Get Your ESA Letter

Updated October 2026

Getting your ESA letter with My ESA MD is simple, and we've laid out every step below so you know exactly what to expect before you ever pick up the phone. Here's how it works, start to finish.

Here Are the Easy Steps to Get Your ESA Letter the Same Day

• Call 833-372-6311 to speak with an ESA counselor. They will walk you through our services and answer any questions you have.
• If you decide to move forward, we will schedule your consultation with a licensed physician on our team. We move quickly, so this is usually the same day, or whenever is most convenient for your schedule.
• Your consultation, your ESA letter (if you qualify), any additional landlord paperwork, and a full year of follow-up support are all covered by a single, one-time payment of $110. There's nothing else to pay after that.
• If the doctor determines that you qualify for an Emotional Support Animal, your letter will be written and signed by the doctor and promptly emailed to you.
• You can start practicing your rights as an ESA owner immediately!

Explanation of the ESA Procedure

Here is a more detailed explanation of the steps outlined above. When you call, your call will usually be answered by a member of our team. However if you reach a voice message it means all of our counselors are currently on the phone with other patients. Your call is very important to us, so please leave a message and we will call you back within the hour. At this point we will go over your situation and your symptoms and then schedule your appointment with the doctor. At the end of the call we will send you an invoice for the flat rate of $110. One other thing to note: if you call after the doctor's hours, we will schedule your consultation for the next day.

Your Consultation With the Doctor

You will then receive a phone call from the doctor at your scheduled appointment time if you chose one or when it becomes your turn in line. You will always speak directly to a doctor, and your consultation is confidential and private. If our doctor determines that you qualify as an ESA owner, you will receive your ESA letter the same day that you speak to the doctor, usually within the hour unless we are especially busy that day. If the doctor determines that you don't qualify as an ESA owner, you will receive a full refund. No questions asked.

Your ESA Letter Explained

Your ESA letter will always be emailed to you through secure and encrypted email for your privacy and security. The letter explains your need for an ESA without disclosing personal details about your diagnosis, and it includes the name, signature, and professional license number of the doctor who evaluated you.

How to Use Your ESA Letter

If you would like us to, we'll happily walk you through your responsibilities as an ESA owner and how to present your letter to landlords or housing providers. We're here to answer any further questions that come up along the way, for up to a full year after your visit.

If Your Landlord Has Questions or Concerns

If you run into any difficulty with a landlord or leasing office that has concerns about your ESA, we are happy to help. We'll provide you with our relevant guide to federal and state ESA housing law so you can share it directly, and in most cases that can resolve their questions.

If the regulations alone don't resolve it, a physician or staff member from our team will be more than willing to speak with your landlord or leasing office directly, explain the federal and state rules that apply, and advocate on your behalf to the fullest extent of our ability.

If, after we've had the chance to advocate for you directly with your landlord, they still refuse to accept a properly issued letter, and there is documentation of that correspondence, you will receive a full refund. We do want to be upfront about one condition here: because this policy has been taken advantage of in the past by patients claiming a refusal that never actually happened, we're unable to issue a landlord-refusal refund without documented correspondence showing that our staff or doctor was given the chance to reach out to the landlord or leasing office first. We know that's a bit of a formality, but it protects the guarantee for everyone.

Renewing Your ESA Letter

If you need to renew your ESA letter, returning patients receive 20% off our current pricing at the time of renewal. As with your original visit, your renewal consultation and letter are covered under the same one-time fee structure, plus another year of follow-up support.

If You Know Someone Who Could Benefit

If you know someone who could benefit from an ESA but might need a little help getting started, give us a call. There are thousands of senior citizens who would love the companionship of an ESA, and plenty of kids too.

Upon request, we can also send you two printed copies of your ESA letter for a small additional fee.

Who You'll Be Talking To

My ESA MD is a small, family-run telehealth practice. When you call, you're talking to real people who know this process inside and out, not a call center.

Rick Rieser, MD

Medical Director, Lead Physician

Mary

Marketing Director, Retired RN