ESA letters

ESA letter evaluation for dogs — with a licensed clinician

If you are considering an emotional support animal letter for your dog, the first step is a clinical evaluation. A licensed clinician reviews whether you have a qualifying disability, whether it causes meaningful functional limitation, and whether there is a disability-related need for the animal in a housing accommodation. Documentation is issued only when the clinician can support that determination.

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

ESA documentation evaluation — $100 self-pay

The $100 fee is for a clinical evaluation and documentation review. Payment does not guarantee that an ESA letter will be issued.

Ondoc issues ESA documentation only when the treating clinician determines that the applicable clinical and legal requirements are met.

Ondoc clinic policy requires an established clinical relationship and sufficient clinical information before ESA documentation is issued. Additional evaluation, treatment or follow-up may be required, and state law may impose additional requirements.

Ondoc ESA documentation is intended for housing accommodation requests. It does not make an animal a service animal, and it does not grant general public-access or airline rights.

Read the full ESA documentation policy

What the evaluation covers

  • $100 self-pay for the clinical evaluation, or commercial insurance where applicable
  • Ondoc clinic policy: documentation requires an established clinical relationship and sufficient clinical information — a one-time administrative request is not enough
  • Intended for housing accommodation requests only — not a service-animal certification, and no ADA public-access or airline rights
  • No breed, weight or age rule decides the outcome — the evaluation is about your clinical situation and your disability-related need

Frequently asked

Does the $100 fee guarantee a letter?

No. The $100 fee pays for a clinical evaluation and documentation review. Ondoc issues ESA documentation only when the treating clinician determines that the applicable clinical and legal requirements are met, and additional evaluation, treatment or follow-up may be required first.

Does the dog need to be a specific breed?

No. Breed, weight and age are not what the clinical evaluation turns on. The clinician evaluates your disability-related need for the specific animal you describe.

How long does documentation last?

Ondoc clinic policy is that documentation is never renewed automatically; clinical reassessment is required before updated or renewal documentation is issued. State law may impose its own requirements, and a housing provider may ask for current documentation.