You can open the ESA Letter Template For Therapist in multiple formats, including PDF, Word, and Google Docs.
ESA Letter Template For Therapist Printable | Editable FormSample
Examples
[Therapist’s Name]
[Therapist’s License Number]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
[Patient’s Name]
[Patient’s ID or Reference Number]
[Patient’s Address]
[Date of Letter]
Emotional Support Animal Recommendation
I am writing this letter to confirm that you are under my care for [Diagnosis/Condition]. Based on my professional assessment, I believe that having an Emotional Support Animal (ESA) would provide you with significant emotional support.
As discussed in our sessions, you have been experiencing [Describe symptoms or challenges faced]. After thorough evaluation, it is clear that these challenges can benefit from the companionship of an ESA.
It is my recommendation that you obtain an ESA to assist you in coping with [Details about how the ESA will help]. ESAs are recognized for their contribution to emotional wellbeing and can provide comfort during stressful situations.
As the owner of an ESA, you are responsible for ensuring its well-being, training, and care. It’s essential that the ESA is properly trained and well-behaved in public or private settings.
This letter serves to inform you and any third parties, such as landlords or housing authorities, about your need for an ESA under the Fair Housing Act (FHA) and Americans with Disabilities Act (ADA) guidelines.
Please feel free to reach out to my office should you need further assistance or if you have any questions regarding your ESA. I am here to support your mental health and overall well-being.
[Signature of the Therapist]
[Therapist’s Name]
[Therapist’s Title or Credentials]
[Therapist’s Name]
[Therapist’s License Number]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
[Patient’s Name]
[Patient’s ID or Reference Number]
[Patient’s Address]
[Date of Letter]
Emotional Support Animal Letter
This letter is to formally recommend an Emotional Support Animal as part of your treatment plan. Our sessions have indicated that you have been coping with [Diagnosis/Condition], and an ESA can significantly enhance your quality of life.
Your diagnosis of [Specify diagnosis] has demonstrated the necessity for additional support, which can be effectively provided by an ESA. This animal can help alleviate the symptomatology associated with your condition.
Research supports the positive effects of emotional support animals on psychological health, including [List specific benefits relevant to the patient’s situation]. I believe that the presence of an ESA would compliment your therapeutic journey.
As the therapist responsible for your care, I will provide any necessary verification or documentation required to support your application for an ESA. Ensure that your chosen animal is [Specify training or qualifications, if any].
Continuing to monitor your progress and the benefits derived from having an ESA is essential. I encourage regular check-ins to discuss any issues or adjustments necessary regarding your treatment plan.
If you have any questions or need further clarification regarding this letter or your ESA, please do not hesitate to contact my office. Your mental health is my priority, and I am here to assist you in any way possible.
[Signature of the Therapist]
[Therapist’s Name]
[Therapist’s Title or Credentials]
Format
Please complete the form below to create the Emotional Support Animal (ESA) Letter Template for Therapist. All fields must be filled out to ensure a clear and complete letter. We provide examples to guide you through each step. ESA Letter Template for Therapist 1. Therapist Information 2. Patient Information 3. Letter Purpose 4. Diagnosis Information 5. Recommendation for ESA 6. Duration of Support 7. Additional Comments 8. Signatures and Acceptance 9. Declaration and Signatures
PDF
WORD
Google Docs
ESA Letter Template For Therapist Printable | Editable FormPrintable
