EmotionalSupportPet.com
Emotional Support Animal Letter
Thank You!
     Emotional Support Animal prescription letters are based
upon federal law (both airline and housing) and must comply
with either the Air Carrier's Access Act or the Fair Housing Act

Airline Prescription Letters must state:

(1) The passenger has a mental or emotional disability
recognized in the Diagnostic and Statistical Manual of Mental
Disorders - Fourth Edition (DSM IV);

(2) The passenger needs the emotional support or psychiatric
service animal as an accommodation for air travel and/or for
activity at the passenger’s destination;

(3) The individual providing the assessment is a licensed
mental health professional, and the passenger is under his or
her professional care; and

(4) The date and type of the mental health professional’s
license and the state or other jurisdiction in which it was issued.


Sample Airline Emotional Support Animal Prescription

Date:

To Whom It May Concern:

Patient is under my care and I am currently treating him for a
psychological disability recognized by the DSM IV-TR. I have
diagnosed him with Disorder and DSM IV Code. His disability
substantially limits at least one major life activity.

It is my professional opinion the presence a emotional support
animal is necessary to treat and alleviate Patient’s disorder. I
have prescribed Patient to obtain a dog or a cat to serve as an
emotional support animal as the primary treatment to address
his disability.

Please allow Patient to be accompanied by his emotional
support animal in the cabin of the aircraft, in accordance with
the Air Carrier Access Act (49 U.S.C. 41705 and 14 C.F.R.
382).

LPC License #
Date LPC License Issued:



Sample Housing Emotional Support Animal Prescription

Date:
To Whom It May Concern:

Patient is under my care and I am currently treating her for a
mental health disability recognized in the DSM IV-TR. I have
diagnosed her with Disorder and DSM IV Code Her disorder
substantially limits at least one major life activity.

As the primary treatment to address her psychological
disability, I have prescribed Patient to obtain a dog or a cat to
serve as an emotional support animal. It is my professional
opinion that the presence of this animal is a necessary
treatment for the mental health of Patient because its presence
will mitigate the symptoms she is currently experiencing.

Patient meets the definition of disability under the Americans
with Disabilities Act, the Fair Housing Act, and the
Rehabilitation Act of 1973. Due to mental illness, Patient has
certain limitations regarding [social interaction/coping with
stress/anxiety, etc.]. In order to help alleviate these difficulties,
and to enhance her ability to live independently and to fully use
and enjoy the dwelling unit you own and/or administer, I am
prescribing an emotional support animal that will assist Patient
in coping with her disability.


LPC License #
Date LPC License Issued: