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26+ Questions Answered

ESA Letter FAQ

Answers to the most common questions about emotional support animal letters, housing rights, qualifying conditions, and the process - from licensed clinicians.

What is an ESA Letter?

Housing Rights

The Process

Qualifying Conditions

Renewals

Psychiatric Service Dogs

Licensed Provider

Questions answered by a licensed physician

This FAQ is informed by the clinical expertise of Dr. Johnathan Chance Miller, MD — Columbia-trained physician conducting ESA and PSD evaluations. Licensed in 25 states, NPI 1235623372.

Dr. Johnathan Chance Miller, MD – Licensed Physician
NPI 1235623372 · Verified
Telehealth MD EN / ES 25 States

Dr. Johnathan Chance Miller, MD

Licensed Physician · Telehealth & ESA / PSD Evaluations

"Ivy League–trained, bilingual, and judgment-free."
  • Columbia University College of Physicians & Surgeons — MD
  • Washington University School of Medicine — Residency
Letters issued promptly after clinical approval

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