Support That Stays With You —
And Your Companion
Emotional support animals can provide real comfort for those managing anxiety, PTSD, depression, and other mental health challenges. At Advanced Client Care, we offer clinical support for ESA documentation with care, professionalism, and compassion.
Whether you're requesting an ESA letter for housing, college, or HOA accommodation, we're here to walk you through the process, ethically and with your well-being in mind.
Talk to Us About an ESA Letter →
We're Committed to Doing This Right
We're committed to doing this right — not just for your needs, but to ensure ESA documentation remains clinically appropriate and legally valid.
Get Started with ESA Support →What's Required to Begin
You'll need to meet the following requirements before we can issue your ESA letter.
- Complete 2 therapy sessions with an ACC clinician
- Pay an out-of-pocket fee per document requested
- Be an active client with insurance or private pay
- Fill out our intake form for ESA support
What This Documentation Covers
We provide ESA letters for use in housing accommodations, HOAs or landlord requests, and college dormitory or campus housing exceptions.
- Based on a thorough clinical evaluation
- Tailored to your mental health needs
- Finalized and delivered as a PDF directly to you (and, if applicable, your residential facility)
In some cases, your clinician may recommend an additional session if more information is needed to appropriately assess your request.
Request Your ESA Letter →Ethical Care, Always
We understand that ESA letters are more than just paperwork — they're a lifeline for many. That's why we approach each request with empathy and responsibility.
- Thorough biopsychosocial evaluation
- Secure documentation signed by a licensed clinician
- Our Admin team reviews to ensure accuracy before delivery
Frequently Asked Questions
You’ll need to complete 2 therapy sessions with one of our licensed clinicians to complete our biopsychosocial intake form. These sessions help us determine if an ESA is clinically appropriate for your needs.
Our letters are written for housing-related accommodations—including landlords, HOAs, and college or campus housing.
Yes. If you're a current client, you’ll need at least 2 sessions. If you're a former or discharged client, you'll need to complete 1 updated therapy session before we can issue a letter.
If you have never been seen at ACC, you will need to complete an intake and attend two sessions before your documents can be processed.
No. Once the required sessions are complete and the letter is written, the fee is non-refundable, regardless of how it's used or accepted.
Insurance covers your therapy sessions, but not the documentation fee. The ESA letter itself is a separate, out-of-pocket cost.
Yes. Once your clinician completes the evaluation, our admin team will review, finalize, and send you a secure PDF of the ESA letter via email. We can also provide a copy to your housing provider if requested.
Need ESA Documentation?
We're Here to Help
If you need ESA documentation and emotional wellness support, we're here to help — thoughtfully and ethically.
Start the ESA Process →Questions? Call us at (561) 779-0748 or email acc@advancedclientcare.org