How to get a legitimate ESA letter online — same day

From your first call to a signed, FHA-compliant ESA letter in your inbox — all in one day. A real doctor. A real consultation. A real letter.

Call Us Now — 1-833-372-6311
Happy dog representing an emotional support animal — My ESA MD

Quick summary: in a nutshell 🥜

Call or email MyESAMD, pay a one-time fee of $110, speak with Dr. Rieser in a same-day telehealth consultation, and receive your legally compliant, physician-signed ESA letter via PDF — no subscriptions, no hidden fees, no personal data stored. No memberships, no other products or services to sell. We do one thing at MyESAMD, and that is why you can be sure of our outstanding quality, professionalism, and the care you will receive from the licensed physician on staff, Dr. Rieser.

The process — step by step

1

Give us a call or email us

Give a call to the front desk staff at MyESAMD — you can email us at info@myesamd.com too! During this initial call we gather some general information about yourself, your pet (and soon-to-be ESA), and your email address where we will send your invoice. We simply ask your pet's name, breed and sex. We also inquire into the symptoms you experience and how your pet provides relief. If you feel this is a bit personal, or simply want to save that information until you speak to the Doctor, that's completely fine and understandable. Your invoice is a one-time fee of $110 — email addresses are never sold to a third party or kept on a CRM.

2

Pay your one-time fee of $110

We send an invoice to the email address provided to us. We use third-party billing such as PayPal or Zelle if you prefer — no personal information is gathered, no credit card kept on file, and no account number or routing number required. Once the invoice is paid, the doctor will give you a call within one hour or at the predetermined time discussed with the front desk. No recurring charges — ever.

3

Speak with Dr. Rieser — your telehealth ESA consultation

Once the payment is received, you can expect a call for a telehealth consultation from Dr. Rieser within one hour or during the predetermined appointment time. During this conversation you'll share with Dr. Rieser your history with your pet, your symptoms, and how your pet assists you with those symptoms. During this telehealth ESA consultation, the doctor will determine the medical necessity and whether an ESA is an appropriate treatment for the symptoms you are living with. We are a real medical practice, not a document mill. Dr. Rieser places medical ethics first — he is here to work for you, with you, and guide you through a time in your life where your ESA is your respite and safe place.

4

Receive your ESA letter — same day, every time

After a successful consultation, our staff will draft your personalized ESA letter, signed by our licensed MD on staff, Dr. Rieser. Your letter is delivered via digital delivery in PDF format and will feature the official letterhead of the practice, signed by a licensed physician. The HUD regulation is cited in the letter as well as the statement of medical necessity. Yes, you will receive your letter today! At MyESAMD we do not charge expedited fees. We get the letter to you the same day because we understand its importance. Medical decisions are made promptly because we are a real, physician-led practice with your needs in mind.

What your valid ESA letter includes

Signature of a licensed medical doctor (Dr. Rieser, MD)

Doctor's license number and NPI

Statement of medical necessity

Practice contact information for landlord or housing office verification

HUD regulation cited — FHA compliant language and format

Official practice letterhead

The language and format of the letter align with FHA and HUD standards, with the specific statute in reference to housing cited. The contact information of our practice is on the ESA letter. Dr. Rieser's state licensure is available upon request and can be verified and provided upon request from your housing authority or landlord.

Why choose MyESAMD?

MyESAMD is a family business — a physician-led practice, not a faceless corporate Goliath. We are on your side and will vouch for you.

One flat fee — $110, no more, no less

That one-time fee covers your initial consultation, your telehealth appointment with a licensed physician, your legal ESA letter, and any verification paperwork the housing office or landlord sends our way. Further communications and questions fielded to our staff or doctor are free of charge as well. We don't quote you one price and bill you another.

Same-day service, every time

Same day. Online. This is Telehealth. We do not charge expedited fees. We get the letter to you the same day because we understand its importance. Try getting your local physician, psychologist or veterinarian on the phone to answer your questions or soothe your concerns within an hour — that's a tough ask. This is the kind of one-on-one attention and care you get from MyESAMD.

We go to bat for you

Any additional paperwork or verifications that your housing office or landlord requires will be handled by a licensed MD and our staff, at no extra charge. No housing authority is going to intimidate him or bully you. An ESA is a valid medical necessity — government agencies such as HUD recognize that, and armed with your valid ESA letter, housing authorities will too. Dr. Rieser will go as far as testifying in court on your behalf if such a situation presents itself.

No scams. No gimmicks. Real medicine.

There is no registration process. We don't ask for a copy of your identification, Social Security number or credit card. We offer no subscriptions and we do not bill you automatically — monthly or ever. No ID cards, no scams, no gimmicks. No letter is sent without a telehealth evaluation with a doctor first, regardless of payment status. This is not a pay-to-play service — this is a physician-led medical practice.

DR

Dr. Rick Rieser, MD — physician on staff

Dr. Rieser has practiced medicine for more than 30 years — from Stanford Medical School to emergency surgery to oncology treatments. He's seen it all. No problem is too big. When it comes to ESA letters, he is your doctor, you are his patient, the ESA is your companion, and you have a legal right to share a dwelling and your life with your ESA.

Your privacy is protected — HIPAA compliant

Here at MyESAMD, we pride ourselves on being HIPAA compliant. We are aware of the scams, the selling of information to third-party vendors, and possible hacks that occur in the digital age. It is for that reason that we request no personal information from our patients, store no patient information in the cloud, and practice full HIPAA compliance.

We neither store nor request any personal information of our patients — not your vitals, medical history, Social Security number, or credit card information. The third-party billing companies we use, such as PayPal, will not request your account number or routing number either. Our pricing is transparent: a one-time fee of $110, and that's it. We operate within the telehealth regulations of the state of our patient's residence, and according to the HUD regulation cited in the ESA letter from the doctor.

Who is this process designed for?

We service renters needing accommodation, students eligible for on-campus housing, individuals moving into a new apartment or condo, and even people who have recently experienced a denial due to pets in the past. Individuals who qualify for an ESA may suffer from anxiety, depression, PTSD, panic disorders, or other emotional disabilities recognized by the NIH, WHO, and the SSA. The presence of these disorders in a patient can be determined by their medical history and/or during your telehealth consultation with a licensed MD.

What we do not offer

  • No registration process or ID verification
  • No subscriptions or automatic monthly billing
  • No ID cards, gimmicks, or fake credentials
  • No letters issued without a real telehealth evaluation first
  • No upsells, add-ons, or hidden products
  • No Social Security number or credit card required

Why medical oversight matters

Medical oversight is of the utmost importance regarding ESAs — not only to ensure the quality of care, but legal compliance. Care from a licensed physician is a first step towards resolving a patient's ailments. You can be sure you're receiving professional healthcare from Dr. Rieser. You won't be prescribed medications with adverse side effects that don't address the root cause.

Once approved, your companion ESA will be able to live with you regardless of a rental company's stance on pets. Your ESA will be able to calm, comfort and guide you forward to a fruitful, fulfilling life. Our primary concern is your relationship with your ESA and how this relationship is beneficial to both the patient and the animal. The doctor determines medical necessity before you receive your telehealth ESA letter, during your secure medical evaluation.

At MyESAMD, no letter is sent without a telehealth evaluation with a doctor first, regardless of payment status. This is not a pay-to-play service — this is a physician-led medical practice.

Ready to get your ESA letter today?

Give us a call or send us an email. Same-day service. One flat fee. A real doctor on the line.

Call 1-833-372-6311 Email info@myesamd.com