Your companion is part of your healing.

Under the Fair Housing Act, housing providers must consider a reasonable-accommodation request even in no-pet buildings — and a letter from a therapist licensed in your state is exactly the documentation HUD's guidance describes. Every letter I write is on letterhead and includes my license number, NPI, signature, and the Fair Housing language reviewers look for. Genuine pushback is rare, and if it happens you won't face it alone.

I take landlord verification calls and respond to written verification requests at no extra charge. A landlord may confirm that your letter is genuine and that I'm licensed — but they're not entitled to your diagnosis or records, and I never share them.

Yes. Fair Housing rules don't require an in-person visit — they require a licensed professional with reliable, personal knowledge of your condition. I'm licensed in both Oregon and Washington, and every letter follows a real clinical assessment, which is exactly what makes it valid.

Yes — and you don't have to take my word for it. I'm Tera Pareja, a licensed mental health counselor: Washington LMHC LH60792032 (verifiable in the Washington State Department of Health credential search), Oregon LPC C10756 (verifiable in the Oregon Board of Licensed Professional Counselors and Therapists lookup), NPI 1609257328 (in the federal NPPES registry). Unlike instant-letter websites, every letter I write follows a real 45-minute telehealth assessment, and if an emotional support animal isn't clinically appropriate, you won't be charged for a letter. Each letter includes my license number, NPI, signature, and the Fair Housing Act language housing providers look for — exactly the documentation HUD's guidance describes. Beware of sites selling ESA “certificates,” “registrations,” or ID cards: those have no legal standing under the Fair Housing Act. pnwesaletters.com is the online home of my practice — Tera Pareja · ESA Therapy, serving Oregon and Washington.

Sometimes — and if yours will, that's often the best option. In practice, many therapists and group practices don't write ESA letters, usually because of employer policy or unfamiliarity with Fair Housing documentation requirements. My assessment is designed as a standalone evaluation: one 45-minute telehealth session focused specifically on whether an emotional support animal fits your care. You don't have to leave your current therapist or commit to ongoing sessions with me, and I'm glad to coordinate with your existing care if you'd like. If a letter is appropriate, it's issued within two business days.

Yes. I'm licensed in both states and see clients entirely through secure telehealth, so you can meet from wherever you're comfortable.

No — and I'll always be upfront about this. Since 2021, airlines are no longer required to accommodate emotional support animals. An ESA letter is for housing, not flights.

Most clients are seen within the same week, and if an ESA is appropriate, your signed letter is issued within two business days of the session.

If an emotional support animal isn't clinically appropriate for you, you won't be charged for a letter. We'll use the time to talk through other options that might help.

Yes — university residence halls count as housing under the Fair Housing Act, so students can request an ESA as a reasonable accommodation through their school's disability services office. The process and deadlines differ a bit from renting; the college students page covers how it works at Oregon and Washington schools.