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If you do not qualify for an emotional support animal recommendation letter, you will receive a full refund.
  • Our Psychological Evaluation Questionnaire should take about 15 minutes to complete
  • Our network of therapists will follow up via email and review your questionnaire
  • If you are not approved for an ESA, we offer a 100% money back guarantee. No risk! 


This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. The actions of your emotional support animal is the full responsibility of its owner. By filling out this form and pressing next, you are providing your consent to to store and review your questionnaire for the purpose of connecting you with a license health professional so they can review your questionnaire. is not guaranteeing that a mental health professional will issue a recommendation for an ESA to you. will never share your information with any third party. Your privacy is important to us and we take it seriously.