Doctor’s Note for Emotional Support Animal

Date:             /             /            

Patient Information

Name:                                             

Date of Birth:             /             /            

To Whom It May Concern,

This letter is to certify that                                                                  is under my professional care for a mental or emotional health condition. As part of their treatment plan, I recommend the presence of an Emotional Support Animal (ESA) to provide therapeutic benefits and improve their overall well-being.

The patient meets the criteria for requiring an ESA as outlined in relevant healthcare guidelines. This recommendation is based on my professional assessment and should be taken into consideration for housing, travel, and other applicable accommodations.

[Your Name]

This note is not valid unless signed by a licensed medical professional.