ESA Letter

For emotional support animals

An emotional support animal provides comfort and companionship to individuals facing psychological challenges such as anxiety, depression, bipolar disorder, PTSD, eating disorders, neurocognitive conditions, and substance abuse problems. Unlike service animals, which assist with physical disabilities, emotional support animals are part of a therapeutic plan for qualifying mental health conditions.

To qualify for an ESA letter, a patient must:

  • Be seen and evaluated by Dr. Kalyanapu in an ongoing treatment relationship.

  • Have a diagnosis that substantially limits participation in one or more major life activities.

  • Demonstrate that an emotional support animal is a meaningful part of the treatment plan for their condition.

Dr. Kalyanapu can provide ESA letters to eligible patients, recognizing that emotional support animals may be an integral component of healing and stability. Patients will receive:

  • A signed ESA Doctor Letter valid for one year (for housing and air travel).

  • A backup copy of the letter.

  • Assistance with questions from landlords, when needed.

For further information about emotional support animal registration and commonly asked questions, see usserviceanimals.org.