No fee until your letter is issued. Licensed clinicians only — we never sell registrations or ID cards. See pricing →

Home/ESA letter renewal

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.

Short clinical check-innewly dated 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
Start my screening

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

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.

Dr. Jonathan Chance Miller, MD, licensed physician
NPI 1235623372Verified in the national registry

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.
Medical schoolColumbia University
ResidencyWashington University
Licensed in25 states
LanguagesEnglish & Spanish
EmpatheticJudgment-free Clinically focused5 years telehealth

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.

No fee until approvalLicensed in all 50 statesHIPAA aligned15-minute delivery after approval
From $129 · pay after approval10-minute screening
Start now