esacard
Register My ESA

Compared side by side

We Compared the Best ESA Letter Services of 2026 and Read Every Price Ourselves

ESA Card is our top pick for an ESA letter in Florida, New Jersey and New York: $120 for a live video call with an independent therapist licensed in your state, a signed letter if the therapist finds you eligible and $80 back if not. Everywhere else, we compared nine other letter services on what each one's own site prints.

Book a Video Call
On this page

What is the best ESA letter service in 2026?

The best ESA letter service is one where a clinician licensed in your state evaluates you live, and in Florida, New Jersey and New York our pick is ESA Card.

  1. 1ESA Card
    Our pick
    Sells
    Video call with a licensed therapist, in Florida, New Jersey and New York
    Starts at
    $120A signed letter if the therapist finds you eligible
    Read on
    esacard.com/emotional-support-animal-letterLive price
  2. 2Wellness Wag
    Sells
    Letter from a licensed clinician
    Starts at
    $89
    Read on
    wellnesswag.com/pricingRead 9 Oct 2026
  3. 3PetESALetter
    Sells
    Letter from a licensed clinician
    Starts at
    $99
    Read on
    petesaletter.com/pricingRead 30 Oct 2026
  4. 4ESA Pet
    Sells
    Letter from a licensed clinician
    Starts at
    $139
    Read on
    esapet.com/pricingRead 12 Oct 2026
  5. 5Pettable
    Sells
    Letter from a licensed clinician
    Starts at
    $149
    Read on
    pettable.com/results/esa-dogRead 9 Oct 2026
  6. 6CertaPet
    Sells
    Letter from a licensed clinician
    Starts at
    $149
    Read on
    certapet.com/terms-of-useRead 9 Oct 2026
  7. 7RealESALetter
    Sells
    Letter from a licensed clinician
    Starts at
    $149
    Read on
    realesaletter.com/pricingRead 30 Oct 2026
  8. 8ESA Doctors
    Sells
    Letter from a licensed clinician
    Starts at
    $159
    Read on
    esadoctors.com/pricing-planRead 12 Oct 2026
  9. 9Support Pets
    Sells
    Letter from a licensed clinician
    Starts at
    $167.50
    Read on
    supportpets.com/pricesRead 9 Oct 2026
  10. 10American Service Pets
    Sells
    Letter from a licensed clinician
    Starts at
    No price shownShown after its quiz and a name, email and zip form
    Read on
    my.americanservicepets.com/packagesRead 12 Oct 2026

Ranked with ESA Card first, then the other services by the lowest price each one's own site prints. Add-ons and renewals are on each company's own pages.

You can book a call in Florida, New Jersey or New York. It is $120 for a live video call with an independent therapist licensed in your state, a signed letter if the therapist finds you eligible and $80 back if not.

If you live in another state, the table ranks the nine other services by the lowest price each one's own site prints.

From ESA Card

Book a video call with a therapist licensed in your state

  • A 15 to 30 minute video call with a therapist licensed in your state
  • If they find you eligible, a signed letter with their license number on it
  • $80 back if they can't approve you
$120call and letter

How can I tell if an ESA letter service is legitimate?

A legitimate ESA letter service puts you in front of a clinician licensed in your state, who evaluates you live and signs the letter with their license number.

ESA Card's evaluation meets all six of the checks below.

The free sample ESA letter shows what a landlord expects to see, the ESA letter checker shows what a letter you already hold is missing, and our guide to HUD's rules shows what a housing provider can ask for.

  • A clinician licensed in the state where you live, with a license number you can look up on the state board's site.
  • A live conversation with that clinician, by video or phone, not a quiz alone.
  • The price on the page before you hand over your email.
  • A refund rule in writing for the case where you are not approved.
  • A letter on the clinician's letterhead with their license number, signature and date.
  • No promise of approval before anyone has evaluated you.
A therapist in a cream sweater at her desk, smiling at a laptop during a video call

What is the cheapest legitimate ESA letter online?

The cheapest legitimate ESA letter usually comes from a clinician who already treats you, often for no more than a normal visit, and among the services we read, Wellness Wag prints the lowest starting price, $89 (ESA letter, college housing).

American Service Pets shows its price after its quiz and a name, email and zip form, so the table says "No price shown".

How much does an ESA letter cost, and which service is worth it?

