Sample Physician Letters

Below are sample letters to enhance your emotional support dog kit. If you are planning a trip which includes flying or moving into a residence where animals are not normally allowed simply provide your treating physician with a sample letter to sign and present the letter along with your ID card.

 

AIRLINE SAMPLE LETTER: Prescribes an Emotional Support Animal specifically for airline flights (the letter should be on the physician’s or mental health provider’s letterhead)

[Date]

To Whom It May Concern:
[Full Name of Tenant] is my patient, and has been under my care since [date]. I am intimately familiar with his/her history and with the functional limitations imposed by his/her emotional/mental related illness.

Due to this emotional/mental disability, [first name] has certain limitations related to [social interaction/coping with stress/anxiety, etc.]. In order to help alleviate these difficulties, and to enhance his/her ability to function independently, I have prescribed [first name] to obtain a pet or emotional support animal. The presence of this animal is necessary for the emotional/mental health of [patient name] because its presence will mitigate the symptoms he/she is currently experiencing.

Please allow (patient’s full name) to be accompanied by his/her emotional support animal in the cabin of the aircraft, in accordance with the Air Carrier Access Act (49 U.S.C. 41705 and 14 C.F.R. 382).

I am licensed by the state of (state) to practice (medicine/psychiatry/therapy–choose applicable). My license number is (license number).

Sincerely,

(Physician’s name and title)

 

 

GENERAL SAMPLE LETTER: Prescribes an Emotional Support Animal (the letter should be on the physician’s or mental health provider’s letterhead)

[Date]

To Whom It May Concern:
[Full Name of Patient] is my patient and has been under my care since [date]. I am intimately familiar with his/her history and with the functional limitations imposed by his/her emotional/mental health-related issue.

Due to this emotional disability, [patient first name] has certain limitations coping with what would otherwise be considered normal, but significant day to day situations. To help alleviate these challenges and to enhance his/her day to day functionality, I have prescribed [patient first name] to obtain an emotional support animal. The presence of this animal is necessary for the emotional/mental health of [patient name] because its presence will mitigate the symptoms he/she is currently experiencing.

Sincerely,

(Physician’s name and title)

 

HOUSING LETTER SAMPLE: Specifically prescribes an Emotional Support Animal for housing situations (the letter should be on the physician’s or mental health provider’s letterhead)

[Date]

Dear [Name of Housing Authority/Landlord]:
[Full Name of Tenant] is my patient, and has been under my care since [date]. I am intimately familiar with his/her history and with the functional limitations imposed by his/her emotional/mental related illness.

He/She meets the definition of disability under the Americans with Disabilities Act, the Fair Housing Act, and the Rehabilitation Act of 1973.

Due to this emotional/mental disability, [first name] has certain limitations related to [social interaction/coping with stress/anxiety, etc.]. In order to help alleviate these difficulties, and to enhance his/her ability to live independently and to fully use and enjoy the dwelling unit you own and/or administer, I have prescribed [first name] to obtain a pet or emotional support animal. The presence of this animal is necessary for the emotional/mental health of [patient name] because its presence will mitigate the symptoms he/she is currently experiencing.

Sincerely,

(Physician’s name and title)

 

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