2026 update: ESA housing rights remain fully protected. Read what changed
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Now hiring · Remote · 1099

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
Licensed clinician with a headset on a telehealth video evaluation at her home office desk
51States and DC where clients need you
Your rateAgreed per clinician, based on your states
MonthlyPayouts, or a schedule we agree
0Approval targets, ever
Why clinicians join

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.

Laptop showing a video session next to an open notebook for clinical notes
How a case works

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.

Who we're looking for

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 priority

Licensed 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 priority

Clinical 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.

Hiring

Marriage 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.

Hiring

Psychiatrists 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 Colorado

Spanish 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 priority

What 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
Where we're hiring

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.

Map of the states where SignMyESA is hiring licensed cliniciansAlaska: HiringAKAlabama: Highest need · PSYPACT stateALArkansas: Hiring · PSYPACT stateARArizona: Highest need · PSYPACT stateAZCalifornia: HiringCAColorado: Hiring · PSYPACT stateCOConnecticut: Hiring · PSYPACT stateCTWashington, D.C.: Hiring · PSYPACT stateDCDelaware: Hiring · PSYPACT stateDEFlorida: Hiring · PSYPACT stateFLGeorgia: Highest need · PSYPACT stateGAHawaii: HiringHIIowa: HiringIAIdaho: Hiring · PSYPACT stateIDIllinois: Hiring · PSYPACT stateILIndiana: Highest need · PSYPACT stateINKansas: Highest need · PSYPACT stateKSKentucky: Hiring · PSYPACT stateKYLouisiana: HiringLAMassachusetts: Highest needMAMaryland: Hiring · PSYPACT stateMDMaine: Hiring · PSYPACT stateMEMichigan: Highest need · PSYPACT stateMIMinnesota: Hiring · PSYPACT stateMNMissouri: Hiring · PSYPACT stateMOMississippi: Hiring · PSYPACT stateMSMontana: HiringMTNorth Carolina: Highest need · PSYPACT stateNCNorth Dakota: Hiring · PSYPACT stateNDNebraska: Hiring · PSYPACT stateNENew Hampshire: Hiring · PSYPACT stateNHNew Jersey: Highest need · PSYPACT stateNJNew Mexico: HiringNMNevada: Highest need · PSYPACT stateNVNew York: Highest needNYOhio: Highest need · PSYPACT stateOHOklahoma: Hiring · PSYPACT stateOKOregon: HiringORPennsylvania: Highest need · PSYPACT statePARhode Island: Hiring · PSYPACT stateRISouth Carolina: Hiring · PSYPACT stateSCSouth Dakota: Hiring · PSYPACT stateSDTennessee: Highest need · PSYPACT stateTNTexas: Hiring · PSYPACT stateTXUtah: Hiring · PSYPACT stateUTVirginia: Highest need · PSYPACT stateVAVermont: Hiring · PSYPACT stateVTWashington: Hiring · PSYPACT stateWAWisconsin: Highest need · PSYPACT stateWIWest Virginia: Hiring · PSYPACT stateWVWyoming: Hiring · PSYPACT stateWY
Highest need right now (16)Hiring, PSYPACT state (27)Hiring, outside PSYPACT (8)Extra ESA rule (time or in person)
StateStatusTelehealth routesWhat state ESA law says about the letter writer
AlabamaHighest needPSYPACTDocumentation only from a medical provider of the person; the term is not defined and telehealth is not addressed (sec. 24-8A-2(4))
AlaskaHiringState licenseNot specified in state law; no Alaska statute names who may write an ESA letter
ArizonaHighest needPSYPACTCounseling CompactNot specified in state law; no Arizona statute names who may write an ESA letter
ArkansasHiringPSYPACTCounseling CompactFor dogs only: licensed provider with a client relationship of at least 30 days and a yearly evaluation (sec. 20-14-1003)
CaliforniaHiringState licenseFor dogs: licensed provider, client relationship of at least 30 days and a clinical evaluation (Health and Safety Code § 122318)
ColoradoHiringPSYPACTMental health licensees and nurses must have met the patient in person; physicians in person or by telemedicine (C.R.S. 12-245-229)
ConnecticutHiringPSYPACTNot specified in state law; no Connecticut statute names who may write an ESA letter
DelawareHiringPSYPACTNot specified in state law; state agency guidance asks for a health professional who can establish the disability
FloridaHiringPSYPACTLicensed or telehealth provider with personal knowledge; out of state providers need at least one in person visit (s. 760.27(2)(b))
GeorgiaHighest needPSYPACTCounseling CompactNot specified in state law; no Georgia statute names who may write an ESA letter
HawaiiHiringState licenseLetter from the person's treating health care professional, mental health professional or social worker (HRS 515-3(a)(9))
IdahoHiringPSYPACTNot specified in state law; no Idaho statute names who may write an ESA letter
IllinoisHiringPSYPACTWritten documentation from someone with a therapeutic relationship; certificate issuers with no real assessment excluded (310 ILCS 120/5)
IndianaHighest needPSYPACTCounseling CompactIndiana licensed health service provider who gives treatment; excludes one whose sole service is a paid letter (IC 22-9-7-4)
IowaHiringState licenseWritten finding must certify whether a 30 day relationship existed; the state form requires certifying it (Iowa Code 216.8C)
KansasHighest needPSYPACTNot specified in state law; Kansas has no ESA housing statute
KentuckyHiringPSYPACTDocumentation from a provider with a therapeutic relationship who keeps an active practice in Kentucky
LouisianaHiringCounseling CompactLouisiana or compact license, therapeutic relationship and clinical evaluation 30 days before, and two sessions (R.S. 46:1974)
