Get your official emotional support animal letter here​

Online consultation you can trust

As Pennsylvania’s leading solution for approving emotional support animals for housing and travel, we’ve got you – and your pet covered.

ESA Evaluation for only $299

Includes a comprehensive assessment to determine eligibility for an Emotional Support Animal.

ESA Letter for only $84.99

Receive a professionally written letter for your Emotional Support Animal, after evaluation.

Get your official emotional support animal letter here​

As Pennsylvania’s leading solution for approving emotional support animals for housing and travel, we’ve got you – and your pet covered.

ESA Evaluation for only $299

Includes a comprehensive assessment to determine eligibility for an Emotional Support Animal.

ESA Letter for only $84.99

Receive a professionally written letter for your Emotional Support Animal, after evaluation.

We accept insurance

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United Healthcare
Aetna online therapy at Makin Wellness

Get an ESA letter in 3 easy steps

Brief assessment

Answer a few questions about yourself

Order ESA

Order your pets' ESA for federal protections anywhere you move or live

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Therapist approval

In 24-48 hours a therapist in PA will approve your ESA request

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The benefits of getting an ESA letter with Makin Wellness

Get your pet approved as an emotional support animal (ESA)

Federal law guarantees your right to have your pet always with you. The Fair Housing Amendments Act (FHAA) ensures your ESA rights in any house or apartment without pet fees. Approval for your well-behaved pet as an ESA boosts your confidence at home, in public, and during travel. Restaurants, stores, rideshares, and more welcome well-behaved ESAs.

