Please wait...


Traveling with your Emotional Support Animal without any extra costs or fee is permitted by airline carriers if there’s an ESA letter provided. But, you must comply with a few requirements. All airlines are going to require that your Emotional Support Animal be calm on the plane and well behaved in public. It’s possible to obtain an at home dog training guide then train your dog on your own. This won’t just save money, additionally, it will ensure you have an enjoyable experience flying with the dog.

Go over the following list for every airline in order for you to be prepared and avoid all hitches as you check into the flight.

American Airlines ESA

Airline Requirements for Travel with Your ESA

This airline acknowledges the necessities of some requiring a psychiatric service animal or emotional support animal. The airline requires supporting paperwork that facilitates the request, like an Emotional Support Animal travel letter that is issued during the year of travel.

The paperwork has to come from a medical doctor or licensed mental health professional, with this information as per the website of American Airlines:

  • That you have an emotional or mental disability recognized within the DSM IV
  • That you require the psychiatric service or emotional support animal as an accommodation for traveling by air and/or for activity at your next destination
  • That the person offering the evaluation is a licensed medical doctor or licensed mental health professional, and you’re under her or his care
  • The type and date of the medical doctor’s or mental health professional’s license and state or additional jurisdiction where the license was issued

The paperwork ought to be offered to American Airlines at the minimum of two days prior to the arranged flight or else the ESA would need to be checked into a kennel within the compartment while the flight is motion.

Delta Airlines ESA

This airline suggests an early alert about traveling with animals while arranging reservations and you already can ask for a seat assignment when doing so.  However, the animal will have to remain upon the floor beside the owner’s seat. As claimed in the airline’s website, ‘No animals are permitted to occupy seats which are designed for passengers.’

The company expects the ESA to be well-behaved and is going to require paperwork from the owner before traveling. Specifically, that letter has to have the following, according to the airline’s website:

  • License number, address, title and jurisdiction (country/state it was issued), a signature of a mental health professional, and phone number.
  • The passenger has a mental health-associated disability that is recognized in the Diagnostic & Statistical Manual – Fourth Edition.
  • The passenger requires the psychiatric service or emotional support animal as an accommodation for traveling by air and/or for activity at the owner’s destination.
  • The person listed inside the letter is underneath the care of evaluating mental health expert or physician.

The airline may consider a digital letter saved on a device, so long as it contains the details above.

Jet Blue Airlines ESA

Like additional airlines, Jet Blue’s ESA travel requirements is paperwork which has the following, according to the airline’s site:

  • The customer has a mental health-associated disability.
  • Pet accompanying the owner is needed to the owner’s treatment or mental health
  • The type and number of pet(s)
  • Individual offering the evaluation of the owner is a physician or licensed mental health expert and the owner is under her or his care.
  • A physician or mental health expert’s license number or the kind of license, date of issue, as well as state or additional jurisdiction where it the license was issued

Also, the letter mustn’t be over a year old from travel date and it has to have the traveler’s confirmation number for reference.

Southwest Airlines ESA

This airline allows for travel of ESAs inside the cabin, except for Jamaican destinations. Also, the airline requires a travel letter from a licensed mental health provider with this information, as stated in the documentation guidelines established by Southwest Airlines:

  • The passenger has an emotional or mental disability that is recognized in the DSM IV – 4th Edition
  • Passenger requires the psychiatric service or emotional support animal as an accommodation for traveling by air and/or for activity at the customer’s destination
  • Individual offering the assessment is a licensed mental health physician, and the passenger is under her or his care
  • The type of date of the medical doctor or mental health professional’s license and state or additional jurisdiction where it was issued.

United Airlines ESA

Also, United Airlines requires paperwork that is similar to other airlines. But, the company has some regulations as to where the dog or another animal ought to be inside the cabin of the aircraft. Specifically, ‘the animal ought to sit at the owner’s feet without protruding inside the aisles in order to comply with safety rules. For smaller animals, owners might elect to utilize an approved in-cabin kennel. Exit row seating usually is prohibited, according to the site.

The airline requests that the travel paperwork and additional arrangements have to be advised at the minimum of 48-hours prior to the flight.

Virgin America ESA

This airline’s documentation policy for travelers with Emotional Support Animals is standard and like the rest, this ought to be issued no more than one year before traveling. It also must be written by a medical professional who is licensed, as posted on the website of Virgin America.

The paperwork has to ascertain that:

  • The customer has a mental health-associated disability
  • Having the pet accompany the customer is needed for the customer’s treatment, mental health, or to aid the customer (with her or his disability)
  • The person giving the evaluation of the customer is a licensed mental health expert
  • The customer is under the care of the person offering the paperwork.

Also, the airline requires a health certificate prior to the individual traveling with his animal to Hawaii. It ought to be valid for a minimum of one month from the travel date.

