Does ESA Doctors charge every year?

Its plan cards say "(renewal is optional)", and its checkout lists yearly renewal at $125 next year, or $99 with Housing Plus.

Is ESA Doctors worth it?

That depends on what you need. ESA Doctors sells a letter written by a licensed healthcare professional after a questionnaire, from $159. ESA Card makes your pet's wallet ID card and certificate for $39. They are different things, and many owners carry both. What each place accepts varies, so check with the place you have in mind.

ESA Doctors prices, read 12 Oct 2026

ESA Doctors Cost 2026: Every Price and Fee

An ESA Doctors ESA letter costs $159 for housing, on its pricing page, and a PSD letter is $199. Yearly renewal is $125, or $99 with its $189 Housing Plus plan, and rush delivery is $49.50 more. ESA Card's kit is $39$59$79$99, emailed in about 3 minutes.

A pug puppy and a black labrador puppy asleep side by side on a cream rug

A tabby kitten asleep on a mustard knit blanket beside a window

A chocolate labrador licking its nose, photographed close up

Compared on	ESA CardOur pick	ESA Doctorsesadoctors.com
Starts at	$39$59$79$99	$159
How fast	About 3 minutes, emailed	1 to 3 business days; $49.50 for rush delivery
Money back	30 days on your registration, no questions asked	A full refund if you do not qualify; final after 24 hours
What you do	One short form, no appointment	Pay, then a questionnaire and a consent form

ESA Card: $39$59$79$99 · about 3 minutes · 30-day money-back guarantee

What ESA Doctors charges

What	Price	Where
ESA letter for housing	$159	Pricing page
Housing Plus: the ESA letter with priority support	$189	Pricing page
Psychiatric service dog letter	$199	Pricing page
Yearly renewal, ESA letter	$125	Checkout, "(renewal is optional)" on its plan cards
Yearly renewal with Housing Plus	$99	Checkout
Rush digital delivery	$49.50	Checkout
Extra documentation, ordered with the letter	$39.95	Checkout
Extra documentation, ordered later	$49.95	FAQ
Landlord portal verification request	$25	FAQ
Special wording on the letter	$49.95	FAQ
Fee on a refund asked for within 24 hours of ordering	$39	Terms

ESA Doctors refunds, in its own words

“Once your order is placed, there is a $39 cancellation fee if a refund is requested within 24 hours. After 24 hours, or once you have signed the LHCP consent form, even if you are within the 24-hour window, your order is non-refundable and final.”: its terms also promise a full refund if the licensed professional finds you do not qualify. Rush delivery, extra documents and letter changes are not refunded, and its terms say PSD letters are not refunded for any reason.

ESA Doctors terms of service, read 12 Oct 2026.

Emotional Support Animal

Identification Card · esacard.com

Buddy

Golden Retriever · DOB 03/14/2023

Chloe

Maine Coon · DOB 11/27/2024

Luna

Siberian Husky · DOB 08/09/2021

Rosie

Tabby · DOB 04/18/2022

Coco

Chocolate Labrador · DOB 09/05/2023

Harley

Tuxedo Cat · DOB 01/30/2021

Bella

Jack Russell Terrier · DOB 07/11/2024

Owner: Jordan Avery
Location: Austin, TX
Card issued: 07/22/2026
Status: Scan to verify

ESA-2026-7K4M9PVerifiable

ESA Card: love it or it's refunded

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

ESA Doctors sells letters from licensed clinicians; ESA Card makes ID cards and certificates. Different things, and many owners carry both.

ESA Doctors cost questions

A scruffy terrier sitting on a wooden floor with its paw in a person's open hand

Its checkout lists rush digital delivery at $49.50 and extra documentation at $39.95, or $49.95 later. Its FAQ lists $25 for a landlord portal verification request and $49.95 for special wording on the letter.

Keep reading: ESA Doctors reviews · ESA Doctors coupon codes · the best ESA registration sites · what our kits cost · ESA Card reviews