New York ESA LetterLicensed New York clinicians
New York-licensed clinicians, booked online

Get your New York ESA Letter in 15 minutes

Talk with a licensed New York therapist today. If they approve you, your signed emotional support animal letter lands in your inbox 15 minutes later. If they do not approve you, you pay nothing.

  • Real live consultation, no questionnaire mills
  • All five boroughs, Long Island and upstate
  • Free re-issue if your landlord or board needs a correction
An approved New York ESA letter Illustration of a signed emotional support animal letter on New York ESA Letter headed paper, stamped approved and signed by a New York-licensed physician. New York ESA Letter Telehealth clinical services · State of New York Licence verified · issued in 15 minutes ASSISTANCE ANIMAL DOCUMENTATION I am a clinician licensed in the State of New York and have evaluated the individual named above. Keeping their assistance animal is directly related to their condition and supports their use of the home. APPROVED SIGNED TODAY John Miller, M.D. Licensed physician · New York State
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How it works, start to finish

Four stages. Most people are through the whole thing inside twenty minutes, and no money moves until a clinician signs.

  1. Choose a slot

    Evenings and same-day openings are common, seven days a week between 7 AM and 11 PM Eastern.

  2. Answer the screening

    Five minutes on your symptoms, your building and the animal that helps you, completed before you meet anyone.

  3. Speak with your clinician

    A New York-licensed physician or therapist, by video or phone, reaching their own independent conclusion.

  4. Receive the letter

    Approved, and the signed PDF is in your inbox within 15 minutes. Declined, and the hold on your card is released.

What the 2026 HUD change means for New Yorkers

Federal enforcement narrowed in May 2026. New York is one of the states where that matters least, and it is worth understanding exactly why.

On May 22, 2026, HUD's Office of Fair Housing and Equal Opportunity rescinded its 2020 assistance animal notice and said it will now find reasonable cause only where an animal is individually trained to perform disability-related work or tasks.

HUD FHEO enforcement memorandum, May 22, 2026

If you rented in most states, that would be bad news. In New York it changes far less than the headlines suggested, for three reasons.

New York has its own, stronger law. The New York State Human Rights Law requires housing providers to make reasonable accommodations for people with disabilities, and it is enforced by the New York State Division of Human Rights, not by HUD. New York's definition of disability is broader than the federal one. A HUD memo does not touch it.

New York City law goes further still. The NYC Human Rights Law is one of the most protective in the country, and the NYC Commission on Human Rights has published guidance stating plainly that housing providers must permit emotional support animals as a reasonable accommodation unless doing so would be an undue hardship, and must exempt them from no-dog, breed, weight and size policies. An emotional support animal does not need to be trained to perform a task under that guidance.

Subsidised housing was carved out. HUD's memo does not address obligations under the ADA or Section 504 of the Rehabilitation Act, so if you live in NYCHA housing or use a Section 8 voucher, those separate duties are unaffected.

Being straight with you: what did change is your federal complaint route. A HUD complaint about an untrained emotional support animal is now unlikely to succeed. In New York that matters less than elsewhere, because the State Division of Human Rights and, in the five boroughs, the City Commission on Human Rights are the stronger venues anyway. A letter is still documentation of a clinical opinion, not a permit, and nobody can promise a landlord or a co-op board will say yes.

New York ESA and PSD letter pricing

One flat fee per letter. No subscriptions, no renewal traps, and no charge unless a licensed New York clinician approves you.

Most booked

ESA Letter

$129

Housing documentation, up to 2 animals

  • Signed by a clinician licensed in New York
  • Covers up to 2 emotional support animals
  • Drafted for managing agents and co-op boards
  • Digital PDF, emailed 15 minutes after approval
  • Unlimited free re-issues if a board wants changes
Book now

ESA Letter, 3+ Pets

$199

Housing documentation, 3 or more animals

  • Signed by a clinician licensed in New York
  • Covers 3 or more emotional support animals
  • Every animal named separately, as boards require
  • Digital PDF, emailed 15 minutes after approval
  • Unlimited free re-issues if a board wants changes
Book now

PSD Letter

$149

Task-trained dog documentation, up to 2 dogs

  • Records a psychiatric disability and the dog's trained tasks
  • Covers up to 2 dogs
  • Meets HUD's post-2026 training standard
  • Digital PDF, emailed 15 minutes after approval
  • A frank conversation about which tasks count
Book now

PSD Letter, up to 3 Dogs

$229

Task-trained dog documentation, up to 3 dogs

  • Records a psychiatric disability and each dog's trained tasks
  • Covers up to 3 dogs
  • Meets HUD's post-2026 training standard
  • Digital PDF, emailed 15 minutes after approval
  • A frank conversation about which tasks count
Book now

A single fee, billed once. Your card is held at booking and charged only when a New York-licensed clinician signs. A decline releases the hold.

ESA letter or PSD letter: which one fits you

The difference comes down to training. An emotional support animal helps through its presence. A psychiatric service dog is trained to perform specific tasks. In New York that distinction matters much more outside your home than inside it.

Comparison of emotional support animals and psychiatric service dogs in New York
 Emotional support animalPsychiatric service dog
SpeciesAny domestic animal reasonable to keep at home, subject to the NYC Health Code in the five boroughsDogs only under New York's public accommodation law
Training requiredNone. The animal helps by being thereYes. The dog must be individually trained to do work or tasks tied to your disability
HousingProtected as a reasonable accommodation under the State and, in the five boroughs, City Human Rights LawsProtected the same way, and also meets HUD's narrower 2026 federal standard
Stores, restaurants, the subwayNo access right. New York Civil Rights Law covers guide, hearing and service dogs onlyYes, under the ADA and Civil Rights Law Article 4-B
Air travelAirlines may treat it as a pet since the 2021 DOT rule changeAirlines accept the DOT Service Animal Air Transportation Form
Our feeFrom $129From $149

Not sure which one describes your situation? Book the consultation anyway. Your clinician will tell you honestly which document fits, and you will not be charged for a letter you cannot use.