The services we read start at $89 to $167.50 for their cheapest letter, and the one worth paying for is the one where a clinician licensed in your state evaluates you live.

ESA Card's call is $120 in Florida, New Jersey and New York, with $80 back if the therapist can't approve you.

Renewals, a second animal and the second consultation some states ask for all add to a starting price, and what an ESA letter costs lists them.

Bar chart of one housing ESA letter's price on each seller's own page in 2026: ESA Card $120 in the states it serves, Wellness Wag $129 for up to 2 pets, ESA Pet $139, CertaPet $149, Pettable $149, ESA Doctors $159, Support Pets $167.50 with a PSD letter; $0 from a clinician who already treats you

How long does an ESA letter take?

Most of the services we read say the letter comes one to three days after your evaluation, and a 30-day rule in a few states can add weeks.

How long an ESA letter takes goes through the 30-day states one by one.

  • ESA Card: in October 2026 our calendars usually had an opening within a day, three or four days in a slow week, and a therapist who approves you sends the signed letter within two business days of the call.
  • Pettable: 15-minute call, then the letter 24 to 48 hours after approval, as it states it.
  • Support Pets: 24 to 48 hours for approval and documents; longer in California, Iowa and Montana, as it states it.
  • Wellness Wag: within 24 hours of approval, up to 30 days in 5 states, as it states it.
  • CertaPet: a therapist contacts you within 2 business days; 2 to 5 business days in all, as it states it.
  • ESA Doctors: a licensed professional contacts you in 1 to 2 days; the letter in 1 to 3 business days, as it states it.
  • ESA Pet: a therapist within 24 to 48 business hours; the letter up to 72 hours after the evaluation, as it states it.
  • American Service Pets: letters within 24 to 48 hours after the evaluation, by its home page, as it states it.
  • PetESALetter: a 10 to 20 minute consultation, then the signed letter within 24 to 48 hours of approval, as it states it.
  • RealESALetter: within 24 hours (30 days in Arkansas, California, Iowa, Louisiana and Montana), as it states it.
Four cards on how long an ESA letter takes: your own clinician, at your next appointment; a video evaluation we book, about 1 day to an open slot in October 2026 and the letter within 2 business days of the call; another telehealth service, a few days; a new clinician in California or Arkansas for dogs, or Louisiana or Montana for any animal, about 30 days

What are the best CertaPet and Pettable alternatives?

In Florida, New Jersey and New York, our pick as an alternative to CertaPet or Pettable is ESA Card's video call, and everywhere else the table at the top of this page ranks the other services.

Each of these pages compares one company with every other service we read:

How do I get an ESA letter from a licensed therapist in my state?

Find a clinician licensed in the state where you live, because the letter rests on that license, then check the number on the state board's site.

Our directory of licensed therapists lists clinicians by state, starting with New Jersey, Illinois, Washington and Colorado. The state-by-state guide covers the rules where you live.

In Florida, New Jersey and New York, ESA Card books the call for you: Florida, New Jersey or New York.

Over a therapist's shoulder, a laptop showing a woman on a sofa with a golden retriever's head on her lap

Why does ESA Card rank first on this list?

ESA Card ranks first because this is our list and our evaluation does what we tell you to look for: a live call, a therapist licensed in your state and a license number you can look up.

A live video call

A 15 to 30 minute call with an independent therapist licensed in your state, not a quiz alone.

A license you can look up

A signed letter carries the therapist's license number, so anyone can check it on the state board's site.

$80 back if you are not approved

If the therapist can't approve you, no letter is written and $80 of the $120 goes back to you.

An old beagle resting its chin on its owner's knee and looking up, a hand on its head
A ginger kitten sitting in the sun with one paw lifted, looking up
A beagle grinning up at the camera on a park path

Your pet's ID card and certificate

Emailed in about 3 minutes. 30-day money-back guarantee, no questions asked.

$39$59$79$99Register My Emotional Support Animal

What else do people ask about ESA letter services?

In Florida, New Jersey and New York we rank ESA Card first: $120 for a live video call with an independent therapist licensed in your state, a signed letter if the therapist finds you eligible and $80 back if not. Everywhere else, compare the nine other services in the table, each with its price read on its own site.

Keep reading: what an ESA letter is · what an ESA letter costs · an ESA letter for housing · the best ESA registration sites