Remote ESA evaluations for licensed clinicians
Demand for our emotional support animal and psychiatric service dog evaluations has outgrown our current clinician team, so we are adding licensed professionals in every state. You speak with each client by phone or video and decide whether a letter is clinically supported. We handle everything else.
- Your rate, agreed with you, based on your states and what you offer
- Paid monthly, or on a schedule we agree
- You choose your hours and your weekly case cap
- Clients in all 50 states and DC, in English and Spanish

Clinical work without the parts of private practice you don't miss
We do the marketing, the intake, the payments and the paperwork that follows a letter. You do the part that needs a license.
Your judgment is final
We never ask you to approve anyone. When the criteria are not met you decline, and we refund the client in full and handle that conversation for you.
A rate that fits your licenses
We agree your rate with you, based on the states you cover and what you offer, and pay monthly. No invoices to chase and no insurance billing.
No marketing or admin
We bring the clients, take payment, handle refunds and reminders, and answer every landlord who calls to verify a letter.
Work when it suits you
Set a weekly case cap and the hours clients can reach you. Take a week off whenever you need to. There are no minimums.
Complete intakes, every time
Each case arrives as a clinician ready PDF: history, symptoms, a PHQ-4 screen, daily impact, current care, the animal, housing details and the best time to call.
State rules handled up front
We route cases by state and flag rules like California’s 30 day relationship or Colorado’s in person requirement before a case ever reaches you.

From intake to signed letter in five steps
Every case follows the same path, so you always know what you are looking at and what is expected of you.
The client completes our intake
Fourteen short steps covering symptoms, history, daily impact, current care, the animal and the housing situation, plus a standardized PHQ-4 screen and a safety question.
You receive the case
A clinician ready intake PDF with an order number, the client's state and the best time and way to reach them.
You talk with the client
A phone or video conversation to confirm history and explore how symptoms limit daily life and what the animal does for them. Video wherever state law or your judgment calls for it.
You decide
Approve, decline or ask for more information. A decline is a normal outcome here, and we handle the refund and the client conversation.
You sign, we handle the rest
The letter goes out on your letterhead with your license details. We deliver it, issue the verification ID and answer landlord verification requests.
Licensed mental health professionals in every state
If your license allows you to diagnose and document a mental health condition and to practice by telehealth, we would like to hear from you. These credentials help us cover the most states fastest.
Psychologists
PhD or PsyD. If you hold a PSYPACT APIT, one credential lets you practice telepsychology in 40 states plus DC, which makes you our top priority.
Highest priorityLicensed counselors
LPC, LMHC, LPCC or LCPC. Especially if you hold licenses in several states or a Counseling Compact privilege, now issued in 10 states.
High priorityClinical social workers
LCSW or LICSW. Licenses in more than one state are a real plus while the Social Work Compact is not yet issuing multistate licenses.
HiringMarriage and family therapists
LMFT, in any state where your license covers assessment and telehealth. There is no MFT compact yet, so each state license counts.
HiringPsychiatrists and physicians
MD or DO, plus psychiatric nurse practitioners where state law allows. Colorado in particular needs physicians, because only physicians may evaluate ESA clients there by telemedicine.
Needed for ColoradoSpanish speaking clinicians
Any of the credentials above, with fluent Spanish. Clients who find us through our Spanish site often prefer to talk through their history in Spanish, and very few clinicians in this field can offer that.
High priorityWhat you need
- An active, unrestricted license in at least one state or DC
- A National Provider Identifier (NPI)
- Professional liability insurance that covers telehealth
- A private space and a HIPAA compliant phone or video setup
- Comfort working as an independent contractor (W-9, 1099)
What helps
- Two or more years of licensed clinical experience
- Licenses in several states, or a PSYPACT or compact credential
- Experience with ESA, PSD or disability accommodation documentation
- Fluent Spanish
- Evening or weekend availability, when many clients are free to talk
All 50 states and DC, with some states more urgent than others
Gold states are where clients are waiting right now. Tap any state to see the telehealth routes into it and what its ESA law says about who may write the letter.
