Real Clinical Care,
A Letter That Actually Holds Up
ESA Letter Online was built from the inside out — by a licensed clinician who believes Emotional Support Animal letters should mean something. Every Emotional Support Animal letter we issue reflects a genuine clinical evaluation, not a generic template your landlord can dismiss.
Matt Grammer, LPCC-S
License: LPCC-S (Licensed Professional Clinical Counselor — Supervisor)
State: Kentucky — License #164069
Practice: Counseling Now®
Specialization: Mental Health Evaluations & Telehealth
I started ESA Letter Online after years of working with clients who struggled to navigate an opaque, often exploitative market for Emotional Support Animal documentation. I kept seeing people get letters from providers who never actually evaluated them — putting the client's housing and the clinician's license at risk.
The fix was straightforward: build a platform that treats every ESA evaluation like real clinical care — with thorough clinical documentation, a proper evaluation process, and a licensed clinician who actually takes responsibility for every letter they sign. In states that require it, that includes a live telehealth consultation.
I designed the clinical workflow myself and still maintain an active clinician profile on the platform. I use the same evaluation process as every other licensed provider in the network — because if I wouldn't put my own license behind it, I wouldn't ask anyone else to either.
Why We're Different
Most Emotional Support Animal letter services are built to maximize approvals. We're built to maximize clinical integrity.
Real Licensed Clinician Review
Every case is personally reviewed by a licensed mental health clinician who applies genuine clinical judgment — not an automated system. For states requiring a live consultation, your clinician schedules one directly. No signing off without review, no exceptions.
Defensible Clinical Documentation
Every clinician on the platform documents a formal functional impairment statement and therapeutic rationale for each evaluation — the same standard expected in any licensed mental health professional practice.
License-Verified Clinicians
Every clinician on our platform is individually license-verified and matched to clients in states where they hold an active license. Your letter will hold up to scrutiny.
State Licensing Notice: Matt Grammer holds an active LPCC-S license in the state of Kentucky (#164069). ESA Letter Online matches each client with a clinician licensed in their state of residence. We have licensed clinicians available in all 50 states and Washington, D.C.
Ready to Get Started?
Complete your evaluation with a licensed clinician today.