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Renewal
ESA Letter Renewal Without Starting Again
Letters are conventionally treated as current for 12 months. Renewal is a check-in with a clinician licensed in your state and a newly dated, newly signed letter.
Free screening
Find Out Whether You Qualify
- 10 minutes of questions, nothing to pay
- Reviewed by a clinician licensed in your state
- Signed letter within 15 minutes of approval
- Declined? You are not charged for a letter
HIPAA-aligned · no card required
Bring Your Existing Letter
Upload the current PDF, whoever wrote it. It gives the clinician history and shortens the conversation.
A Short Check-In, Not a Full Intake
What has changed in the past year: symptoms, housing, the animal, any treatment you have started or stopped.
A Newly Dated Letter
Signed afresh, with current license details. Usually within 24 hours of the check-in.
Renew if
Four Reasons to Renew Before You Are Asked.
Your Letter Is over a Year Old
Some providers will accept it, many will ask for something current, and you would rather not discover which during a lease renewal.
You Are Moving
Especially across state lines, where the letter should come from a clinician licensed in your new state.
Your Lease Is up for Renewal
Documentation requests cluster around renewal dates. Being ahead of it removes a negotiation.
Your Circumstances Changed
New animal, new diagnosis, new treatment, new household. The letter should describe your life as it is now.
Why we will not simply reprint it
A renewal that involves no contact is a forgery with extra steps: the clinician would be attesting to your current condition without having reviewed it. It is also the form of documentation that fails when a housing provider verifies it. The check-in is usually brief, and it is what makes the new letter worth sending.
Client stories
Verified Client Reviews
Verified feedback from clients who completed a screening with a clinician licensed in their own state.
★★★★★
4.7 out of 5 · 2,914 verified reviews
★★★★★
My building sent a notice about my cat eleven days after I moved in. The clinician actually asked about my panic attacks rather than just my pet, and the letter ended the whole dispute in one email to the management company.
★★★★★
I had already paid for a $39 certificate elsewhere and my landlord's attorney rejected it in a day. Healify was slower and asked far more questions, which turned out to be the entire point.
★★★★★
Pet rent was $65 a month plus a deposit, on an animal I need in order to sleep. The fees stopped the week after I sent the request with the letter attached.
★★★★☆
Honest about what it does not cover — I had assumed my dog could fly with me and they told me plainly that changed in 2021. The housing side worked exactly as described.
★★★★★
University housing was the difficulty, not the letter. Their disability services office wanted a specific process and my clinician answered their verification email the same day.
★★★★★
Breed restriction on a 60-pound mixed dog. The management company reversed within ten days of receiving the accommodation request and the letter together.
Licensed provider
The Physician Behind Your Evaluation
Every ESA and PSD assessment is conducted by a licensed clinician. The professional who signs your documentation is identified below, with the means to verify the license.

Licensed provider
Dr. Jonathan Chance Miller, MD
Licensed Physician · Telehealth · ESA & PSD evaluations
An evaluation should feel like a conversation, not an interrogation. My job is to understand what you are living with and document it accurately — or to tell you plainly if an assistance animal is not the right answer.
Related Reading
Questions
About Renewing.
Does an ESA Letter Legally Expire?
No statute sets an expiry date. In practice housing providers expect documentation dated within the past 12 months, and most clinicians write letters on that basis, so a year is the working answer.
Do I Need a New Evaluation to Renew?
You need a check-in, not a repeat of the whole intake. A clinician cannot honestly re-sign a statement about your current circumstances without looking at them, but if nothing has changed the conversation is short.
Can You Renew a Letter Written by Someone Else?
Yes. Bring the old letter — it gives the clinician useful history — but the new letter will be written and signed by our clinician on the basis of their own assessment, not a countersignature of someone else's.
My Animal Died and I Have a New One. Renewal or New Letter?
A new assessment, and we are sorry. The letter attaches to a specific animal and a specific need, so the clinician has to consider the new animal on its own terms. Tell us and we will apply the renewal rate.
When Should I Start?
Three to four weeks before expiry, and earlier if a lease renewal falls near the same date. Leasing offices sometimes ask for current documentation at renewal, and being ahead of that is worth a small amount of planning.
Why Can You Not Simply Reprint My Letter with a New Date?
Because that would be the clinician attesting to your current circumstances without having looked at them. It is also the form of documentation that fails when a housing provider verifies it.
How Long Does a Renewal Take?
Usually within about 24 hours of the check-in, which is shorter than the original screening because the clinician already has your history.
What Does the Check-In Cover?
What has changed in the past year: symptoms, housing, the animal, and any treatment you have started or stopped.
Can You Renew a Letter Written by My Own Therapist?
Yes. Bring the old letter for history, but the new one is written and signed by our clinician on the basis of their own assessment.
Does the Animal Need to Be the Same One?
If it is a different animal, the clinician has to consider that animal on its own terms, so it is a new assessment rather than a renewal.
Will You Remind Me Before My Letter Expires?
Yes, we send a reminder. Nothing auto-renews and nothing is charged without you choosing to proceed.
What Does a Renewal Cost?
Ask support for the current renewal fee — existing TheHealifyPet clients pay a reduced rate. As with a first letter, nothing is charged until the new letter is issued.
Renew Before Your Letter Expires
A short check-in with a clinician licensed in your state, and a newly dated letter within about 24 hours.