| State | Status | Telehealth routes | What state ESA law says about the letter writer |
|---|---|---|---|
| Alabama | Highest need | PSYPACT | Documentation only from a medical provider of the person; the term is not defined and telehealth is not addressed (sec. 24-8A-2(4)) |
| Alaska | Hiring | State license | Not specified in state law; no Alaska statute names who may write an ESA letter |
| Arizona | Highest need | PSYPACTCounseling Compact | Not specified in state law; no Arizona statute names who may write an ESA letter |
| Arkansas | Hiring | PSYPACTCounseling Compact | For dogs only: licensed provider with a client relationship of at least 30 days and a yearly evaluation (sec. 20-14-1003) |
| California | Hiring | State license | For dogs: licensed provider, client relationship of at least 30 days and a clinical evaluation (Health and Safety Code § 122318) |
| Colorado | Hiring | PSYPACT | Mental health licensees and nurses must have met the patient in person; physicians in person or by telemedicine (C.R.S. 12-245-229) |
| Connecticut | Hiring | PSYPACT | Not specified in state law; no Connecticut statute names who may write an ESA letter |
| Delaware | Hiring | PSYPACT | Not specified in state law; state agency guidance asks for a health professional who can establish the disability |
| Florida | Hiring | PSYPACT | Licensed or telehealth provider with personal knowledge; out of state providers need at least one in person visit (s. 760.27(2)(b)) |
| Georgia | Highest need | PSYPACTCounseling Compact | Not specified in state law; no Georgia statute names who may write an ESA letter |
| Hawaii | Hiring | State license | Letter from the person's treating health care professional, mental health professional or social worker (HRS 515-3(a)(9)) |
| Idaho | Hiring | PSYPACT | Not specified in state law; no Idaho statute names who may write an ESA letter |
| Illinois | Hiring | PSYPACT | Written documentation from someone with a therapeutic relationship; certificate issuers with no real assessment excluded (310 ILCS 120/5) |
| Indiana | Highest need | PSYPACTCounseling Compact | Indiana licensed health service provider who gives treatment; excludes one whose sole service is a paid letter (IC 22-9-7-4) |
| Iowa | Hiring | State license | Written finding must certify whether a 30 day relationship existed; the state form requires certifying it (Iowa Code 216.8C) |
| Kansas | Highest need | PSYPACT | Not specified in state law; Kansas has no ESA housing statute |
| Kentucky | Hiring | PSYPACT | Documentation from a provider with a therapeutic relationship who keeps an active practice in Kentucky |
| Louisiana | Hiring | Counseling Compact | Louisiana or compact license, therapeutic relationship and clinical evaluation 30 days before, and two sessions (R.S. 46:1974) |
| Maine | Hiring | PSYPACT | A licensed health professional with knowledge of the disability-related need for the animal (5 M.R.S. § 4553(1-H)) |
| Maryland | Hiring | PSYPACT | Not specified in state law; state agency guidance asks for a medical provider with a bona fide relationship |
| Massachusetts | Highest need | State license | Not specified in state law; state guidance says letters bought online after a short interview are not sufficient |
| Michigan | Highest need | PSYPACT | Not specified in state law; no Michigan statute says who may write ESA documentation |
| Minnesota | Hiring | PSYPACTCounseling Compact | Licensed professional, excluding anyone who operates primarily to certify animals (Minn. Stat. 504B.113, subd. 1(e)) |
| Mississippi | Hiring | PSYPACT | Not specified in state law; Mississippi has no ESA housing statute |
| Missouri | Hiring | PSYPACT | Documentation must come from a qualified professional as permitted under the federal Fair Housing Act (RSMo 209.204.3) |
| Montana | Hiring | State license | Montana licensed mental health professional with a 30 day client relationship and a clinical evaluation (MCA 70-24-114) |
| Nebraska | Hiring | PSYPACT | Not specified in state law; Nebraska has no ESA statute |
| Nevada | Highest need | PSYPACT | No required provider type; proof may be, without limitation, a statement from a provider of health care (NRS 118.105(2)) |
| New Hampshire | Hiring | PSYPACT | Not specified in state law; out of state telehealth providers need a New Hampshire license or compact authorization (RSA 310:7) |
