Clinicians Licensed in Maryland

Psychiatric Service Dog Evaluations and ESA Housing Letters for Maryland, by Telehealth

Book a confidential video evaluation with a mental health clinician licensed in Maryland. No registry sign-ups and no certificate-only shortcuts: when your evaluation supports it, you get a genuine ESA or psychiatric service dog letter for Maryland apartments, rowhouse rentals, condominiums, college housing and HOA communities.

Screening free in Maryland
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Refund if unsupported
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Free Maryland screening

Four Quarters, One Free Maryland Screening

Like the four quarters of the state flag, the screening fits together from three steps and a starting point. The screening is free. Checkout for the plan comes ahead of the Maryland-licensed clinician's evaluation, and a request that clinician cannot support qualifies for a refund when you ask inside 30 days.

Step 1

Tell us about you and your animal

Short questions about your mood, the animal you rely on and your Maryland rental, at a pace that suits you.

Step 2

A clinician licensed in Maryland reviews

After checkout, a Maryland-licensed clinician works through your answers and sees you on video when clinically appropriate.

Step 3

A signed letter when it fits

When the evaluation supports the request, a signed letter is sent digitally; when it does not, you learn why and may then request a refund within 30 days.

Begin whenever you are ready

Start the Maryland Screening
  • Reviewed in Maryland
  • Your answers stay with us
  • Real evaluation, real letter

Pricing

Transparent, One-Time Pricing for Maryland Letters

All fees shown come live from our checkout. The Maryland screening is free, and the plan or bundle you choose is purchased before the evaluation; if a Maryland-licensed clinician cannot support a letter, a refund follows under our policy if requested no later than 30 days after purchase. Questions? Read our FAQ page or contact us.

ESA Housing Letter For One Pet

An emotional support animal letter for Maryland housing, one animal, one review.

$149.00/ one-time

  • ESA Documentation
  • Licensed Professional Review
  • 24-48 Hour Processing
  • Valid for 1 Year
  • Digital Copy
  • Renewal Reminders
  • Email Support
  • 24-48 Hour
Get ESA Letter
Most Popular

ESA Housing Letter For Multiple Pets

One review that weighs every animal in your Maryland household.

$159.00/ one-time

  • ESA Letter For Multiple Pets
  • All Pets Included in One Letter
  • 24-48 Hour Processing
  • Valid for 1 Year
  • Digital Copy
  • Priority Phone & Email Support
  • Renewal Reminders
  • Save $99!
  • 24-48 Hour
Get Multiple-Pet Letter

PSA Letter

Psychiatric service dog evaluation by a Maryland-licensed clinician.

$199.00/ one-time

  • PSD Documentation
  • Licensed Professional Review
  • 24-48 Hour Processing
  • Valid for 1 Year
  • Digital Copy
  • Renewal Reminders
  • Priority Phone & Email Support
  • 24-48 Hour
Get PSD Letter

Bundle Packages

Compare the combined letter and document options.

Bundle

ESA Letter + Certificate Bundle

The Maryland ESA letter, joined by its certificate.

$199.00/ one-time

  • ESA Documentation
  • ESA Certificate
  • Licensed Professional Review
  • 24-48 Hour Processing
  • Digital Copies
  • Priority Phone & Email Support
  • 24-48 Hour
Get ESA Bundle
Letter + Certificate + ID

PSD Letter + Certificate + ID Card

A psychiatric service dog letter with a certificate and ID card.

$225.00/ one-time

  • PSD Documentation
  • PSD Certificate
  • PSD ID Card
  • Licensed Professional Review
  • 24-48 Hour Processing
  • Digital Copies Only
  • Priority Phone & Email Support
  • 24-48 Hour
Get PSD Bundle
Clinical review Secure payment Digital documents One-time plan fee

Choosing between plans? Try the screening at no cost or compare every plan. Letters depend on clinical approval; the optional certificates and cards add no access rights.


MCCR guidance, September 2026

What a Maryland Landlord May Ask, and What It May Not

After HUD changed its federal enforcement on May 22, 2026, the Maryland Commission on Civil Rights issued guidance on emotional support animals to make one point clear: a change in federal enforcement policy does not eliminate protections under Maryland law. It also spells out the questions a housing provider can and cannot put to you.

About the animal: questions that are allowed

  • Is the animal housetrained?
  • What are its size, weight, breed and species?
  • Can it be safely around people and other animals?
  • Has it ever injured anyone or damaged property?
  • Can you meet its needs, such as exercise and hygiene?
  • Can you physically control it in shared spaces?

About you: off limits

  • Your diagnosis
  • How severe your disability is
  • Your medical records
  • A medical examination

Documentation is different. A housing provider can request documentation from a medical provider showing your disability and the therapeutic benefit the animal gives in easing its symptoms or effects; without that documentation, the commission says, a denial will likely be permissible.


What MCCR Looks For in Maryland ESA Documentation

The commission's guidance describes three things a housing provider is advised to look for in ESA documentation.

