Date:

Dear ,

I am a licensed in the state of , license number . I am currently providing mental health services to and have maintained an established therapeutic relationship with this individual.

Based on my clinical evaluation, has a mental health-related disability that substantially limits one or more major life activities, including but not limited to . This determination is consistent with the criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

As part of 's ongoing treatment plan, I have determined that the presence of an emotional support animal is clinically beneficial and directly supports their ability to function in daily life. Specifically, the ESA helps to mitigate symptoms related to , thereby supporting their mental health treatment goals.

For this reason, I am recommending that be granted a reasonable accommodation to reside with their emotional support animal — a named . This animal is not a service animal as defined under the Americans with Disabilities Act; it is an emotional support animal whose presence is recommended for therapeutic purposes.

Please note that this letter does not constitute a registry, certification, or formal designation. My credentials as a licensed professional in the state of serve as verification of this recommendation's legitimacy.

Should you have questions regarding this accommodation request or wish to verify my licensure, please contact my office directly using the information provided above. I am committed to responding promptly to authorized inquiries.

Sincerely,