If you are flying soon and suffer from a mental or emotional disability, come to San Francisco for an ESA letter to avoid fees and bring your pet on board with you. We are open 7 days a week, from 11:00 am to 7:00 pm. You can get your Emotional Support Animal letter online, give us a call to schedule your ESA appointment!


As the popularity of Emotional Support Animals (ESA) has increased immensely in recent years, so has the desire to attain the proper documentation that would grant many rights and freedoms to pet owners. Things like housing laws, airline policies, and public guidelines can keep you from bringing your companion along with you on many occasions, which can be a difficult pill to swallow for many people, especially those who are truly in need of an emotional support animal letter, but just may not have made an appointment to see their mental health professional.

However, despite the fact that most pet owners would likely love to have the documentation as a means of making their traveling or housing endeavors more fruitful, the fact of the matter is that you must first qualify for an ESA in order to get legitimate documentation that would grant these opportunities. Many online services may claim that you can get one with just one click, but the reality is that these fabricated documents hold no legitimacy in the eyes of the law.

In doing so, the qualification for an emotional support animal includes an array of psychological disorders that individuals may have and thus provides the mental health expert valid reasons to prescribe an ESA as a means of helping them deal with any issues. Here are just a few of the debilitations that will qualify you to attain an ESA letter:

What Qualifies for ESA Certification

Learning Disabilities

The learning disabilities of an individual can allow them to qualify for an emotional support animal if they require one. These conditions make it a challenge to acquire certain types of knowledge, or specific skillsets, that are expected of them at the age they are currently in. This is especially true for those who do not suffer from a specific physical handicap in their lives, and that their primary debilitation is that of their knowledge acquisition and ability to pick up on skill sets that would benefit them.

The frustration that comes with being unable to effectively learn certain things is significant, and having an animal can help alleviate these frustrations. Due to the fact that they have an overall more relaxing impact on people, owning an animal will allow the individual to put things into context, and be more patient and understanding of their own inherent debilitations. The ability to step back, and consider that their process may take a bit longer than it takes others, can do wonders in promoting the capability of these individuals to grasp onto otherwise difficult concepts.

Attention Deficit Disorder (ADD)

Similarly, in line with the above-mentioned learning disabilities, the onset of attention deficit problems can be another qualification and determinant of being able to acquire a legitimate ESA letter. These disorders generally tend to create a circumstance wherein the person suffering from it has difficulty in regards to their behavioral controls, causing them to have a subpar level of concentration, as well as causing them to inadvertently act on impulse without understanding certain consequences.

Anxiety Disorders

Given the widespread understanding that an animal or pet can help reduce the levels of anxiety felt by an individual, this is another qualification in which a mental health professional can provide the necessary documentation. Anxiety disorders tend to cripple individuals mentally, by causing them to excessively worry and be fearful of certain factors of life. This makes it nearly impossible to lead a normal lifestyle, due to the constant concerns and worries of any given component.

An ESA has been found to have an immense impact on those with anxiety issues, considering the fact that the presence of the companion and love of the pet nearby allows them to alleviate some of their stress in regards to external factors. Having an animal has been found to allow these individuals to focus more on the things that will help them strive and succeed while causing them to be distracted from the negative and debilitating concerns and fears that come with the onset of anxiety disorders.

Motor Skill Disorders

These disorders are often marked by difficulty of being able to control and manage motor processes and movements, as well as challenges in processing visuospatial information, leading to difficulties in guiding specific motor actions that are required for daily living. This is another reason why someone would qualify for an ESA letter, due to the debilitation that it brings for the individual who suffers from it.


Depression is another one of the more common emotional disorders in which an ESA letter can provide much-needed benefits to the person who is being harmed by the challenges. These disorders generally are characterized by episodes and phases of long-term depression and saddened mood, causing them to have a hard time functioning at a normal level throughout their lives. This often hinders them from pursuing a normal and fulfilling life, given the constant negativity or sadness that is plaguing their mental stability.

Depression has also been found, through studies and experiments, to be significantly lessened among those who are pet owners, due to the sense of companionship and love that comes with them. These emotions can be made more positive and prosperous in someone who is suffering from depression, especially in instances where the animal is able to portray their love and emotions back to the individual.

Get your ESA Letter

Overall, when looking at the qualifications that arise when it comes to attaining an ESA letter, it is evident that there are an array of disorders and psychological challenges that qualify an individual to attain the documentation. If you have not been diagnosed with these mental health disadvantages, and believe that you may suffer from one or more of the above-mentioned factors, consider making an appointment with a mental health expert to discuss and determine the obstacles, and whether or not an ESA will be of benefit to you and your lifestyle.

Upon identifying that there is an emotional disability you may be suffering from, the health professional can provide you with documentation that will allow greater freedoms and capabilities to keep your support companion around you, in order to ensure comfort and positivity along the way.

