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

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Seventy-one pages: the service, the law, the company, and a guide for every US state.

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
See if I qualify

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Rights and Laws

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Reference

ESA Letter Guides by State

All 50 states, grouped by region. See the full directory.

Start Where Most People Start

The screening takes about ten minutes and costs nothing to begin.

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