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emotional support animal letter sample

This is how a sample ESA Letter looks like

 

Date: Tuesday, July 30, 2019

RE: Emotional Support Animal Recommendation to Patient Name

 

             TO WHOM IT MAY CONCERN

 

(Patient Name) is my patient, and has been under my care since July 30, 2019. I am familiar with her history and with the functional limitations imposed by her mental related illness. This person meets the definition of disability under the Air Carrier Access Act (49 U.S.C. 41705 and 14 C.F.R. 382).

 

Due to this mental disability, this individual has certain limitations related to social interaction and coping with stress. The presence of this animal is necessary for the mental health of her because its presence will mitigate the symptoms she is currently experiencing. To help alleviate the difficulties, and to enhance her ability to live independently, I have prescribed Sarah to obtain an emotional support animal. Please allow Sarah to be accompanied by an Emotional Support Animal in the cabin of Aircraft if this is the case.

 

I am very much aware of the voluminous professional literature related to the therapeutic benefits of emotional support animals for individuals with mental disabilities, such as that faced by Sarah. Upon request, I will share quotations to relevant studies and would be more than willing to answer any questions that you may have regarding my recommendation that (Patient Name) should have an emotional support animal. Should you have any further questions, please do not hesitate to get in touch with me.

 

Animal Name/breed: (Dog Name) /Dog (Breed)

 Issue Date: Tuesday, July 30, 2019

 Expiration Date: Thursday, July 30, 2020

 Sincerely,

 Professional’s Signature

 Name of Professional (Doctor/Physician Assistant)

 State Medical License: #00000

 Licence Issue Date: October, 2018 

 

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