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

Video Call

Therapist approval

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

girl holding dog finding comfort | ESA | emotional support animal evaluation online | ESA online | Makin Wellness

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

Real success stories from Makin Wellness clients

Katherine Z⭐⭐⭐⭐⭐
Raechel really understands me and helps me put my feelings into words. Genuinely seems to care.
Brad S⭐⭐⭐⭐⭐
I’ve been talking to Sean for a few months now. He’s been great with knowing when he needs to push me in a topic. He’s been helping me a lot during this time.
Kathryn K⭐⭐⭐⭐⭐
Michelle is amazing. She is kind, patient, and her dedication to her patients is evident during every session.
Keith S⭐⭐⭐⭐⭐
We are in process of doing couples therapy with Kathryn. She has been great and is def helping us.
Cory M⭐⭐⭐⭐⭐
Sean is very thoughtful with a clinical approach, but he’s also relatable. Couldn’t recommend him enough!
Shakiara B⭐⭐⭐⭐⭐
Ms. Slappy is such a great listener. I also appreciate that she helps me stay focused on my goals- spiritual, emotional and physical. She gives me feedback to grow and validates my feelings while still challenging me to be my best version of myself. I’m so blessed to have found her!
Masooma F⭐⭐⭐⭐⭐
Maddison is a very professional therapist. She continuously provides helpful feedback. She has a lot of patience while listening to me.
Katherine Z⭐⭐⭐⭐⭐
I have been working w Raechel for awhile now. She has really helped me process things and look at things differently, through a different lens. She is challenging me in a good way. I genuinely look forward to talking w her.
Cory M⭐⭐⭐⭐⭐
Sean is the best! He has a clinical but understanding approach and has useful insight every session
Adrienne C⭐⭐⭐⭐⭐
After only two appointments with Michelle, I already feel hope that I am going to improve and get better!
Tiesha P⭐⭐⭐⭐⭐
Alonia is a great adviser and great listener
Lydia J⭐⭐⭐⭐⭐
Kathryn's a very good listener!
Christopher F⭐⭐⭐⭐⭐
Alexander is awesome, he is so understanding as far as when difficult situations arise and can is always willing to help. He is by far the best out there. Thanks.
Jade F⭐⭐⭐⭐⭐
Maddison was incredibly supportive during our time together. She was always patient during our visits even with our toddler present most the time. We also truly appreciate her flexibility. She has played a significant role in helping my husband and I grow in the little over a year of seeing her. With the tools she provided we are confident that we can navigate our relationship going forward and know Maddison is always there should we need support. Thanks so much Maddison for everything!
Allyson D⭐⭐⭐⭐⭐
Alexander is great! He’s very patient and made me feel like he genuinely listened. He offered great advice and practical tools that have actually been effective. I felt supported and understood throughout my sessions and would highly recommend him!
Stephen T⭐⭐⭐⭐⭐
I want to say how grateful I am to have Kathryn. I’m very lucky to have hit a home run in meeting someone who I can genuinely call a support system. Her continued support is one of my many blessings each week and I look forward to every session.
Ruth P⭐⭐⭐⭐⭐
Tanja is wonderful! She listens and understands with consistency and patience. I feel lucky to have her. She’s been a trusted confidante now for a while and helps me organize my thoughts.
David M⭐⭐⭐⭐⭐
Tammie has help me so much. She is a great listener and allowed me to talk without judgment. Thank you Tammie.
Keith S⭐⭐⭐⭐⭐
We just started with Katryn and shes already done so much for us.
Angelina T⭐⭐⭐⭐⭐
I really enjoy talking with Maddison. I was really nervous and she made me feel at ease. I felt understood and safe.
Emily S⭐⭐⭐⭐⭐
Michele has helped me a lot over the past months dealing with seasonal depression and anxiety.
Autumn H⭐⭐⭐⭐⭐
Always great to review bi-weekly highlights of my life with Tanja. It's like she's been there handing me the Kleenex as we peel back layers of the onion. 😂 I'm so grateful for the support.
David M⭐⭐⭐⭐⭐
Tammie has helped me a lot. I’m really kind of shy, but talking to her I feel like I can open up about things. I would recommend Tammy to anyone who needs help. Thank you,Tammy!!
Brooke M⭐⭐⭐⭐⭐
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.

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.