$45/eval · Streamlined workflow
No insurance billing · 100% online
Clinicians on the platform. Now accepting in all 50 states — earn $45 per Emotional Support Animal (ESA) evaluation.
Get Paid $45 for a Clinical Service
Insurance Doesn't Cover
The platform licensed clinicians use for Emotional Support Animal evaluations.
Your clients already ask about ESA letters — now you can issue them through a compliant platform and get paid $45 every time.
Receive referrals from the network. Structured intakes and streamlined documentation mean you spend your time on the clinical decision, not the paperwork.
Application takes less than 3 minutes. No commitment required.
Add ESA Evaluations to Your Practice
ESA evaluations are a legitimate clinical service that insurance doesn't cover — which means you get paid directly, every time. Use your clinician profile to offer ESA evaluations to your current clients, or receive new referrals through the platform as volume grows.
Psychology Today Brings You Therapy Clients.
This Brings You ESA Evaluations.
Most licensed therapists receive ESA requests but have no system for handling them. They either turn clients away, write letters without standardized documentation, or spend hours building templates from scratch. A structured system reduces variability and supports consistent, defensible clinical records.
Without standardized systems, documentation gaps increase risk
- No standardized intake — documentation is built from scratch each time
- No compliance guardrails — inconsistent documentation may not withstand board review
- No audit trail — if a landlord or board questions a letter, records may need to be reconstructed
- No HIPAA infrastructure — client data may live in email threads and personal drives
- No legal structure — letter format may not reflect current FHA or state-specific requirements
Standardized systems reduce variability and support defensible documentation
- Structured clinical intake collects everything you need before you even open the case
- Documentation requirements are enforced — you can't approve without writing your clinical reasoning
- Every action is timestamped and stored — complete audit trail for every evaluation you sign
- HIPAA-compliant platform with BAA, encryption, secure messaging, and session controls
- Letters are formatted with FHA statutory language and state-specific addenda — kept current with applicable requirements
You Already Have Clients Who Need Emotional Support Animal Letters
When a client asks about an ESA letter, you probably either do it for free, refer them elsewhere, or say you don't offer that service. Now you can handle it yourself — through a compliant platform with structured documentation.
Your Own Profile Page
You get a professional public profile showcasing your credentials and licensed states. Add it to your practice website, email signature, or social media — clients click through, complete the intake, and pay on their own.
Review and Approve
You review their structured intake, document your clinical rationale, and approve. The platform generates the letter, handles compliance, and delivers it to the client.
You Earn $45
Paid per approval as a 1099 contractor. No insurance billing, no claims, no prior auth. Your dashboard tracks direct referrals separately from platform cases.
Think about your current caseload
Your clients already ask about ESA letters. Now you can handle those requests yourself — through a compliant platform — instead of turning them away or doing it without structured documentation.
What makes this different from a traditional assessment
What you might be picturing
What it actually is
Most states are fully asynchronous — you review a structured intake note and document your reasoning. Some states (CA, FL, CO, AR, MT, LA, IA) require one or two brief live consultations (phone or video) per evaluation; those are conducted remotely, never in-person. To reflect the extra time, evaluations from these states pay $55–$60 instead of the standard $45.
Estimate Your Monthly Earnings
Adjust the slider to see what your income could look like.
Per evaluation
$45
Per week
$450
Est. per month
$1,800
Estimates assume $45/evaluation × 4 weeks. Paid as 1099 independent contractor income.
Simple Evaluation Workflow
Three steps. Async for most states — with the ability to request additional information or a live consultation at any point. No paperwork beyond clinical notes.
Review client intake responses
Each client completes a structured intake covering their disability-related need, daily functioning, and housing situation.
Confirm key clinical details
Apply your clinical judgment to assess whether the client's needs are consistent with an ESA accommodation request under the FHA.
Approve or deny the evaluation
You maintain full clinical discretion. Every approval is documented in your name. You never approve a case you're not clinically comfortable with.
Clinicians always maintain full clinical discretion. You are never required to approve a case you're not comfortable with.
