If you are already seeing a therapist you are welcome to use the Airline Prescription Template on this page. Once signed by a therapist this would now be a legal document and that is all you need to fly with your pet.
Emotional Support Animal Prescriptions are based upon Federal Law as codified in the Air Carriers Access Act and 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 profess- ional’s license and the state or other jurisdiction in which it was issued.
Sample Emotional Support Animal Prescription Template
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:
Therapist Address and Phone Number
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