PSD Questionnaire – ESA Questionnaire

Step 1 of 5

Welcome to the first step of qualifying for a psychiatric service dog! This simple questionnaire will just take a few minutes. We and the licensed professional you are paired with will keep your answers strictly confidential - they will never be shared with other third parties.

For your peace of mind, if you do not qualify for a PSD Letter, you will get a full refund in accordance with our 100% money back guarantee.
First Name (Legal Name)*
Last Name*
*
- I confirm that I am 18 years of age or older
Date of Birth*
Month
Day
Year

Must be an adult 18+
Email*
Enter Email Confirm Email
Phone Number*
Gender*
- Male
- Female
Do you own, or are you considering owning, a psychiatric service dog?
- Yes
- No
A psychiatric service dog is a dog that has been trained to perform tasks relating to a person’s mental health disability. A PSD letter is solely intended to help you establish whether you have a qualifying disability for a service dog under the ADA and Air Carrier Access Act. The PSD letter does not confirm, verify, certify or represent that you own or will own a service dog. The role of the licensed healthcare professional will be limited to assessing your mental and emotional health.
A psychiatric service animal for purposes of the ADA and Air Carrier Access Act is a dog (and no other type of animal) that has been trained to perform tasks relating to a psychiatric disability. A PSD letter is solely intended to help establish whether you have a qualifying disability for a psychiatric service dog under the ADA and Air Carrier Access Act. If you’re not interested in or eligible for a PSD, an emotional support animal may be more appropriate for you.
Please email us at [email protected] if you run into any issues or technical difficulties with the questionnaire.

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PSD Letter*
Price:
Notice Regarding Flights: As a result of rule changes by the U.S. Department of Transportation, many airlines are no longer accommodating emotional support animals. Some airlines will still welcome emotional support animals onboard. Please check with your airline directly prior to booking a flight to see what their latest policy is.
EZ Automatic Annual Renewal
- I opt in for Automatic EZ Renewal at the discounted rate of $125.
We recommend all clients opt in for EZ Automatic Annual Renewal so that you are eligible for a discounted renewal rate ($125). Clients who do not opt in for this service will be billed the standard rate ($199) at time of renewal. By opting into automatic annual renewal you will receive a notice in a year that it’s time for your licensed healthcare professional to re-evaluate you and issue an updated letter. This is completely optional and we will email you a month before your renewal date so you may cancel your EZ Renewal plan at any time before the renewal date.
Expedited Service - Rush Digital Delivery
- Expedited Service - Rush Digital Delivery
Choose this option if your order is time sensitive and you need your letter ASAP or by a specific time. All Expedited Service orders, including plan, are final and are not eligible for a refund.
Redemption Code

Please enter your code and click "Apply"
Shipping Options
Total:
$0.00
Credit Card*
Card Details
Cardholder Name
Place of Residence*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address*
Same as Place of Residence

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you are in the US, you will be paired with a licensed health professional based on your State. If you are in a different State than what is listed for your shipping address, please email us after you submit your order.
How did you hear about us?*
Let us know who to thank!
If other, please specify
Consent
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A psychiatric service dog must be individually trained to do work or perform tasks relating to a mental health disability. A PSD letter is solely intended to help me determine whether I have a qualifying disability under the ADA and Air Carrier Access Act and is not intended to be submitted to third-parties. The PSD letter does not in any way confirm, verify, certify or represent that I own or will own a service dog. I understand that neither the healthcare professional I work with nor ESA Doctors can make any representations or certifications about the qualification of my current or future animal as a service dog or its training or temperament. It is ultimately my responsibility to determine whether my dog meets relevant assistance animal law requirements and to certify my dog’s service animal status to third-parties (including airlines). It is unethical to falsely represent a pet as a service animal. I have also read the refund policy which will be strictly enforced if I need to cancel my order.*
- I have read and agree to the Terms and Conditions and the following:
A psychiatric service dog must be individually trained to do work or perform tasks relating to a mental health disability. A PSD letter is solely intended to help me determine whether I have a qualifying disability under the ADA and Air Carrier Access Act and is not intended to be submitted to third-parties. The PSD letter does not in any way confirm, verify, certify or represent that I own or will own a service dog. I understand that neither the healthcare professional I work with nor ESA Doctors can make any representations or certifications about the qualification of my current or future animal as a service dog or its training or temperament. It is ultimately my responsibility to determine whether my dog meets relevant assistance animal law requirements and to certify my dog’s service animal status to third-parties (including airlines). It is unethical to falsely represent a pet as a service animal. I have also read the refund policy which will be strictly enforced if I need to cancel my order.
Please email us at [email protected] if you run into any issues or technical difficulties with the questionnaire.
Email
This field is for validation purposes and should be left unchanged.

Submit Later

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