Question 1 • 0 answered

Check if you qualify for an ESA letter in 2 minutes

Answer honestly — this confidential screening takes about 2 minutes. All answers protected under HIPAA.

Assessment ~2 min

Your Details ~1 min

Qualification Instant

Landlord-Verifiable ESA Letter Included

Every letter issued features a discreet verification QR code and registry ID. Landlords verify legitimacy instantly without health disclosure.

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Step 2 of 3

Applicant & Pet Information

Enter your legal name and animal information for your clinical provider.

Patient Information

Legal First Name *

Legal Last Name *

Email Address *

Phone Number *

Date of Birth * Must be 18 or older to apply.

State of Residence *

Animal Details

I certify under penalty of perjury that all answers provided are accurate and truthful. I authorize ESA Housing Help to route my intake securely to a board-licensed clinician in my state for telehealth evaluation under the Fair Housing Act and HIPAA privacy regulations.

Check if you qualify for an ESA letter in 2 minutes

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Applicant & Pet Information

Patient Information

Animal Details

Your Answers Are Ready for Clinician Review

Intake Profile Summary: