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Pricing
ESA Letter Cost — $129, and Nothing Until It's Issued
One flat fee for the assessment. No subscription, no registry charges, and nothing taken from you until a mental-health professional has actually issued your letter.
Free screening
See If You Qualify
- 10 minutes of questions, nothing to pay
- Reviewed by a mental-health professional licensed in your state
- Signed letter within 15 minutes of approval
- Declined? You are not charged for a letter
HIPAA-aligned · no card required
ESA letter
Up to 2 Pets
$129
One-time · valid 12 months
- Clinical screening and mental-health professional review
- Live consultation where required
- Signed PDF on professional letterhead
- FHA-compliant accommodation wording
- Covers up to two animals, if clinically supported
- Landlord verification line, 12 months
- Free corrections and reissues
ESA letter
3+ Pets
$199
One-time · valid 12 months
- Everything in the 2-pet ESA letter
- Three or more animals named on one letter
- Each animal justified on its own terms
- Extra copies for co-tenant leases
- Written response to landlord follow-ups
- Free corrections and reissues
PSD letter
Up to 2 Pets
$149
One-time · valid 12 months
- Psychiatric disability assessment
- Documentation of disability-related need for task work
- ADA and FHA-compliant wording
- Guidance on the DOT air travel form
- Housing letter included at no extra cost
- Dog training — we do not provide it
PSD letter
Up to 3 Pets
$229
One-time · valid 12 months
- Everything in the 2-pet PSD letter
- Up to three dogs assessed and named
- Each dog assessed for genuine task work
- Housing letter included at no extra cost
- Written explanation if a PSD is not appropriate
- Dog training — we do not provide it
Comparison
Why $39 Letters Cost $39
| What You Are Buying | $25–$45 "certificate" sites | TheHealifyPet |
|---|---|---|
| A named mental-health professional licensed in your state | Rarely | Always |
| An assessment that can end in a decline | Almost never | Yes |
| License number a landlord can verify | Usually absent | On the letter |
| Someone who answers verification calls | No | Your mental-health professional |
| "Registration" or ID card in the price | Often — and worthless | Never sold |
| Refund if you are declined | No decline exists | Full letter fee back |
Check us yourself
Don't Take Our Word for It. Verify It.
We haven't published client reviews yet. Real ones, with written consent, or none at all — so here is the harder proof instead.
Look Up the License
Every letter carries the signing mental-health professional's license number, type and state. Every state board publishes a free public lookup.
Check the NPI Registry
Search the mental-health professional by name at npiregistry.cms.hhs.gov. It is a second, independent check.
Call Them Directly
The mental-health professional's own contact details are on your letter. Your landlord can verify with the person who signed it.
Ask Us to Say No
Mental-health professionals are paid for the assessment, not the approval. A provider that guarantees a yes is guaranteeing something worthless.
Why this page is empty of testimonials
A site whose whole argument is our documentation can actually be checked has no business publishing testimonials that cannot. When we have real reviews from real clients who have given written consent, they will appear here.
Licensed provider
The Mental-Health Professional Who Signs Your Letter
Every ESA and PSD assessment is conducted by a licensed mental-health professional. 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
Billing
Frequently Asked Questions
When Am I Charged?
After a mental-health professional has reviewed your file and issued your letter. The questionnaire and the review itself cost nothing, and we do not hold a card against a future decision.
What Happens if the Assessment Is Declined?
The letter fee is refunded in full. You keep your screening summary.
Is There a Subscription?
No. Letters are one-time purchases with a 12-month validity, and nothing auto-renews. When your letter nears expiry we send a reminder — you decide whether to renew.
Do You Offer Reduced Fees?
Yes, on request. If cost is the reason you would otherwise go without documentation, write to support@thehealifypet.com and ask about our reduced-fee places. There is no means-testing paperwork.
What Payment Methods Do You Take?
All major cards, Apple Pay and Google Pay, over TLS. We never store full card numbers on our systems.
Can I Get an Invoice or Receipt for an HSA or FSA Claim?
We can issue an itemised receipt describing the clinical assessment. Whether your plan reimburses it is up to your administrator, and we cannot promise it will.
Why Is an ESA Letter Not Free?
Because a legitimate letter requires a licensed mental-health professional's time to review your history, assess you and form a professional judgment. Sites offering free letters omit that step, which is what leaves those documents worthless.
What Is Included in the Price?
The clinical screening and review, a consultation where required, the signed letter on professional letterhead, the accommodation request template, landlord verification support for twelve months, and free corrections.
Is the PSD Price Instead of or as Well as an ESA Letter?
Instead. A PSD assessment includes a housing letter at no extra cost, so you do not need to buy both.
Do You Charge Extra for a Second Animal?
Up to two pets are covered in the base ESA price. Three or more move you to the higher tier, because each animal has to be assessed and justified.
Are There Any Add-On Fees at Checkout?
No. No processing fees, no registration upsell, no rush fees hidden at the end.
Can I Use HSA or FSA Funds?
We can issue an itemised receipt describing the clinical assessment. Whether your plan reimburses it is up to your administrator and we cannot promise it will.
Start Free. Pay Only for a Letter You Can Use.
The questionnaire and mental-health professional review cost nothing. The letter fee is charged when a letter is issued.