Emotional support animal qualifying conditions

Over 1,000 5-star reviews

Sara HGrateful for the therapy
I have continuously had success with appointments with Michelle. The Therapy in the communication style that she uses has significantly made an impact on my life in such a positive manner. I do not believe that I could have done all of this on my own. I can sense that she has a lot of experience, and that is very reassuring for me. I am so grateful for the therapy that I receive.
Nicholas SCarolyn has helped me
Carolyn has helped me through the toughest time of my life.
Uriel KI love my therapist
I love my therapist. She's amazing and we have a good relationship.
Jackie EBlessed to have Gabby
I’m more than blessed to have Gabby in my life you can’t even imagine the trauma I’ve been thru and still going thru if I didn’t have gabby im not sure where I would be in my life right now it’s like god sent me a Angel im beyond grateful
Jackie EAbsolutely amazing
Absolutely amazing best therapist I ever had highly recommended.
Ian KI'm in good hands for the first time
Danielle is pretty awesome. I think I'm in good hands for the first time in a while.
Aeron RKind, understanding, and direct
Rivka has a kind, understanding, and direct way of communicating. She allows both partners to express and opening up accordingly, then applies what is gathered to help both parties feel heard and validated! Could talk to her for hours.
Bonnie BI enjoy my session with Tanja
I enjoy my session with Tanja.
Vernae PExceptional experience with Alonia
I’ve had an exceptional experience with Alonia. Her guidance and empathetic approach has created a supportive space for me to navigate challenges. Not only that, but she has provided validation and understanding beyond my expectations. I highly recommend Alonia for anyone seeking professional and effective counseling.
Channel PAlonia has been instrumental in guiding me
Alonia has been instrumental in guiding me through various challenges, providing thoughtful insights, and equipping me with valuable tools for personal growth. Her ability to offer support and guidance has been pivotal in overcoming obstacles. I appreciate her dedication to my well-being and the positive impact she’s had on my journey toward self-improvement."
Ronette CI would highly recommend Bella
I would highly recommend Bella. She listens and offers suggestions to help your unique situations. She is very encouraging and truly cares about you. I’m so glad I found her.
Celinda BMichelle immediately made me feel at ease
I am sort of new at this, so I wasn't sure what to expect. Michelle immediately made me feel at ease and I probably talked her ear off, I couldn't seem to stop talking once I opened up. I am looking forward to my second visit, which says a lot. Thank you.
Bailey SRachael is a very smart, caring and helpful
Rachael is a very smart, caring and helpful therapist who really cares for her patients and I would recommend her to anyone.
Vernae PI’ve had an exceptional experience with Alonia.
I’ve had an exceptional experience with Alonia. Her guidance and empathetic approach has created a supportive space for me to navigate challenges. Not only that, but she has provided validation and understanding beyond my expectations. I highly recommend Alonia for anyone seeking professional and effective counseling.
Channel PAlonia has been instrumental in guiding me through various challenges
Alonia has been instrumental in guiding me through various challenges, providing thoughtful insights, and equipping me with valuable tools for personal growth. Her ability to offer support and guidance has been pivotal in overcoming obstacles. I appreciate her dedication to my well-being and the positive impact she’s had on my journey toward self-improvement.
Ronette CI would highly recommend Bella
I would highly recommend Bella. She listens and offers suggestions to help your unique situations. She is very encouraging and truly cares about you. I’m so glad I found her.
Bailey SRachael is a very smart, caring and helpful therapist
Rachael is a very smart, caring and helpful therapist who really cares for her patients and I would recommend her to anyone.
Adam KShe always makes me feel valued and listened to
She always makes me feel valued and listened to. She lets me talk about the things going on that feed my anxiety and continues to guide the conversation into meaningful and helpful strategies. I continue to look forward to growing under her guidance!
Kathryn KMichelle is warm and very easy to talk to!
Michelle is warm and very easy to talk to! I feel very comfortable with her and it’s clear she is listening to what you’re saying. I’m so glad that I’m working with her.
Bonnie BTanja is nice she doesn't judge me
Thank you I enjoy our talks Tanja is nice she doesn't judge me thank you
Jackie EI couldn’t be more thankful
I couldn’t be more thankful to have such a wonderful person in my life gabby is absolutely amazing I have been gone thru so much in the last 2 years and she has been my rock I appreciate her so much for helping me get thru all the trauma in my life I hope to keep her for a long time
Jackie EI couldn’t be more thankful
Absolutely amazing person I’m so grateful to have gabby in my life
Michael WMichelle listens and was insightful
I was hopeful and uneasy at the same time. Michelle listens and was insightful on my past history. She was precise in measuring my depression levels with solution based therapy. Although I have made significant improvement in her tenure, she continues to challenge my narrative for future growth.
Sydney PI have had the best experience with Makin Wellness
I have had the best experience with Makin Wellness and especially with Bella. I have worked with her for a while regarding many different concerns and I feel better than I have in years!
Victoria CShe's so patient, down to earth, and kind
I've tried other counselors before, but Michelle is definitely the one for me! She's so patient, down to earth, and kind. She has helped me immensely over the past few months!
Wendy SShe's so patient, down to earth, and kind
Randy is very professional. He really listens and repeats key things to check for understanding. He is kind and easy to talk to.
Andrea MI’ve really enjoyed my sessions with Alonia
I’ve really enjoyed my sessions with Alonia. My sessions have really helped gain a different perspective in certain areas that I need to work on. Would recommend!
Theresa SShe is also extremely compassionate and caring
I rated my visit 5 stars with Carolyn because she was very helpful and professional for my session. She is also extremely compassionate and caring.
Brooke MMichelle has been a great support to me
Michelle has been a great support to me for the past 2 years and has helped me work through so much. She is so flexible with discussions and appointments, and she's so understanding of the difficulties that come with being a mom.
Brooke MMichelle has been a great support to me
Michelle has been a great support to me for the past 2 years and has helped me work through so much. She is so flexible with discussions and appointments, and she's so understanding of the difficulties that come with being a mom.
Nicholas SCarolyn helped me
Carolyn has helped me through the toughest time of my life.
Sarah HSignificantly made an impact on my life
I have continuously had success with appointments with Michelle. The Therapy in the communication style that she uses has significantly made an impact on my life in such a positive manner. I do not believe that I could have done all of this on my own. I can sense that she has a lot of experience, and that is very reassuring for me. I am so grateful for the therapy that I receive.
Ian KDanielle is awesome
Danielle is pretty awesome. I think I'm in good hands for the first time in a while.
Aeron SRivka has a kind, understanding, and direct way of communicating
Rivka has a kind, understanding, and direct way of communicating. She allows both partners to express and opening up accordingly, then applies what is gathered to help both parties feel heard and validated! Could talk to her for hours.
Aeron SRivka has a kind, understanding, and direct way of communicating
Rivka has a kind, understanding, and direct way of communicating. She allows both partners to express and opening up accordingly, then applies what is gathered to help both parties feel heard and validated! Could talk to her for hours.
Colleen DHuge help with my anxiety
I’ve been seeing Alex for a while now, and he’s been a huge help with my anxiety. He’s kind, patient, and never judgmental, which makes it easy to open up. I always feel heard and supported in our sessions. Highly recommend him to anyone looking for a compassionate and effective therapist.
Adam FAlex is an amazing person
Alex is an amazing person definitely is a huge help in my life right now, and he;s always caring and kind and very respectful and understanding.
Allicia BI deeply enjoy my therapy sessions with Alonia
I deeply enjoy my therapy sessions with Alonia. She makes me feel comfortable talking about deep topics but also being able to lighten the mood with conversations about interests. I’ve had multiple therapists but she is truly one of the best ones i’ve had
Lori MCarolyn is caring, positive, insightful
Carolyn is caring, positive, insightful with a great personality. She is very consistent and has been instrumental in helping me stay on track in all facets of my life. I have learned so much and with using the techniques we have discussed, life is just easier. I am very grateful for her!
Melissa PI trust her
Eliza has a great personality. I trust her, she shares ideas to get me through my issue and always leaves me with a compliment.
Masooma FCaring and understanding therapist
Maddison is a very caring and understanding therapist.
Jack SPatient and supportive
Randy has been incredibly patient and supportive throughout our journey. He has gone above and beyond our expectations, equipping us with the tools and resources we needed to grow both individually and as a couple. We truly appreciate his guidance and can’t imagine our marriage without the insight and support he’s provided. He is always kind, positive and upbeat. Thank you, Randy, for being such an integral part of our progress.
Jodi MMy experience with my sessions are very good
I have a session with Tanja every two weeks. I look forward to it every time. She is such a compassionate woman, and my experience with my sessions are very good.