MaineHiringPSYPACTA licensed health professional with knowledge of the disability-related need for the animal (5 M.R.S. § 4553(1-H))
MarylandHiringPSYPACTNot specified in state law; state agency guidance asks for a medical provider with a bona fide relationship
MassachusettsHighest needState licenseNot specified in state law; state guidance says letters bought online after a short interview are not sufficient
MichiganHighest needPSYPACTNot specified in state law; no Michigan statute says who may write ESA documentation
MinnesotaHiringPSYPACTCounseling CompactLicensed professional, excluding anyone who operates primarily to certify animals (Minn. Stat. 504B.113, subd. 1(e))
MississippiHiringPSYPACTNot specified in state law; Mississippi has no ESA housing statute
MissouriHiringPSYPACTDocumentation must come from a qualified professional as permitted under the federal Fair Housing Act (RSMo 209.204.3)
MontanaHiringState licenseMontana licensed mental health professional with a 30 day client relationship and a clinical evaluation (MCA 70-24-114)
NebraskaHiringPSYPACTNot specified in state law; Nebraska has no ESA statute
NevadaHighest needPSYPACTNo required provider type; proof may be, without limitation, a statement from a provider of health care (NRS 118.105(2))
New HampshireHiringPSYPACTNot specified in state law; out of state telehealth providers need a New Hampshire license or compact authorization (RSA 310:7)
New JerseyHighest needPSYPACTNot specified in state law; the state civil rights agency asks for documentation from a treating health care professional
New MexicoHiringState licenseNot specified in state law; no rule on who may write the letter or on a prior relationship
New YorkHighest needState licenseNot specified in state law; no New York statute sets who may write ESA documentation
North CarolinaHighest needPSYPACTNot specified in state law; no North Carolina statute names who may write an ESA letter
North DakotaHiringPSYPACTA physician or medical professional who does not operate in the state solely to certify service or assistance animals (47-16-07.5)
OhioHighest needPSYPACTCounseling CompactNot specified in state law; teletherapy licensees serving clients in Ohio must be licensed in Ohio (OAC 4757-5-13)
OklahomaHiringPSYPACTCounseling CompactNo provider type set, but documentation bought for money is presumed fraudulent (41 O.S. § 113.2(B))
OregonHiringState licenseNot specified in state law; no rule on who may sign, telehealth or waiting periods
PennsylvaniaHighest needPSYPACTDocumentation must be written, reliable and based on direct knowledge of the disability and need (Act 118, sec. 3(b))
Rhode IslandHiringPSYPACTNot specified in state law in force; no rule on who may sign, waiting periods or telehealth
South CarolinaHiringPSYPACTNot specified in state law; documentation is enough if it shows a disability and a disability related need (31-21-70(N)(2))
South DakotaHiringPSYPACTA licensed health care provider who does not operate in the state solely to certify service or assistance animals (SDCL 43-32-35)
TennesseeHighest needPSYPACTCounseling CompactProvider needs actual knowledge of the disability; fee based certificate websites are excluded (TCA 66-7-111(a)(4))
TexasHiringPSYPACTNot specified in state law; no rule on who may sign or on online ESA evaluations
UtahHiringPSYPACTNo ESA provider list; telehealth law bars diagnosis based solely on an online questionnaire (Utah Code 26B-4-704)
VermontHiringPSYPACTNot specified in state law; out of state telehealth providers need Vermont authorization (26 V.S.A. § 3053)
VirginiaHighest needPSYPACTLandlord may ask for reliable documentation, including from a provider with a therapeutic relationship (§ 36-96.3:1(C))
WashingtonHiringPSYPACTNo ESA rule; a telehealth relationship cannot be formed by email, text or fax alone (RCW 18.134.030(3))
Washington, D.C.HiringPSYPACTNot specified in District law; OHR says verification may come from a physician or other healthcare provider
West VirginiaHiringPSYPACTDocumentation may be required from a professional treatment provider, a term the law does not define (§16B-18-5(f)(10)(A))
WisconsinHighest needPSYPACTDocumentation from a health professional licensed or certified in Wisconsin (Wis. Stat. s. 106.50(1m)(mx))
WyomingHiringPSYPACTCounseling CompactNot 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.

Our standards

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.
Clinician writing evaluation notes on a clipboard
Clinician with a cup of coffee working on her laptop at home, on her own schedule
Pay and paperwork

Simple terms, in writing

A rate agreed with you

Every clinician is different. We set your rate together, based on the states you cover, your credentials and your caseload.

Monthly payouts

We pay monthly. If another schedule suits you better, we can agree it. No invoicing on your side.

Independent contractor

We collect a W-9 when you join and send a 1099 at year end. You keep your own practice and schedule.

Nothing to pay us

No joining fee, no subscription and no minimum number of cases. You can pause or leave at any time.

Joining

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.

Questions

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.

Application

Apply to the SignMyESA clinician network

About four minutes. We reply to every application, usually within two business days.

About you
Your license

Tap every state that applies. Count only full licenses here; compact privileges go below.

Please choose at least one state.

How you'd like to work

Please complete the highlighted fields.

Questions before you apply? Email info@signmyesa.com and our clinical operations team will get back to you.

Apply to join