Emotional Support Dog Letter Template

You can open the Emotional Support Dog Letter Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Emotional Support Dog Letter Template

Printable | Editable Form



Examples


Emotional Support Dog Letter Template (1)
To Whom It May Concern:
Subject: Emotional Support Animal (ESA) Letter
[Date]
Dear [Recipient’s Name],
I am writing this letter to confirm that I am a licensed mental health professional and that [Client’s Name] has been under my care since [Date of First Appointment].
Diagnosis:
[Client’s Name] has been diagnosed with [Specify Diagnosis], which significantly affects their daily functioning and well-being.
Recommendation:
As part of their treatment plan, I recommend that [Client’s Name] be allowed to have an Emotional Support Dog. The presence of this animal is necessary for [his/her/their] emotional support and overall mental health improvement.
Benefits of the ESA:
The Emotional Support Dog will assist in alleviating symptoms of [Specify Symptoms], thus supporting [Client’s Name]’s emotional and psychological stability.
Legal Protections:
As per the Fair Housing Act (FHA) and the Air Carrier Access Act (ACAA), [Client’s Name] is entitled to certain rights regarding their Emotional Support Dog. This letter serves to document that [he/she/they] requires the assistance of an ESA.
Conclusion:
Please feel free to contact me at [Practitioner’s Phone] or [Practitioner’s Email] should you require further information or clarification regarding the need for an Emotional Support Dog for [Client’s Name].
Sincerely,
[Signature of the Practitioner]
[Practitioner’s Name]
[Licensing Information]
[Practice Address]
Emotional Support Dog Letter Template (2)
To Whom It May Concern:
Subject: Emotional Support Animal (ESA) Certification
[Date]
Dear [Recipient’s Name],
I, [Practitioner’s Name], am a licensed [Practitioner’s Title] in [State], and I am currently treating [Client’s Name] for [Specify Conditions].
Patient History:
[Client’s Name] has been facing challenges related to [Describe Issues] that have impacted [his/her/their] quality of life. As part of the therapeutic process, it is my professional recommendation that [he/she/they] be allowed to keep an Emotional Support Dog.
Role of the Emotional Support Dog:
The Emotional Support Dog will help [Client’s Name] in managing symptoms such as [Specify Symptoms] and will contribute positively to [his/her/their] continued mental health recovery efforts.
Legal Rights:
In accordance with the Fair Housing Act and other pertinent legislation, [Client’s Name] has the right to have this support animal accessible in all housing arrangements.
Final Considerations:
This documentation fulfills the requirement for [Client’s Name] to obtain housing or travel accommodations as necessitated by [his/her/their] condition. Please do not hesitate to reach out for additional information regarding this matter.
Warm regards,
[Signature of the Practitioner]
[Practitioner’s Name]
[Licensing Information]
[Contact Information]

Format

Please complete the form below to create the Emotional Support Dog Letter Template. All fields must be filled out to ensure a clear and complete letter. We provide examples to guide you through each step.

Emotional Support Dog Letter Template

1. Licensed Professional Information



2. Client Information


3. Dog Information


4. Reason for Support Animal

5. Recommendations for Accommodation

6. Verification of Condition

7. Contact Confirmation

8. Signature and Date

9. Declaration and Signatures




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Printable

Emotional Support Dog Letter Template

Printable | Editable Form




Emotional Support Dog Letter Template