See exactly what you'll be working with
A purpose-built clinician dashboard — clean, fast, and designed around how you actually think.
Review Queue — your assigned cases
Each card shows the client's state, pet type, and intake timestamp. Click to open the full clinical file.
← Swipe to explore →
Review Queue (2 pending)
Sorted by submission timeClinical Review Panel — structured intake + your notes
Client's full intake responses, symptoms, and housing situation are laid out clearly. You enter your clinical reasoning, then approve or deny.
← Swipe to explore →
Client Intake
Reported Symptoms
"My dog has been trained to sense when I'm approaching a panic attack and physically grounds me. Without him I can't sleep and leave my apartment less than once a week."
Your Clinical Notes
Functional Impairment Statement
Therapeutic Rationale for ESA
DSM-5 Code (optional)
Not required under FHA — strengthens the clinical record if included
✉ Client Message Sent
"Hi Alex, I've reviewed your intake for Max. If there's anything you'd like to add about how he helps you day-to-day, please reply within 24 hours."
Approval generates a signed, HIPAA-compliant PDF letter in your name instantly.
Earnings Dashboard — transparent, real-time tracking
Track approved evaluations and total earned. $45 per approval, always.
← Swipe to explore →
Rate Per Approval
$45.00
Per approved evaluation
Total Earned
$720.00
16 approved evals
Pending Payout
$135.00
3 evals this cycle
Last Paid Out
$585.00
Mar 1, 2026
Payments processed weekly via direct deposit. 1099-NEC issued annually.
You write the clinical reasoning — the platform handles the rest
Document your clinical rationale and the platform wraps it in a fully compliant, legally defensible ESA letter — formatted, state-specific, and delivered to the client within seconds.
Functional Impairment Statement
"The client experiences persistent anxiety that substantially limits their ability to maintain a stable daily routine, experience restful sleep, and feel safe in enclosed residential spaces…"
Therapeutic Rationale
"The client's ESA provides consistent grounding during acute anxiety episodes and serves as a stabilizing presence that reduces hypervigilance in the home environment…"
Your clinical reasoning is the foundation of every letter. The platform structures everything else around it.
ESA Letter Online
Licensed Mental Health Professional Evaluation
Telehealth Services · HIPAA Compliant Platform
March 16, 2026
Emotional Support Animal Letter
To Whom It May Concern,
I, Dr. Sarah Mitchell, am a licensed mental health professional licensed in the state of Texas (License #LPC-48291). I am writing on behalf of my client, Jamie Rivera, evaluated via HIPAA-compliant telehealth on March 15, 2026.
…has a mental or emotional disability as recognized under the Fair Housing Act (42 U.S.C. § 3604) and Section 504 of the Rehabilitation Act of 1973…
Clinician-written
Functional Impairment: The client experiences persistent anxiety that substantially limits their ability to maintain a stable daily routine…
…Jamie Rivera has a clinically established need for their dog, Biscuit. The client's ESA provides consistent grounding during acute anxiety episodes…
Clinician-written
The therapeutic benefit of this animal's presence has been directly observed to reduce symptom intensity and support residential stability.
…This accommodation request is additionally supported by the Texas Fair Housing Act (Property Code, Chapter 301)…
esaletteronline.co/verify/ESA-2026-A7X9K
Dr. Sarah Mitchell
Licensed Professional Counselor (LPC)
License #LPC-48291 · State of Texas
Built to Support Defensible Clinical Practice
Every legitimate concern therapists raise about this kind of work comes down to one thing: documentation. The platform is built specifically to make that documentation unavoidable — which is what separates a more defensible clinical process from the "mills" that give this work a bad name. Clinicians are expected to use independent professional judgment in every case and deny requests that are not clinically supported.
A common risk factor in disciplinary cases involving ESA letters is insufficient documentation — no intake review, no written reasoning, just a letter. That's what boards call rubber-stamping, and it raises standard-of-care concerns regardless of what the letter is for. The platform makes undocumented approval impossible: you cannot submit an approval until your impairment statement and therapeutic rationale are on file.
