American Service Pets | Pre-Qualifying For Your ESA Letter Is Easy!

Question 1

Have you experienced signs and symptoms of
depression in the last 6 months?

Have you experienced significant anxiety or
panic in the last 6 months?

Are you currently experiencing significant stress or
difficulty adjusting to a major life change?

Is your stress or mood impacting your social, occupational, or
educational performance or ability to engage in these activities?

Have you experienced a major life change in the last 6 months?

You Qualify!
Fill out the form below and answer a few more questions to complete the registration process

How do you refer to yourself?*

Mr. Ms. Required

Please select your title (Mr./Ms.)

Enter your name*

Please enter your first name.

Enter your Last Name*

Please enter your last name.

Enter email address to send approval email*

Please enter a valid email address.

Enter a zip to qualify*

Please enter a valid US Zip Code.

GET YOUR ESA LETTER!

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By clicking "Get Your Esa Letter!", I agree to the Terms & Conditions and Privacy Policy of this site. I certify that I am 18 years or older and a resident of the United States. I understand this site will provide me with an evaluation with a licensed Psychologist in my state, and if I qualify, based solely on the evaluation, a downloadable ESA Letter. I have read and understand the information provided regarding telepsychology, I agree to share my information with my assigned Psychologist per the HIPAA privacy rights. I hereby give my informed consent for the use of telepsychology in my care.