| New Jersey | Highest need | PSYPACT | Not specified in state law; the state civil rights agency asks for documentation from a treating health care professional |
| New Mexico | Hiring | State license | Not specified in state law; no rule on who may write the letter or on a prior relationship |
| New York | Highest need | State license | Not specified in state law; no New York statute sets who may write ESA documentation |
| North Carolina | Highest need | PSYPACT | Not specified in state law; no North Carolina statute names who may write an ESA letter |
| North Dakota | Hiring | PSYPACT | A physician or medical professional who does not operate in the state solely to certify service or assistance animals (47-16-07.5) |
| Ohio | Highest need | PSYPACTCounseling Compact | Not specified in state law; teletherapy licensees serving clients in Ohio must be licensed in Ohio (OAC 4757-5-13) |
| Oklahoma | Hiring | PSYPACTCounseling Compact | No provider type set, but documentation bought for money is presumed fraudulent (41 O.S. § 113.2(B)) |
| Oregon | Hiring | State license | Not specified in state law; no rule on who may sign, telehealth or waiting periods |
| Pennsylvania | Highest need | PSYPACT | Documentation must be written, reliable and based on direct knowledge of the disability and need (Act 118, sec. 3(b)) |
| Rhode Island | Hiring | PSYPACT | Not specified in state law in force; no rule on who may sign, waiting periods or telehealth |
| South Carolina | Hiring | PSYPACT | Not specified in state law; documentation is enough if it shows a disability and a disability related need (31-21-70(N)(2)) |
| South Dakota | Hiring | PSYPACT | A licensed health care provider who does not operate in the state solely to certify service or assistance animals (SDCL 43-32-35) |
| Tennessee | Highest need | PSYPACTCounseling Compact | Provider needs actual knowledge of the disability; fee based certificate websites are excluded (TCA 66-7-111(a)(4)) |
| Texas | Hiring | PSYPACT | Not specified in state law; no rule on who may sign or on online ESA evaluations |
| Utah | Hiring | PSYPACT | No ESA provider list; telehealth law bars diagnosis based solely on an online questionnaire (Utah Code 26B-4-704) |
| Vermont | Hiring | PSYPACT | Not specified in state law; out of state telehealth providers need Vermont authorization (26 V.S.A. § 3053) |
| Virginia | Highest need | PSYPACT | Landlord may ask for reliable documentation, including from a provider with a therapeutic relationship (§ 36-96.3:1(C)) |
| Washington | Hiring | PSYPACT | No ESA rule; a telehealth relationship cannot be formed by email, text or fax alone (RCW 18.134.030(3)) |
| Washington, D.C. | Hiring | PSYPACT | Not specified in District law; OHR says verification may come from a physician or other healthcare provider |
| West Virginia | Hiring | PSYPACT | Documentation may be required from a professional treatment provider, a term the law does not define (§16B-18-5(f)(10)(A)) |
| Wisconsin | Highest need | PSYPACT | Documentation from a health professional licensed or certified in Wisconsin (Wis. Stat. s. 106.50(1m)(mx)) |
| Wyoming | Hiring | PSYPACTCounseling Compact | Not specified in state law; no rule on who may sign, waiting periods or in person visits |
Compact status as of October 2026: PSYPACT is in effect in 40 states and DC, and the Counseling Compact is issuing privileges in Arizona, Arkansas, Georgia, Indiana, Louisiana, Minnesota, Ohio, Oklahoma, Tennessee and Wyoming. State ESA rules apply on top of any license or compact privilege. This table is general information, not legal advice, so please confirm telehealth rules with your licensing board.
The way we work protects your license
Boards and housing providers have good reason to be wary of online letters. These are the rules every case follows, and they are the reason careful clinicians are comfortable working with us.
- Every client speaks with you live before any decision. No letters from a questionnaire alone.
- No approval targets or quotas, and nobody on our team will ask you to reconsider a decision.
- Clients are refunded in full if you decline, so nobody argues with your decision.
- Letters document a disability related need without naming a diagnosis.
- States with a 30 day relationship rule get a first contact and a second one after the waiting period, never a shortcut.
