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ESA &
PSD Letter Approvals in 24-48 Hours
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PSD
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ESA Questionnaire
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PART A: PERSONAL DETAILS
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Step
1
of 6
The first step to qualifying for an emotional support animal (ESA) or psychiatric service animal is to fill out the questionnaire, which will only take a few minutes. We will ensure that all your information is kept confidential. We will give a full refund if the licensed therapist establishes that you don’t qualify for the ESA or PSD letter. All the information you share with us will be saved on the server.
Your Official Legal Name
*
First
Last
Gender
*
Male
Female
Other
Confirmation 18 years old
*
I confirm I am at least 18 years old and not acting on behalf of anyone else. *
Date of Birth
*
Must be an adult 18+
Email Address
*
Email
Confirm Email
Phone Number
*
The Emotional support animal you prefer
*
e.g. dog, cat and other It is essential to note that the Department of Transportation issue guidance restricting the transportation of unusual animals such as reptiles, rodents, and spiders. Most housing providers will also not be very accommodating of ESAs that are not cats or dogs. Airlines and housing providers are allowed to deny animals that may damage property or pose a threat to other people. Notably, we are not in a position to help individuals who want to accommodate more than 3 ESAs.
Number of animals
At this time, unfortunately, we are unable to assist you if you have more than 2 Emotional Support Animals.
Next
Have you noticed any changes in your mood for the past 6 months?
*
Yes
No
Have you had any of the following emotional and mental symptoms in the last six months?
Difficulty with focus and concentration
Irritability and/or agitation and/or anger
Fatigue
Restlessness
Changes in your sleep (ie., sleeping too much or difficulty falling asleep)
Muscle tension
Depressed mood
Elated mood
Decreased interest in activities that you once enjoyed
Lack of motivation
Changes in your weight (ie., significant weight gain or weight loss)
Changes in your appetite (ie., eating too much or too little)
Feelings of worthlessness or hopelessness
Indecisiveness
Thoughts or wanting to hurt yourself or others
Difficulties with your activities of daily living (eg., preparing meals, paying bills, housekeeping,bathing)
Missing work or school or performing poorly at work or school
Isolation or changes in your social functioning (ie., not spending time with friends/family)
Other
None
In the last 90 days, how often have you been bothered by these symptoms?
Do you often feel sad or depressed?
*
Yes
No
How long do you feel sad or depressed on a typical day?
*
Less than 1 hour
1-3 hours
3-5 hours
Greater than 5 hours
Do you feel anxious?
Yes
No
For how do you feel anxious on a typical day?
*
Less than 1 hour
1-3 hours
3-5 hours
Greater than 5 hours
Do your mental or emotional symptoms interfere with performing normal activities?
Yes
No
Major Life Activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
If yes, please elaborate on which activities have been interfered with and how?
Previous
Next
Have you on any day experienced intense fear or a reencounter of past traumatic events?
*
Yes
No
If yes, kindly indicate if you have experienced any of the following.
Distressing dreams and/or memories of the traumatic event
Flashbacks (ie., feeling that the traumatic event is recurring)
Avoidance of negative memories or thoughts associated with the event
Difficulty remembering important aspects of the traumatic event
Negative thoughts or beliefs about yourself and/or others (eg., “I am bad” or “I can’t trust anyone)
Feeling detached or estranged from others
Difficulty experiencing positive emotions (eg., love, satisfaction, joy)
Reckless or self-destructive behavior
Hypervigilance
Feeling easily startled
Other
In the last 3 months, how often have you been bothered by traumatic events?
Rarely
Moderately
Very Often
Other
Do the symptoms that come from traumatic events affect the performance of everyday activities such as sleeping, eating, and walking, among others?
Yes
No
Major Life Activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
If yes, how has it affected the performance of everyday activities?
Any past traumatic event you are comfortable sharing with the licensed therapist?
Previous
Next
Have you experienced any intense fear or anxiety in the last 6 months?
*
Yes
No
If yes, how often do you get intense fear or anxiety attacks?
Daily
Several times a week
A few times per month
Never
Other
Are you worried about experiencing panic or anxiety attacks in the future?
Yes
No
Did you experience any of the following symptoms during your last panic or anxiety attack?
Increased heart rate
Uncontrollable shaking
Dizziness or nausea
Difficulty breathing
Hot flashes or profuse sweating
Numbness of extremities (legs, fingers, toes, etc.)