No. Every letter contains your unique clinical notes for this person: the specific functional impairments you identified, your rationale for why the ESA addresses those needs, and optionally a DSM-5 code if you chose to include one. Diagnosis is not required for FHA determinations — the legal basis is your documented functional impairment assessment. The platform generates the formal structure — but the substance is your clinical reasoning, specific to this client. If a board requested the supporting record, they would find genuine clinical documentation, not a form letter with names swapped in.
This is not a full diagnostic evaluation — you are not being asked to render a formal diagnosis. The platform asks you to evaluate whether the client's reported symptoms, functional impact, and housing situation are consistent with a disability-related need for reasonable housing accommodation under the Fair Housing Act. You rely on reported symptoms, clinical judgment, and documented functional impairment. Diagnosis is optional and not required for FHA determinations. If you're not clinically satisfied with what you see, you deny. There's no pressure to approve. The documentation requirement is the safeguard: if you can't write a defensible rationale, that's your cue to deny.
Yes. An ESA evaluation is a clinical consultation, not ongoing therapy. Psychiatrists perform one-time competency evaluations for courts. Psychologists complete fitness-for-duty assessments for employers. These are legitimate clinical services without ongoing treatment relationships. HUD guidance specifically requires that the provider have personal knowledge of the disability — which a genuine clinical intake and documented evaluation provides. The ethical risk is writing a letter with no clinical encounter at all. A documented evaluation based on detailed intake information can support a more defensible clinical process.
Free CE Course: ESA Letters for Clinicians
Want to feel even more prepared? We offer a free 3-hour CE course covering the clinical, legal, and ethical framework for ESA evaluations. Approved for ASWB, NBCC, and NAADAC continuing education credit.
Use code esatraining at checkout
What's in your clinical record for every case you approve
If a licensing board ever requested the file, this is what they would see — created automatically by the platform at the time of your approval.
Client Intake
Full symptom history, functional impact, and housing situation as submitted by the client
Impairment Statement
Your written description of how the client's disability limits one or more major life activities
Therapeutic Rationale
Your clinical reasoning for why an ESA specifically addresses the identified functional impairment
DSM-5 Code (optional)
Only present if you chose to include one — not required under FHA. The legal basis is your impairment statement and rationale, not a diagnosis.
Approval Timestamp
Date, time (Eastern), and your clinician ID — permanently logged and unalterable
License on File
Your license type, number, and state — verified during onboarding and displayed on the issued letter
Add Emotional Support Animal Evaluations to Your Existing Practice
Whether it's your own clients or referrals from our network, ESA evaluations fit seamlessly into your existing workflow. No new overhead, no insurance billing — just a new revenue stream for clinical work you're already qualified to do.
Why this fits inside a private practice
- No insurance billing
Clients pay upfront. You get paid per approval. No claims, no denials, no prior authorizations.
- Fits between sessions
Async for most states — review intakes between appointments, not instead of them. You can always request more information or a live consultation before approving.
- No ongoing relationships
Each evaluation is a one-time clinical consultation — no ongoing treatment relationship is established. Clients who may benefit from continued care are encouraged to seek ongoing treatment with a local provider.
- No new skills required
If you can assess functional impairment and document your clinical reasoning, you already have every skill this requires.
- Flexible volume
Take 2 evaluations a week or 20. There's no minimum commitment and no penalty for taking time off.
- Streamlined documentation
No SOAP notes, no treatment plans. Structured documentation reduces time while maintaining clinical standards.
What a typical week looks like
Review 2 platform referrals between sessions
Your own client submitted an intake — review and approve
Clear a few intakes while winding down
Evaluations fit between existing appointments — you set the pace.
No Prior ESA Experience Needed
The platform provides onboarding training, documentation templates, and a free 3-hour CE course to get you up to speed.
Enroll Your Entire Practice — Not Just Yourself
If you own or manage a group practice, you can enroll your whole team under one practice entity. You apply once as the practice owner, then invite your clinicians with a single link. Every team member earns $45/evaluation individually — and you get a practice dashboard to manage it all.