- We never sell registrations, certificates or ID cards, and we never promise anyone approval.
- You keep your own clinical records, as your license requires.


Simple terms, in writing
Every clinician is different. We set your rate together, based on the states you cover, your credentials and your caseload.
We pay monthly. If another schedule suits you better, we can agree it. No invoicing on your side.
We collect a W-9 when you join and send a 1099 at year end. You keep your own practice and schedule.
No joining fee, no subscription and no minimum number of cases. You can pause or leave at any time.
From application to your first case
Apply in about four minutes
Tell us your credential, the states you are licensed in, your NPI and how many cases a week suit you.
We verify your license and NPI
We check every license on the state board's public lookup and your NPI in the national registry, usually within two business days.
Onboarding by email, with a short call if you like
We send the contractor agreement and a W-9 request, ask for your insurance certificate, and walk you through the intake format and the state rules for your states.
Your first cases
Cases from your states start arriving within your weekly cap as soon as your paperwork is in.
¿Habla español? We need you
Spanish speaking clients are the hardest for us to match with a clinician who can talk with them in their own language. If you are licensed and fluent, mark it in your application and we will send Spanish speaking clients in your states to you first.
What clinicians ask us before they apply
Yes, when it is done properly. Under the Fair Housing Act a tenant with a disability can ask for a reasonable accommodation for an assistance animal, and housing providers may ask for reliable documentation of the disability related need. That documentation has to come from a professional who actually evaluated the person. What damaged this field is letter mills that sell instant certificates without a real evaluation. We built SignMyESA the other way around: a full intake, a live conversation with you, your independent decision, and a full refund to the client whenever you decline.
No. There are no approval targets and no quotas of any kind. If the criteria are not met, you decline and we refund the client in full, so the conversation about money never lands on you. Nobody on our team will ask you to reconsider a clinical decision.
Plan on roughly 20 to 30 minutes per case: a few minutes to read the intake PDF, a phone or video conversation with the client, and a short note. Cases in states with a 30 day relationship rule need a second contact after the waiting period, which we schedule with the client for you.
You set a weekly cap and we never send more than that. Right now demand is ahead of our clinician team in many states, which is exactly why we are hiring, so clinicians with several state licenses or a PSYPACT credential can expect a steady flow. We will tell you honestly what to expect for your states during onboarding.
We agree your rate with you, based on the states you are licensed in, your credentials and the caseload you want. Payouts are monthly by default, and we can agree a different schedule if it suits you better. You work as an independent contractor, so we collect a W-9 at onboarding and issue a 1099 at year end.
Yes. Please carry professional liability coverage that includes telehealth before you take your first case. Many of our clinicians use their existing policy. If you are getting coverage for the first time, carriers that insure counselors, social workers and psychologists usually issue a policy within a day or two.
Yes, and it helps a lot. A psychologist with a PSYPACT APIT can provide telepsychology in every state where the compact is in effect, which is 40 states plus DC right now. The Counseling Compact is issuing privileges to practice in 10 states. A few states add their own ESA rules on top of any license, such as California's 30 day relationship and in state license requirement, so check the table above for every state you plan to cover.
Yes, if PSD documentation is within your scope and training. PSD cases come through a separate intake that covers the specific tasks the dog is trained to perform. You can tell us in your application whether you want ESA cases only or both.
Yours. The letter carries your name, credential, license number, licensing state and signature, because it is your clinical opinion. We handle delivery, the verification ID, and every call or email from landlords who want to confirm the letter, so verification requests never land in your voicemail.
Most of our clinicians do. You choose your hours and your weekly cap and you can pause at any time. If you are employed elsewhere, check that your employer allows outside clinical work and that your malpractice policy covers it.
Very much. Clients who find us through our Spanish site often prefer to talk through their history in Spanish, and there are very few Spanish speaking clinicians in this field. Mark your Spanish level in the application and we will route Spanish speaking clients to you first in your states.
Apply to the SignMyESA clinician network
About four minutes. We reply to every application, usually within two business days.
Questions before you apply? Email info@signmyesa.com and our clinical operations team will get back to you.