Highest rated online therapists & counselors in Pennsylvania

Makin Wellness provides a safe, caring environment with only top-rated specialists. We provide secure online therapy & counseling that fits your life. With a results-based, individual approach, our goal is to help you heal and become happy again. Start online therapy today.

FAQs about emotional support animals

The cost for an ESA evaluation is $299, which includes a thorough assessment with a licensed mental health professional to determine your eligibility. If approved, you can obtain your ESA letter for an additional $84.99.

For more details or to schedule your evaluation, feel free to reach out.

Your Emotional Support Animal (ESA) is there to provide you with vital emotional support, offering companionship and comfort in ways that can be incredibly beneficial to your mental and emotional well-being. Whether it’s a dog, cat, or another animal of your choice, your ESA will love you unconditionally, serving as a loyal partner in your journey toward managing anxiety, phobias, and many other mental health conditions.
 
Numerous studies have shown that ESAs can significantly help individuals by calming their nerves and alleviating the symptoms of various debilitating disorders, making them a critical part of many people’s lives.
 

In addition to the emotional benefits, having an ESA letter provides tangible legal advantages. With this documentation, your ESA is recognized as a “reasonable accommodation” in housing situations where pets might otherwise be prohibited, ensuring you can live with your animal without facing discrimination or obstacles.

Furthermore, the Air Carrier Access Act (ACAA) allows people to travel with their ESAs without incurring additional fees, and they are not required to place their ESA in the cargo hold during flights. This law helps make travel more accessible and stress-free for those who rely on their support animals for comfort. Additionally, your ESA’s status will grant them the right to wear a support vest, further reinforcing their role and ensuring they are identified as an essential source of comfort.

Most emotional support animals (ESAs) tend to be dogs or cats, as they are the most common and widely accepted types of support animals. However, other types of animals can also qualify as emotional support animals, depending on the individual’s needs and circumstances. These can range from small pets like rabbits and birds to more unusual animals, though exotic species often raise additional concerns. Some exotic animals, depending on their nature or behavior, can pose potential health or safety risks. Because of this, like their owners, ESAs undergo an individualized assessment to ensure they do not present any danger to the public or those around them.

This evaluation helps determine whether an animal is appropriate as an ESA in specific settings, especially in environments where safety is a concern. That being said, don’t discount the possibility of less conventional animals serving as emotional support companions! For instance, in York Haven, PA, there is an emotional support alligator named Wally who is officially registered. This example shows that, with the proper care and assessment, even the most unusual animals can offer comfort and companionship as emotional support animals.

A Makin Wellness counselor will work with you and your ESA to acquire the proper documentation under Federal and Pennsylvania law. Your letter is a prescription from your mental health professional stating recommending the need for your comfort animal. This letter will include:

  • Your diagnosed mental health condition or mental health-related disability
  • A statement explaining that the emotional support animal accompanying you is necessary for your mental health and/or treatment
    The breed of your ESA animal
  • The issuer of the letter is a licensed mental health professional, and you are under their treatment or care for a mental health disability
  • The issuer’s license number, type of license, the license issue date, and the state or jurisdiction where it was issued.

There is no legal requirement for your Emotional Support Animal (ESA) to wear a vest or any specific identification, though it can be beneficial to do so. When your ESA is easily recognized as a support animal, it can help reduce confusion or misunderstandings in public spaces, making interactions smoother.

However, it’s important to note that ESAs are not granted the same access rights as service animals. Public establishments, such as restaurants, stores, or other businesses, are not legally obligated to permit emotional support animals, as they are with service animals. Therefore, while a vest may make it easier for others to identify your ESA, it does not guarantee entry into all public places. Always be mindful of the establishment’s policy on ESAs before entering.

No. Emotional support animals, comfort animals, and therapy dogs are not service animals under Title II and Title III of the ADA.

Emotional Support Animals

  • ESAs do not require individual training
  • Emotional Support Animals are here to provide you with a sense of safety and companionship.
  • Public establishments are not required by law to allow ESAs as they are not considered “Service Animals”

Service Animals

  • A service animal is any dog individually trained and certified to perform beneficial tasks for an individual person with physical, sensory, psychiatric, intellectual, or other mental disabilities.

Currently, we are only able to provide ESA evaluations and letters to residents of Pennsylvania, as our licensed mental health professionals are only authorized to practice within the state. If you’re located outside of Pennsylvania, we recommend seeking a licensed professional in your state who can assist with your ESA evaluation and letter.

Schedule your emotional support animal evaluation today.