Around four minutes, no payment to start. Your answers go to a licensed mental health professional in your state who evaluates your situation and, if you qualify, issues your signed letter.
Step 1 of 14About 4 minutes
Which best describes your situation?
This tells your evaluator what the letter needs to achieve.
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What kind of housing is it?
Different housing types are covered by slightly different rules.
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Where do things stand with your landlord?
This changes how urgently your letter is needed and how it should be worded.
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Which animal supports you?
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How many animals is this letter for?
Your letter names each animal, so this decides which plan fits.
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How long has this animal been with you?
A settled bond is one of the things evaluators look at.
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How does your animal help you day to day?
Select everything that applies. This is the part evaluators weigh most.
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What are you managing at the moment?
Your answer is shared only with your licensed evaluator and never appears on your letter.
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Over the last two weeks, how often have you been bothered by the following?
This is the standard PHQ-4 screen that clinicians use. Answer honestly; there are no right answers.
Feeling nervous, anxious or on edge
Not being able to stop or control worrying
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
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And over the same two weeks, how often have you had the following?
A few more questions your evaluator will go over with you.
Trouble falling or staying asleep, or sleeping too much
Trouble concentrating on things
Avoiding places, people or situations because of how you feel
Thoughts that you would be better off dead, or of hurting yourself in some way
Thank you for telling us. If you might act on these thoughts, or you are in danger right now, call 911. You can also call or text 988 at any time to talk with someone at the Suicide and Crisis Lifeline. You can keep going here, and your evaluator will see this answer and talk with you about how you are doing.
Private by design. Your answers go only to the licensed professional evaluating you, never to your landlord, and your letter never states a diagnosis. This screening is not a diagnosis.
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Which parts of daily life does this affect?
Select everything that applies. Evaluators are required to consider how symptoms limit daily activities.
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A little more context
A few quick questions that help your evaluator prepare.
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Where do you live, and how soon do you need this?
Your evaluator must hold a licence in your state, so this decides who reviews your file.
California residents: state law requires a 30-day provider relationship before a letter can issue. Your evaluation starts that clock today.
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Where should your evaluator reach you?
Your pre-check is sent to a licensed provider for review. You choose your plan on the next screen.
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Confidential
Your screening is reviewed only by your licensed evaluator.