Frequent Questions
Emotional Support Animals (ESA)
Are there benefits of having an emotional support animal (ESA)?

Certainly! Numerous studies and evidence suggest that animals offer significant and measurable emotional support. For more detailed information on the benefits of an ESA, consider researching online or consulting with a mental health professional in our network.

Can I include multiple pets on a single ESA letter?

Yes, you can list multiple pets on one ESA letter. Doctor Paw allows for up to two pets per letter at no extra charge. The American Disabilities Act stipulates that requests for multiple animals must be "reasonable." For instance, registering four Great Danes in a small apartment might be deemed unreasonable.

Each ESA must provide different types of support. If you need to include more than two pets, additional letters can be purchased as add-on packages through your account.For further assistance, please contact us at support@doctorpaw.com.

How do I know if my ESA letter is legitimate?

Here’s what makes our ESA letters valid:

Licensed Professionals: All our licensed mental health professionals are fully certified and legally authorized to issue ESA letters in your state.

Phone Consultation: You will have a phone consultation with a clinician in your state, which forms the basis for issuing your ESA letter.

Compliant Letters: Your ESA letter will be issued on official letterhead, complete with the clinician’s license number and contact details, meeting all legal requirements for an ESA prescription.

How can I determine if I qualify for an Emotional Support Animal?

The primary criterion is having an emotional or psychological condition that benefits from having an animal for support. Conditions may include anxiety, depression, insomnia, and others. Emotional Support Animals do not need special training.

A licensed mental health professional will assess your eligibility. Doctor Paw connects you with a qualified professional for an honest evaluation. Unlike some services, we don't issue letters for a fee without proper assessment.

Can my existing pet qualify as an emotional support animal?

Yes, your current pet can be an emotional support animal as long as it provides emotional or psychological support. Emotional Support Animals do not require specific training, so your childhood pet or newly adopted animal may qualify.

What is the Fair Housing Act?

The Fair Housing Act mandates that housing providers must allow animals that offer assistance or emotional support to individuals with disabilities. To qualify for an ESA, you need a valid ESA letter from a licensed mental health professional in your state.

What qualifies as an emotional support animal?

An emotional support animal provides comfort to help alleviate symptoms or effects related to a disability. There are no breed or species restrictions as long as the animal's presence is reasonable and justified.

Note that ESAs differ from service animals (like guide dogs), which require extensive training and have different public access rights. ESAs are protected under housing laws but not public access laws.

What does an ESA letter allow me to do?

An ESA letter permits you to keep your emotional support animal in any housing situation, even if pets are generally not allowed. If a landlord questions this, the Fair Housing Act provides clear protection. With our ESA letter, landlords cannot deny your right to have an emotional support animal.

How can I ensure my ESA letter is effective?

By taking our quiz, we match you with a therapist experienced in your needs.

Doctor Paw is unique in offering a Money Back Guarantee—if you don't qualify or your letter is not accepted, we’ll refund your purchase. We have experience handling various ESA situations and are confident in our ability to assist you.

Psychiatric Service Dogs (PSD)
What questions might I be asked about my PSD in public spaces?

When bringing your PSD into public areas, you can only be asked two questions under the ADA:

1. Is the dog a service animal required because of a disability?
2. What tasks or work has the dog been trained to perform?

Are PSAs and PSDs the same?

The terms PSD (Psychiatric Service Dog) and PSA (Psychiatric Service Animal) are often used interchangeably. Since 2011, the ADA only recognizes dogs as service animals due to their specific task-related training.

Is there a federal service dog registration?

No, there is no official federal registration for service dogs. Service dog registration is often a myth perpetuated by organizations offering unnecessary certificates. Service dogs are legally recognized based on their training and the support they provide, not through any registration.

What is the ADA and why does it matter for PSDs?

The Americans with Disabilities Act (ADA) prohibits discrimination against individuals with disabilities. It mandates that public facilities, including businesses and nonprofits, allow service animals, including PSDs, to accompany their handlers in all areas accessible to the public.

What’s the difference between an ESA and a PSD?

An ESA provides emotional support and comfort but is protected only under housing rights by the Fair Housing Act. An ESA doesn’t require specialized training but should be well-behaved. In contrast, a PSD is a dog trained to perform specific tasks to assist with a psychiatric disability and has rights under the ADA and Air Carrier Access Act, including public access and travel rights.

Renewals
When should I renew my ESA letter?

It’s recommended to renew your ESA letter annually to keep your documentation up to date, especially as landlords may request current information. Regular renewal also ensures your ESA's continued relevance to your mental health needs.

I’ve moved to a different state. Can I still connect with the same therapist?

If you relocate to a new state, we’ll match you with a therapist licensed in that state. Renewing your letter is straightforward, even with a new therapist.

Can I add more animals to my ESA letter?

Yes, you can include additional animals. Doctor Paw permits up to two animals per letter at no extra charge, but if you need more, additional letters can be purchased.

Can I renew my ESA letter if I have a new pet?

Definitely! Renewing your ESA letter involves assessing your current needs, regardless of the pet you have.

Can I renew an ESA letter from another provider with Doctor Paw?

Our renewal package is designed for customers who have obtained their ESA letter from us. If your letter is from another provider, you can still get a new ESA letter with Doctor Paw by selecting our regular ESA package.

Provider & Clinician Questions

How much does Refills Cost?

Due to the significant cost of healthcare in America, we designed all of our programs with the goal of making them as affordable as possible. Many patients save hundreds of dollars a month on the Refills platform. Prices vary based on your specific program and the treatment options.

All prices are displayed up-front before you receive any bills and are inclusive of all charges. We never stick any hidden-fees in the fine print. The price for a program is listed front-and-center.

Does Refills accept insurance?

We do not accept any public or private health insurance plans, cost- sharing, or any other similar methods of payment. Clients are solely responsible for the cost of the service.

Are there any hidden fees?

No, the prices of all of our plans are displayed prominently on our website. All you pay per month is the flat-fee (as shown). If you choose to take your order outside of our list of suggested pharmacies you may be required to pay for your medication at the pharmacy.

Does Refills require a long-term contract?

No. Refills is offered on a month-to-month basis. You may pause or cancel your treatments anytime.

What if I have a question about my bill?

Please email support@refills.com and one of our care coordinators will be happy to assist you.

Certify your pet as an Official ESA in 3 Easy Steps

Instant Pre-Approval

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Doctor Approval

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