To schedule your appointment for ESA certification please call us 11 am to 7 pm at (415) 966-0848 or apply for an emotional support animal letter online.

Things to Consider when choosing ESA


If you’re stressing about how you qualify for an Emotional Support Animal, the following requirements are going to help you comprehend the process better. If you, like a good amount of the U.S. population, are having a difficult time handling day-to-day tasks, there’s a good chance you’ll have no problem in being approved. Usually, specific life events and experiences may result in a decrease in someone’s emotional or mental stability, which, as a result, affects their daily life. Those mental disabilities include, yet aren’t limited to:

What Qualifies for ESA Certification

  • Personality Disorder
  • Post-Traumatic Stress Disorder
  • Panic attacks
  • Anxiety
  • Depression

If any of the aforementioned conditions apply to you, you’ll easily have the ability to be eligible for an Emotional Support Animal after filling out an assessment form. Are you:

  • Experiencing a hard time maintaining relationships with others?
  • Feeling continually depressed or anxious for more than one day?
  • Developing paranoia and additional irrational fears connected to otherwise normal life problems or situations?
  • Experiencing an inability or difficulty in engaging with other people in private or public settings?

If any of the aforementioned conditions apply to you, you’ll easily have the ability to be eligible for an Emotional Support Animal letter. If you need an ESA to help you through mental disability symptoms, the first thing you should do is decide if you want to easily obtain your letter on the Internet or spend the day at the doctor’s clinic. Many folks opt to try the easier path by getting it on the Internet, yet there certainly are some people who’d rather go to their therapist’s office and that certainly is fine, as well.

The choice is yours – know that either way, if you’re eligible, you will be on your way to obtaining a legally enforced ESA letter! What do you do if your therapist won’t provide an ESA Letter for your pet?

How to Obtain an ESA Letter Online

If you are wondering how you should ask your therapist for an ESA certification, you might feel nervous about talking about the problem or dread the reply you may obtain from a therapist who seems too busy to pay attention to you. Unfortunately, not every therapist understands the challenges we might face on a routine basis as a consequence of genuine phobias or trauma we cannot control. Most therapists have a “treat it and the street it” attitude and may recommend that you begin to take medications instead of listening to your reasoning for having a desire for an Emotional Support Animal.

While medicine may be useful, that is a separate portion of a treatment strategy and is not actually a substitution for an Emotional Support Animal. As your therapist does not seem inclined to listen, it’s possible to obtain an ESA letter online.

The procedure begins with an evaluation questionnaire. All that’s needed to do is answer a few questions concerning the issue at hand. As the assessment is complete, you will get to speak with a trained therapist by phone. Your therapist will evaluate your data, listen to the way that you describe your issues and make a determination about your Emotional Support Animal letter based upon what’s said. The therapists do not have a hidden agenda and they really believe in the positive power that animals can provide in the lives of the ones who have psychological or emotional difficulties. The conversation is likely going to be brief, friendly, and easy.

Should I Be Concerned That I Will Not Be Eligible for ESA Certification?

If you have a life-limiting health issue or any additional emotional or personality condition which has a demonstrable negative impact on your life, you may be eligible for an Emotional Support Animal prescription. As mentioned above, the issue in question doesn’t need to be fully debilitating. Most folks who have ESAs live lives a stranger would view as “normal” because the problems they live with are only apparent to them or only are a concern in certain situations.

For instance, if you reside in a tenth-floor apartment and all of a sudden have an experience which makes you scared of your building’s elevator, odds are that it’ll have a negative impact on your life. It’s something an Emotional Support Animal may help with. Getting inside the elevator with your animal next to you might make it a lot easier to remain calm and even concentrate on the coping strategies learned in therapy. It’s just one in an entire array of possible scenarios an Emotional Support Animal may assist with.

All you need to do is explain your problem and discuss your animal with one of the therapists. The experts are eager to help and compassionate. They know that an Emotional Support Animal letter completely can change the life of someone who is being held back by certain circumstances that are out of their control. The criteria applied to their decision are broad and they usually make allowances for different situations. You do not have to have a major disability like a physical handicap or visual impairment to be eligible, so do not be concerned that your condition is not “serious” or “real” enough. The procedure for how to obtain an ESA is not an inquisition. It is merely a discussion concentrated on assisting you in living your best life.

Eventually, you do not have to be concerned with having to hop through challenging hoops and being placed through the wringer of answering personal questions. All that’s needed to do is explain the ways your pet presently helps or might aid you in improving your life and mitigating debilitating or painful emotional reactions. They make it simple, with most of their clients getting their Emotional Support Animal letter within three days. Do not hesitate—begin your evaluation to get the ball rolling, as well as formalize your medically-significant relationship with your animal.

EzCare Medical Clinic. All rights reserved.