What makes a letter hold up in New York

Plenty of sites will sell you a PDF. These are the things that decide whether a managing agent or a board actually accepts it.

A New York licence on the signature line

The first thing a managing agent checks. An out-of-state provider gets a request questioned before anyone reads the substance of it.

An actual conversation behind it

A form with no consultation attached is what taught New York boards to distrust this entire category. We do not issue letters that way.

Nothing charged on a decline

Our clinicians earn the same either way, and your card is held rather than charged until one of them signs.

Drafted for a board, not a template

Co-op and condo boards read closely and ask precise questions. The letter answers them without disclosing your diagnosis.

Corrections cost nothing

Boards routinely come back over an apartment line or a date. Every re-issue is free, however many times it takes.

Your file stays yours

Encrypted end to end, HIPAA-aligned access controls, never sold, and never sent to your landlord or board without your written instruction.

The clinicians who sign your letter

Every evaluation is handled by a licensed professional who makes an independent decision. No one on our team is paid more for approving you.

Dr. Cheryl, M.D.Physician

Takes the cases where physical illness and mental health are tangled together, including anxiety that grew out of chronic pain or a long recovery.

Dr. John Miller, M.D.Physician

Carries most of our housing caseload, and writes for the managing agent who has to sign off rather than for the file.

Andrew Patel, LCSWLicensed Clinical Social Worker

Runs our psychiatric service dog assessments and is the clinical reviewer for every word published on this site.

Read full profiles

ESA letters in all five boroughs

Inside New York City the Human Rights Law is at its strongest, and the gatekeepers are at their most demanding. Each borough page covers who actually decides where you live.

ESA letters across New York

We serve the whole state online. These are the ten largest cities, each with a page covering the local rental market and how accommodation requests actually work there.

Population figures on this page come from the U.S. Census Bureau Population Estimates Program, Vintage 2025, reference date July 1, 2025.

New York ESA letter questions, answered plainly

Is an online ESA letter valid in New York?

Yes, when it is written by a clinician licensed in New York who has actually evaluated you. New York does not require an in-person visit, and telehealth evaluations are a normal part of clinical practice here. What matters to a landlord, managing agent or co-op board is that a licensed professional assessed you and is willing to put their licence behind the opinion.

How fast will I actually get my letter?

For most New York clients, the signed PDF arrives within 15 minutes of the clinician approving you. The consultation itself usually takes 15 to 20 minutes, so the whole process often finishes inside an hour of your appointment starting.

What if the therapist does not approve me?

Then you are not charged. We only bill after approval. Your clinician will explain what they found and, where it helps, point you toward other support.

Can my New York landlord charge a pet deposit or pet rent for an ESA?

No. When an assistance animal is granted as a reasonable accommodation it is not treated as a pet, so pet rent, pet deposits and breed fees do not apply. You stay responsible for any actual damage the animal causes. If a landlord charges anyway, the New York State Division of Human Rights handles complaints statewide, and the NYC Commission on Human Rights handles them in the five boroughs.

Did the May 2026 HUD change take away my rights in New York?

No. It narrowed HUD's own federal enforcement. The New York State Human Rights Law and the NYC Human Rights Law are separate, still in force, and in New York City notably more protective than federal law. What changed in practice is that a federal HUD complaint about an untrained emotional support animal is now unlikely to succeed, so the state and city agencies are the route to use.

Can I bring my emotional support animal into stores or the subway?

No. New York's public accommodation protections under Civil Rights Law Article 4-B cover guide dogs, hearing dogs and service dogs, which must be individually trained. An emotional support animal has no public access right in New York. If you need public access, a task-trained psychiatric service dog is the correct path.

Do you cover my part of New York?

We serve the whole state, including all five boroughs, Yonkers, Buffalo, Rochester, Syracuse, Albany, New Rochelle, Mount Vernon, Schenectady, Utica, Long Island and the Hudson Valley. Everything happens online, so upstate is covered the same as Manhattan.

How many animals can one letter cover?

The $129 ESA letter covers up to two animals. If you have three or more, the $199 letter names each of them. For psychiatric service dogs, $149 covers up to two dogs and $229 covers up to three. New York sets no numeric cap, but your clinician does need to be able to explain the need for each animal.

Official sources for this page

Nothing legal on this page is asserted without a source behind it. Open them and read the originals rather than taking our summary on trust.

  1. New York State Division of Human RightsThe state agency that enforces the New York State Human Rights Law, including housing accommodation complaints.
  2. NYC Commission on Human RightsThe city agency enforcing the NYC Human Rights Law, which is broader than both state and federal law.
  3. NYC Commission on Human Rights — Emotional Support Animals in Housing (PDF)Official city fact sheet confirming housing providers must permit ESAs and exempt them from no-dog, breed and weight policies.
  4. New York Civil Rights Law § 47-bThe statute granting public access to guide, hearing and service dogs, and barring extra charges for them.
  5. ADA.gov — Service AnimalsThe federal definition of a service animal and what businesses may and may not ask.
  6. U.S. Department of Housing and Urban DevelopmentThe federal agency behind the May 2026 assistance animal enforcement memorandum.
  7. U.S. Department of Transportation — Service AnimalsThe current air travel rule, including why airlines may treat emotional support animals as pets.

Ready to start your evaluation?

Choose a slot that works for you. The consultation usually runs under 20 minutes, and an approved letter reaches your inbox 15 minutes after sign-off.

Book my appointmentSee pricing