How to Get an ESA Letter in North Carolina | ESA Pet

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How to Get an ESA Letter in North Carolina


2 Minute Screening

Begin by taking a short, confidential assessment to determine if you are a good candidate for an ESA letter or
a PSA Letter.


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We'll set up a Telehealth appointment with a licensed mental health professional in your state.


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Once approved you will receive your ESA letter in 24 hours.

ESA Letter Online In North Carolina: How It Works

Getting a letter for support animal in North Carolina is straightforward, and you can do it online. To start, visit the website of a licensed mental health professional who evaluates patients for ESA letters. These professionals are usually therapists, psychologists, or psychiatrists.

On the website, fill out a form outlining your condition's symptoms and how an ESA can help you. You may need to provide documentation from your regular doctor verifying your conditions.

Once submitted, a mental health professional will review your application. They will provide the ESA owner with a letter on official letterhead if approved. This letter will describe your disability, explain how an ESA alleviates symptoms, and confirm that you are under their care.

For convenience, the entire evaluation process is via telehealth. You do not need an in-person appointment. Within a few business days, you will receive your ESA letter via email in a PDF format.

With a valid ESA letter, you can request accommodations for your ESA under the Fair Housing Act and Air Carrier Access Act. You need to provide a copy of the letter to landlords, property managers, airlines, or hotels.

Your ESA is now recognized and protected to live with you as part of your treatment plan. Getting an ESA letter online makes it easy to get the documentation you need from the comfort of your home.

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Emotional Support Animal Laws in North Carolina

NC has several federal laws that protect the rights of individuals with psychiatric disabilities to use emotional support animals. They can use them in housing, employment, travel, and public spaces.

The following sections outline each area's key emotional support animal regulations according to North Carolina state laws and the federal Americans with Disabilities Act.

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North Carolina Housing Laws for Emotional Support Animals

Under the Fair Housing Act, landlords in North Carolina must allow tenants with disabilities to keep ESAs in no-pet housing. The tenant must have a letter from a mental health professional stating that they have a disability as defined by the ADA.

The letter should state that the emotional support animal (ESA) provides benefits. Landlords cannot require pet deposits or monthly pet fees for emotional support animals.

North Carolina ESA Laws for Employment

North Carolina law does not protect the use of emotional support animals in the workplace. However, under the ADA, employers must consider reasonable accommodation requests. 

These requests can include allowing an ESA at work for employees with a qualifying mental health condition disability. This is evaluated case-by-case, considering the impact on operations and undue hardship.

How Do You Qualify for an ESA Letter in North Carolina?

To qualify for an emotional support animal letter, you must have a documented mental health condition. The most common conditions that justify an ESA letter include:

  • Anxiety disorders
  • Depression
  • Post Traumatic Stress Disorder
  • Bipolar disorder 

To receive an emotional support animal letter, you will need an ongoing relationship with a licensed mental health professional. The mental health professional can be:

  • Psychiatrist
  • Psychologist
  • Licensed therapist

The provider must diagnose your condition and state that an ESA would help ease symptoms. They will then write an ESA letter on their letterhead stating your need for the animal.

The letter should document your disability. It should explain how the ESA helps you, and confirm you are under their care. Other than this letter, there is no certification or registration required for ESAs.

Armed with your ESA letter, you can get an exemption from housing rules that ban pets. Landlords must allow emotional support animals as an accommodation for those with a disability.

Get A North Carolina ESA Letter in Three Simple Steps

ESA Pet makes it easy to get an emotional support animal letter in North Carolina. Follow these three simple steps and you will have your ESA letter in no time.

Complete a 2-minute pre-screening assessment online. You will need to provide some basic information on yourself, your pet, and your need for an emotional support animal.

This assessment helps us determine your eligibility for an emotional support animal before moving on to the next step.


Basic Requirements for North Carolina Emotional Support Animal Letters

The state of North Carolina requires ESA letters to include a few items to be considered valid:

  • A licensed mental health professional provided a diagnosis for a mental or emotional disability.
  • The condition limits at least one major life activity.
  • An emotional support animal would provide therapeutic benefits, ease symptoms, and help to treat the condition.
  • The medical professional’s name, license number, and signature
  • The letter must be on a professional letterhead that belongs to the state-licensed therapist
  • Issue date and state
  • Details of the pet such as the type, breed, name, and age (optional)

Why ESA Pet?

ESA Letter in North Carolina Frequently Asked Questions

To get an ESA letter in North Carolina, you need to consult with a mental health professional. It can be a therapist, psychiatrist, or other medical doctor.

If the medical professional agrees, they can provide you with a binding ESA letter. The letter will have their official letterhead with their contact info, NPI number, and sign.

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