Article Map
Preview - Emotional Support Animal Letter Form
Sample Letter from a Service Provider
[date]
Name of Professional (therapist, physician, psychiatrist, rehabilitation counselor)
XXXRoad
City, State Zip
Dear [Housing Authority/Landlord]:
[Full Name of Tenant] is my patient, and has been under my care since [date]. I am intimately familiar with his/her history and with the functional limitations imposed by his/her disability. He/She 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, [first name] has certain limitations regarding [social interaction/coping with stress/ anxiety, etc.]. In order to help alleviate these difficulties, and to enhance his/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 [first name] in coping with his/her disability.
I am familiar with the voluminous professional literature concerning the therapeutic benefits of assistance animals for people with disabilities such as that experienced by [first name]. Upon request, I will share citations to relevant studies, and would be happy to answer other questions you may have concerning my recommendation that [Full Name of Tenant] have an emotional support animal Should you have additional questions, please do not hesitate to contact me.
Sincerely,
Name of Professional
Common PDF Forms
Ucc1-308 - Filing UCC 1-308 allows individuals to proclaim their legal stance.
Accord Forms - The information in the Acord 50 WM can affect liability coverage options.
Advance Beneficiary Notice of Noncoverage - Providers issue this form when they believe Medicare may not pay for specific services or items.
Similar forms
- Service Animal Certification Letter: This document confirms that an individual requires a service animal for a disability. Like the Emotional Support Animal Letter, it is issued by a licensed mental health professional and serves to validate the need for assistance.
- Therapy Animal Letter: Similar to the Emotional Support Animal Letter, this letter indicates that a therapy animal provides emotional support to individuals in therapeutic settings. Both documents highlight the importance of animal companionship in mental health.
- Disability Verification Letter: This letter is provided by a healthcare provider to confirm an individual’s disability. It shares a common purpose with the Emotional Support Animal Letter by establishing the need for specific accommodations related to the disability.
- Pet Policy Exception Letter: This document requests an exception to a no-pets policy based on a person's need for an emotional support animal. It parallels the Emotional Support Animal Letter in that it seeks to ensure access and support for individuals with emotional needs.