None of the above
Do these attacks interfere with everyday life activities such as walking, sleeping, eating, breathing, learning, and working?
Yes
No
Major Life Activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working.
If yes, how does the attack interfere with these normal life activities?
Previous
Next
Do you think having an animal can help alleviate emotional and mental symptoms?
*
Yes
No
If yes, please describe how you think the animal can help
Have you in the past or currently been diagnosed with any mental or emotional problem?
If yes, which medicine were you given, and for how long have you taken it?
*
Write “NONE” if you have not been diagnosed with any illness.
Feel free to share additional information about your current state to the licensed health mental practioner
*
Write “NONE” if you have not consumed any OTC or prescription drugs in the last year.
Please use this space to communicate anything else you would like your licensed health professional to be aware of.
Is your ESA for University or On-Campus housing?
*
Yes
No
Not sure
Please note if your ESA is for University or on-campus housing, it can be pretty challenging since most facilities are quite strict. You may be required to produce certain documents to be allowed to accommodate your ESA. We can help you, but those extra documents will attract a special fee. Additionally, if the facility denies accommodation of your ESA, we are not in a position to offer a refund.
*
I agree with the condition and will like to proceed
Previous
Next
Discount Code
Please enter your code
Emotional Support Animal Plan select
*
Emotional Support Animal Plan Housing
Emotional Support Animal Plan Plus
Please choose your Emotional Support Animal Plan.
Emotional Support Animal Plan Housing
*
ESA Housing - $ 159.00
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (10% OFF)
*
ESA Housing - $ 143.10
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (100% OFF)
*
ESA Housing - $ 0.00
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (99%)
*
ESA Housing - $ 0.05
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (85%)
*
ESA Housing - $ 23.85
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (15% OFF)
*
ESA Housing - $ 135.15
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (20% OFF)
*
ESA Housing - $ 127.20
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Housing (25% OFF)
*
ESA Housing - $ 119.25
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to housing providers for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery
Emotional Support Animal Plan Plus
*
ESA Plus - $ 189.00
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to your housing provider for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery • Priority Support • PSD Add-on for $99 • The discounted annual renewal rate of $99
Emotional Support Animal Plan Plus (10% OFF)
*
ESA Plus - $ 170.10
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to your housing provider for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery • Priority Support • PSD Add-on for $99 • The discounted annual renewal rate of $99
Emotional Support Animal Plan Plus (15% OFF)
*
ESA Plus - $ 160.65
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to your housing provider for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery • Priority Support • PSD Add-on for $99 • The discounted annual renewal rate of $99
Emotional Support Animal Plan Plus (20% OFF)
*
ESA Plus - $ 151.20
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to your housing provider for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery • Priority Support • PSD Add-on for $99 • The discounted annual renewal rate of $99
Emotional Support Animal Plan Plus (25% OFF)
*
ESA Plus - $ 141.75
• Assessment by a Licensed mental health practitioner • Signed ESA Letter • Submitted to your housing provider for ESA accommodation • ESAs should not face residential pet restrictions • Digital Delivery • Priority Support • PSD Add-on for $99 • The discounted annual renewal rate of $99
Psychiatric Service Dog Letter for Travel
PSD Letter - $ 99.00
A PSD letter establishes whether you have a mental or emotional disorder under the ADA. You can enjoy a discounted add-on if you purchase the PSD letters on the ESA plan.
Psychiatric Service Dog Letter for Travel (10% OFF)
PSD Letter - $ 89.10
A PSD letter establishes whether you have a mental or emotional disorder under the ADA. You can enjoy a discounted add-on if you purchase the PSD letters on the ESA plan.
Psychiatric Service Dog Letter for Travel (15% OFF)
PSD Letter - $ 84.15
A PSD letter establishes whether you have a mental or emotional disorder under the ADA. You can enjoy a discounted add-on if you purchase the PSD letters on the ESA plan.
Psychiatric Service Dog Letter for Travel (20% OFF)
PSD Letter - $ 79.20
A PSD letter establishes whether you have a mental or emotional disorder under the ADA. You can enjoy a discounted add-on if you purchase the PSD letters on the ESA plan.
