ESA Letter Therapist in Florida
Emotional Support Animal Documentation
Advanced Client Care connects clients with a licensed ESA Letter Therapist in Florida, New York, New Jersey, and Pennsylvania, providing legitimate emotional support animal documentation backed by professional clinical assessment.
Our ESA letters are written by licensed therapists and comply with all HUD and federal housing guidelines.
We serve ESA clients across all four states with same-week appointment availability.
What We Offer
What is an ESA Letter?
An emotional support animal letter is a clinical document written by a licensed mental health professional stating that a client has a diagnosed condition and benefits from an emotional support animal.
ESA letters are used for housing accommodations under the Fair Housing Act and, in some cases, for travel.
At ACC, all ESA letters are written by licensed therapists following a proper clinical evaluation — not a form-filling service.
Browse all therapy services →How it works
Legitimate. Clinical. HUD Compliant.
- Proper clinical evaluation by a licensed therapist via HIPAA-secure video
- ESA letter written on licensed letterhead if you qualify
- Compliant with all HUD and federal Fair Housing Act requirements
- Same-week appointments available across FL, NY, NJ, and PA
- Not a form-filling or online generator service
Your letter will hold up to landlord and housing provider scrutiny.
Is This Right For You?
Who Benefits from an ESA Letter Therapist?
ACC provides legitimate ESA documentation for clients across Florida, New York, New Jersey, and Pennsylvania who have a qualifying diagnosed condition.
Anxiety, Depression, and PTSD
People with anxiety, depression, PTSD, or other diagnosed conditions who benefit emotionally from the presence of a support animal.
Housing Accommodation Needs
Clients who need a housing accommodation for an emotional support animal in a building or rental property.
Renters with No-Pet Policies
Renters in buildings with no-pet policies who qualify for an ESA exemption under the Fair Housing Act.
Need for a Legitimate Letter
Anyone who has been told they need a legitimate ESA letter from a licensed provider, not an online generator.
Landlord-Ready Documentation
Clients whose landlord or property manager requires documentation that will hold up to verification and scrutiny.
FL, NY, NJ, and PA Residents
Adults in Florida, New York, New Jersey, or Pennsylvania with same-week appointment availability.
Our Process
Our Approach as Your ESA Letter Therapist
Your therapist will conduct a proper clinical evaluation to assess your mental health needs.
If you qualify, your therapist will write a professional ESA letter on licensed letterhead.
The letter meets all legal requirements for housing accommodations under the Fair Housing Act.
01
Clinical Evaluation
Your licensed therapist conducts a proper clinical evaluation via HIPAA-secure video to assess your mental health needs and qualifying condition.
02
ESA Letter on Licensed Letterhead
If you qualify, your therapist writes a professional ESA letter on licensed letterhead stating your diagnosed condition and need for an emotional support animal.
03
Fair Housing Act Compliant
The letter meets all legal requirements for housing accommodations under the Fair Housing Act and will hold up to landlord and housing provider scrutiny.
Same-Week Availability
Get your ESA letter this week
Same-week appointments available across Florida, New York, New Jersey, and Pennsylvania.
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
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.
About the Practice
About Advanced Client Care LLC
Advanced Client Care LLC is a licensed telehealth mental health practice founded by Cedric Bell and Nicole Albanese-Bell.
The practice provides therapy services across Florida, New York, New Jersey, and Pennsylvania through a HIPAA-compliant secure video platform.
The clinical team is led by Clinical Director Tiffany Graham LCSW MCAP QS, a certified EMDR specialist, alongside Faatimah Dreher LMHC, Jodi Greenblatt LMFT, and Mark Novak LMHC.
Advanced Client Care accepts Humana, UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Florida Blue, AvMed, Oscar, Medicare, Optum, Lucet, and BHS, and offers FSA, HSA, and Afterpay options.
First appointments are typically scheduled within 7 days. Call 561-779-0748 or visit advancedclientcare.org to get started.
Same-Week Availability
Get Your ESA Letter
This Week
Our licensed therapists are ready to conduct your clinical evaluation and issue your ESA letter. Same-week appointments available across Florida, New York, New Jersey, and Pennsylvania.