One Application, Entire Team
You apply as the practice owner. Once approved, you receive a private invite link. Share it with your team — each clinician completes their own application in minutes and is automatically linked to your practice.
New Revenue Stream for Your Practice
ESA evaluations fit between existing appointments with a streamlined async workflow. A 5-clinician practice doing 10 evaluations per week each generates over $9,000/month in additional revenue — with zero overhead.
Consolidated Under Your Practice EIN
All team members are linked to your practice entity. Payroll exports, 1099 reporting, and billing consolidate under your practice name and EIN — the same way your practice already handles contractor or employee payments.
Every Clinician Keeps Full Authority
Being part of a group practice doesn't change the clinical workflow. Each clinician reviews intakes independently, writes their own clinical reasoning, and maintains complete decision authority. No quotas, no pressure.
How group enrollment works
You apply as practice owner
Select "Group Practice" in the application form. Enter your practice name and EIN. Submit your own credentials.
Get your invite link
Once approved, your clinician dashboard includes a "My Practice" tab with a unique invite URL. Share it with your team.
Team applies and starts earning
Each clinician uses your invite link, completes their individual application, and starts receiving cases once approved and onboarded.
Practice Revenue Potential
At $45 per evaluation, ESA evaluations generate meaningful practice revenue without adding overhead, scheduling complexity, or insurance billing.
3-clinician practice
$5,400
per month
5-clinician practice
$9,000
per month
10-clinician practice
$18,000
per month
Assumes 10 evaluations per clinician per week at $45/eval x 4 weeks. Actual volume depends on case availability in licensed states.
Same 3-minute application
Built by a Licensed Therapist
Matt Grammer, LPCC-S
Licensed Professional Clinical Counselor – Supervisor · Founder, Counseling Now & Therapy Trainings
Matt built ESA Letter Online after repeatedly seeing clients turned away by landlords holding invalid letters from online mills — documentation never backed by a real clinical encounter. He created this platform as clinical infrastructure for licensed clinicians: a compliant system for handling ESA evaluations that protects your license, documents your work, and pays you for a service you're already qualified to provide. Matt also evaluates clients on the platform himself — the same workflow every clinician uses.
View LinkedIn ProfileWho Can Apply
Applicants must hold an active license in at least one U.S. state.
Common Questions
Your Clinical Data is Protected — and So Is Your License
As a licensed clinician handling client health information, you are a HIPAA covered entity. Here is exactly how we keep you covered — and what we ask in return.
What We Provide to You
- Business Associate Agreement (BAA) — executed by our Privacy Officer, accessible from your clinician dashboard at any time
- AES-256 encrypted storage of all client intake data and clinical notes at rest and in transit
- Complete audit trail for every PHI access event — your documentation is timestamped and tamper-evident
- Automatic session timeouts and role-based access so only you can view your assigned cases
- Signed PDF letters generated in your name are stored in private, credentialed-access storage — not publicly accessible
- Secure in-platform messaging so clinician-client communication never touches personal email
Your HIPAA Responsibilities
- All clinical evaluations and documentation must be completed within the platform — not via personal email or external EHR
- Never share client PHI (name, diagnosis, contact) outside the platform's secure messaging system
- Maintain the minimum necessary standard — access only the client data needed to make your clinical determination
- Immediately report any suspected security incident or unauthorized PHI access through the platform's reporting channel
- Keep your platform credentials confidential; do not share login access with any other provider or staff
- Annual HIPAA training is required and verified during onboarding — re-certification reminders are sent automatically
Start Earning $45 Per Emotional Support Animal Evaluation
The application takes less than three minutes. You'll earn $45 per ESA evaluation as an independent contractor — start with your own clients or receive platform referrals. Applicants must hold an independent, unrestricted license.
Apply to Join the Network
All fields required. We review applications within 2–3 business days.
Applicants must hold an independent, unrestricted license (not provisional or under supervision) in at least one U.S. state.
Questions? Contact us.
Already a clinician? Log in to your dashboard.