersey from studying in a one- to two-year fellowship abroad. Ra

Chanan Siris
First slide

Highly professional but down to earth. Both my husband and I felt completely understood and valued; something couple’s often fear simply cannot be achieved. I’m sure we’ll return we need a “tu

First slide

Raffi made me enjoy going to therapy. I have learned to talk through issues that seemed impossible and I feel so much better about the communication in my relation

Tyson V.
First slide

My boyfriend and I see Raffi and it was the best decision we ever made. It is hard to gather the right words to describe him and how much he has helped us and our

Summer H.
First slide

Caitlin is so special. She is an excellent listener and offers valuable and practical advice for improving life circumstances. I would highly recommend her to anyone looking to grow and improve their

Devorah Mattes