Psychiatric Service Dog Letter for Travel (25% OFF)
PSD Letter - $ 74.25
A PSD letter establishes whether you have a mental or emotional disorder under the ADA. You can enjoy a discounted add-on if you purchase the PSD letters on the ESA plan.
Annual Price Protection Plus Plan
Auto-renew letter PSD/ESA
We offer a discounted annual renewal rate of $99.00 Annual renewal ensures that your ESA letter does not expire accidentally and safeguards your qualifications.
Annual Price Protection Plus Plan (10% OFF)
Auto-renew letter PSD/ESA
We offer a discounted annual renewal rate of $89.10 Annual renewal ensures that your ESA letter does not expire accidentally and safeguards your qualifications.
Annual Price Protection Plus Plan (15% OFF)
Auto-renew letter PSD/ESA
We offer a discounted annual renewal rate of $84.15 Annual renewal ensures that your ESA letter does not expire accidentally and safeguards your qualifications.
Annual Price Protection Plus Plan (20% OFF)
Auto-renew letter PSD/ESA
We offer a discounted annual renewal rate of $79.20 Annual renewal ensures that your ESA letter does not expire accidentally and safeguards your qualifications.
Annual Price Protection Plus Plan (25% OFF)
Auto-renew letter PSD/ESA
We offer a discounted annual renewal rate of $74.25 Annual renewal ensures that your ESA letter does not expire accidentally and safeguards your qualifications.
Money-Back Guarantee If the housing provider violates your rights and refuses your ESA request, you will get a refund of your ESA plan and positions, less the ESA shield price. Unlimited Priority Support You can subscribe to our email. We offer unlimited support to all our clients
Extra Documentation - Optional Service
Extra Documentation - $ 49.95
Some housing providers and airlines will request different submission forms. The licensed health professional will handle the extra documents. However, you will incur additional costs.
Extra Documentation - Optional Service (10% OFF)
Extra Documentation - $ 44.96
Some housing providers and airlines will request different submission forms. The licensed health professional will handle the extra documents. However, you will incur additional costs.
Extra Documentation - Optional Service (15% OFF)
Extra Documentation - $ 42.46
Some housing providers and airlines will request different submission forms. The licensed health professional will handle the extra documents. However, you will incur additional costs.
Extra Documentation - Optional Service (20% OFF)
Extra Documentation - $ 39.96
Some housing providers and airlines will request different submission forms. The licensed health professional will handle the extra documents. However, you will incur additional costs.
Extra Documentation - Optional Service (25% OFF)
Extra Documentation - $ 37.36
Some housing providers and airlines will request different submission forms. The licensed health professional will handle the extra documents. However, you will incur additional costs.
Expedited Service - Rush Digital Delivery
Expedited Service - Rush Digital Delivery - $ 49.50
If you require your ESA letter as soon as possible we can help hasten the process. However, the service is not eligible for a refund.
Expedited Service - Rush Digital Delivery (10% OFF)
Expedited Service - Rush Digital Delivery - $ 44.55
If you require your ESA letter as soon as possible we can help hasten the process. However, the service is not eligible for a refund.
Expedited Service - Rush Digital Delivery (15% OFF)
Expedited Service - Rush Digital Delivery - $ 42.08
If you require your ESA letter as soon as possible we can help hasten the process. However, the service is not eligible for a refund.
Expedited Service - Rush Digital Delivery (20% OFF)
Expedited Service - Rush Digital Delivery - $ 39.60
If you require your ESA letter as soon as possible we can help hasten the process. However, the service is not eligible for a refund.
Expedited Service - Rush Digital Delivery (25% OFF)
Expedited Service - Rush Digital Delivery - $ 37.16
If you require your ESA letter as soon as possible we can help hasten the process. However, the service is not eligible for a refund.
Place of Residence
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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*
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*
Card Number
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Expiration
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Security Code
Terms and Conditions
*
I have read and agreed to our Terms and Conditions and will adhere to the following *
Service Paws USA and licensed health professionals understand the emotional and mental issues you are currently facing, and we intend to offer professional and compassionate services. We also request that all clients be truthful when filling out the questionnaire and treat our team respectfully. By submitting your questionnaire, you agree to the following: You will treat our team respectfully and not be rude or threatening. We have the right to cancel your order if your behavior is inappropriate. You should only submit the form when you are ready. You have fully understood the refund policy. If your ESA is rejected by the airline or housing providers, we will not offer any refund.
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