Psychiatric service dog letter
PSD Letter Online from a Licensed Therapist
Get your psychiatric service dog (PSD) letter online after a live evaluation with a therapist licensed in your state. If you qualify, your signed letter arrives within 24–48 hours. If you don’t, you can request a full refund.
- For a dog that is trained, or in training, to do tasks for a psychiatric disability
- $99 flat, or $179 together with an ESA housing letter
- Step-by-step help with the two DOT forms airlines use

Which letter fits
PSD Letter or ESA Letter: Which Do You Need?
The difference is training. A psychiatric service dog is trained to do a specific job when your symptoms show up. An emotional support animal helps by being with you. Pick the letter that describes your animal today.
PSD letter
Your dog is trained, or in training, to do tasks for your condition, such as interrupting a panic attack or waking you from a nightmare.
- Supports a housing accommodation request
- Supports a workplace accommodation request
- Public places: access comes from your dog’s training under the ADA
- Flights: you complete the DOT forms, and we help
- Dogs only
ESA letter
Your pet eases your symptoms by being with you and hasn’t been trained for specific tasks.
- Supports a housing accommodation request
- Any species, breed or size
- No public-access rights
- Not accepted as a service animal on flights
- No training required
Not sure which fits? Start the intake and talk it through with your therapist. Both letters from one evaluation cost $179.
PSD letter pricing
How Much Does a PSD Letter Cost?
A PSD letter from PetESALetter costs $99. That covers the intake, the live evaluation with a licensed therapist and the signed letter. There’s no membership, no auto-renewal and nothing added at checkout.
PSD Letter
- Live evaluation with a therapist licensed in your state
- Signed letter with the therapist’s license number, within 24–48 hours if you qualify
- Help completing the DOT Service Animal Air Transportation Form
- Full refund of the assessment and letter fee if you don’t qualify (request within 7 days)
ESA + PSD Letters
- One evaluation, two signed letters
- For a dog still in training, or a second pet that isn’t task-trained
- ESA letter for your housing request, PSD letter for your service dog
- In California, the ESA letter follows the state’s 30-day rule
What others charge
PSD letter prices listed on each provider’s PSD page, checked September 23, 2026.
What we don’t sell: registrations, ID cards, certificates or vests. U.S. law has no official service dog registry, and businesses can’t require any of these.
Training
Does a Psychiatric Service Dog Need to Be Trained?
Yes. Under the ADA, a service animal is “any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability,” including a psychiatric one. The same rule says emotional support and companionship don’t count as tasks (28 CFR 36.104). Your letter documents why you need the dog. Training is what makes the dog a service dog.
Training now matters for housing too. Under HUD’s May 22, 2026 enforcement memo, FHEO will find reasonable cause and recommend a charge only where the animal is individually trained for disability-related tasks, and it calls requests for trained animals “presumptively reasonable.” HUD frames this as an enforcement priority, not a change in the law: the Fair Housing Act’s accommodation duty still applies, and tenants can still go to court privately.
Tasks a Psychiatric Service Dog Can Be Trained to Do
In a 2024 NIH-funded study published in JAMA Network Open, veterans with PTSD who received trained service dogs had 66% lower odds of a PTSD diagnosis after three months than veterans still on the waitlist.
How Long Does Psychiatric Service Dog Training Take?
There’s no federal training standard, but trainers and programs work to published ones. The International Association of Assistance Dog Partners (IAADP) sets a minimum of 120 hours over six months or more, with at least 30 hours in public places. Owner-trainers who start with a puppy often need two and a half to three years to reach full public-access work, according to the Service Dog Training Institute.
A Basic Training Plan You Can Start This Week
- Foundation. Name response, sit, down, stay, come and loose-leash walking. Train in five-minute sessions a few times a day and reward every correct response.
- Settle and focus. Teach your dog to settle on a mat for 20 minutes, “leave it” with food on the floor, and to look at you when something distracting happens.
- Socialization and public manners. Practise on new floors and stairs, in elevators and around carts, crowds and other dogs. No sniffing people or shelves, no asking for food or petting. The ADA covers trained service dogs, not dogs in training, so practise in pet-friendly places until your dog is ready or your state allows access for dogs in training.
- Task training. Pick one or two tasks tied to your symptoms. Break each into small steps, teach it at home first, then link it to a cue such as a hand touch or a change in your breathing.
- Public-access check. Test your dog against a public access test, such as the free one from Psychiatric Service Dog Partners. The AKC Canine Good Citizen test is a useful first benchmark. Keep a training log of hours and skills.
Is Your Dog Ready? A Quick Check
- Reliably house-trained for months, not weeks
- Calm around strangers, other dogs and loud noises
- Ignores food on the floor and doesn’t ask people for attention
- Walks on a loose leash and settles under a table
- Does at least one task on cue, including in a new place
- Healthy and vaccinated, with a vet check in the past year
Mostly yes? You’re ready to apply. Mostly no? An ESA letter may cover your housing needs today, and you can come back for a PSD letter as training progresses.
Reputable, Affordable Places to Learn Owner-Training
We don’t partner with any trainer and earn nothing from these links. Each one publishes its prices and none sells certificates or registrations. Prices were checked on each site in September 2026.
A nonprofit run by volunteers with psychiatric disabilities. Guides, task ideas, training logs, a public access test and a peer guidance group.
Self-paced service dog training modules with optional webcam coaching. About US$41 a month. It states that it doesn’t certify dogs.
Six-week online classes in positive-reinforcement foundations: focus, leash skills and reactivity. Good for the first stages, not a service dog program on its own.
An ADI-accredited nonprofit program for your own dog, with in-person facilitator sessions twice a month for at least six months. Your dog needs its Canine Good Citizen title first.
Search the CCPDT directory for a CPDT-KA or CPDT-KSA trainer, or IAABC for behavior problems. Ask whether they have coached owner-trained psychiatric service dogs.
Avoid anyone selling a “certificate,” “registration” or ID card as proof that your dog is a service dog. None of these has legal weight.
For more depth, read our guides to self-training a service dog, psychological service dog tasks and which disabilities qualify for a service dog.
Who evaluates you
Licensed Therapists, Real Conversations
You’re matched with a therapist licensed in your state. You can check any therapist’s license on your state licensing board’s website.
Darren Rafel, LCSW
Clinical Social Worker / Therapist
Darren focuses on building strong client-therapist relationships through a holistic approach. He specializes in treating anxiety, trauma and PTSD.
Meet our therapists“Very professional understood my feelings and what I was going through and didn’t judge me. I recommend”
“The service was excellent! From the time I submitted the questionnaire to when I received my letter, it was less then 24 hours! Carlos and Darren were super kind and professional, and answered my questions super quickly. Definitely recommend!”
“Very quick. Carlos stayed in communication with me from start to finish. Everything was completed in 24 hours, less than. The therapist Darren was very friendly. Highly recommend to use PetESA Letter.”


