Do keep in mind that this MUST be placed on a Doctor’s letterhead for it to be official.
To:_________________________________________ Date:_____________________
_________________________________is my patient, and has been under my care since _________________.
I am intimately familiar with ___________________’s history and with the functional limitations imposed by _________________’s disability. ___________________’s condition meets the definition of disability under the Air Carrier Access Act, the Fair Housing Act, and the Rehabilitation Act of 1973.
Due to mental illness, ____________________________has certain limitations regarding social interaction, coping with stress and/or anxiety, etc.. In order to help alleviate these difficulties, and to enhance _____________________’s ability to live independently and to fully use and enjoy the dwelling unit you own and/or administer, I am prescribing an emotional support animal that will assist________________________
in coping with the disability.
I am familiar with the voluminous professional literature concerning the therapeutic benefits of Emotional Support Animals for people with mental disabilities such as that experienced by____________________________. Upon request, I will share citations to relevant studies, and would be happy to answer other questions you may have concerning my recommendation that ___________________________have an emotional support animal. Should you have additional questions, please do not hesitate to contact me.
Sincerely,
___________________________________________________
______________________________________________
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