  1. 1
    A disability. The documentation attests that you have one; it does not need to name your diagnosis.
  2. 2
    A therapeutic benefit. The animal eases the symptoms or effects of that disability, which is what makes the accommodation necessary.
  3. 3
    A real provider relationship. It comes from a healthcare provider with a bona fide relationship with you, not a service that stamps approvals for any animal.

The commission adds that documentation is not unreliable just because it was produced online or through telemedicine. Our Maryland letters follow a real evaluation with a clinician licensed in Maryland, and no letter is written unless the clinician finds the need supported.


Two Maryland Laws, Two Kinds of Animals

Emotional support animals rely on the reasonable accommodation duty in the Maryland Fair Housing Act; trained service animals also have their own rights in the Human Services Article.

The Maryland State House in Annapolis on a clear winter day, its red-brick front with a white columned portico and a wide stairway below the white dome, with snow on the lawns
Photo: Bernini123, CC0
State Government Article 20-706

Emotional support animals: a reasonable accommodation

  • Under the Act, a reasonable accommodation request covering rules, policies, practices or services cannot be refused when a person needs it to use and enjoy a dwelling on equal footing.
  • The commission reads that duty to include an emotional support animal with no task training, as long as the support is tied to the disability.
  • The guidance adds that an ESA can be any species or breed, and that a blanket rejection without an individual review will very often break the law.
  • You can ask for the accommodation at any time, including after you have already moved in.
Human Services Article 7-701 to 7-705

Service animals: trained, with rights of their own

  • Maryland's definition of a service animal: a guide dog, signal dog or other animal individually trained for work or tasks on behalf of a person with a disability.
  • In housing, a person with a service animal is entitled to full and equal access, may not be charged extra for the animal and may be liable for damage it causes.
  • In public places, denying or interfering with the admittance of a service animal is a misdemeanor with a fine of up to $500 for each offense.
  • Section 20-706 separately protects people who have or obtain a service dog; a dog that only provides emotional support or comfort does not count as one there.

Deposits and Fees for Maryland Renters With an ESA

Two sources set the numbers: the commission's ESA guidance and the security deposit rules in Real Property Article 8-203.

$0

ESA fees and deposits

No fee, deposit or other charge because of an ESA, including fees for processing the request, even where pets are normally charged.

1 month

One month of rent, at most

A landlord may not hold more than one month's rent per dwelling unit, with a narrow exception tied to utility assistance.

3x

Overcharge recovery

A tenant charged more can recover up to three times the extra amount plus reasonable attorney's fees, during the tenancy or within two years after it ends.

A row of two-story Baltimore rowhouses in the East Monument Historic District, some red brick and some faced with Formstone, with white front steps, potted plants and arched doorways
Photo: Bohemian Baltimore, CC BY-SA 4.0

Damage is still the owner's to pay. The commission says a landlord can charge for ESA damage or deduct it from the deposit under its usual policy, as long as an ESA owner is treated like any other tenant.

Insurance is generally not a reason to say no. Without a specific showing of undue burden, refusing an ESA because the policy does not cover animals will generally be an improper denial.


Filing a Housing Complaint With MCCR Within One Year

The commission's housing page sets one year from the alleged discriminatory act for housing complaints, and its complaint process pages walk through the stages.

  1. Preliminary questionnaire

    Start online, or send the housing form by email, fax or mail. The questionnaire alone does not file a complaint.

  2. Intake interview

    The Intake Unit checks the basis and jurisdiction, then interviews you by phone, video or in person.

  3. The Charge You Sign

    Intake drafts the charge of discrimination; the complaint is filed once you sign and return it with the other documents.

  4. Investigation by a Civil Rights Officer

    A neutral Civil Rights Officer notifies the landlord within 10 days, takes its position statement and your rebuttal.

  5. MCCR's written finding

    The commission issues a written finding of probable cause or no probable cause.

After a probable cause finding

The commission invites both sides to conciliation. If that fails, the case goes to MCCR's Office of the General Counsel, and the commission can enforce the law by filing in State court.

After a no probable cause finding

The case is dismissed, and you have the right to ask the commission in writing to reconsider.

Reach MCCR

410-767-8600, Maryland Relay 711, mccr@maryland.gov. William Donald Schaefer Tower, 6 St. Paul Street, Suite 900, Baltimore, MD 21202-1631.


Our Services in Maryland Cities and Counties

All 23 Maryland counties and Baltimore City are within reach of our telehealth ESA letters and PSD evaluations, west of the Chesapeake Bay as well as on the nine counties usually counted as the Eastern Shore. Cities with their own Maryland guide carry a link.

The twin spans of the Chesapeake Bay Bridge stretching across calm gray water at dusk, seen from Sandy Point State Park, with a pink glow on the horizon
Photo: Ben Schumin, CC BY-SA 3.0

West of the Chesapeake Bay

Eastern Shore counties

  • Caroline CountyDenton
  • Cecil CountyElkton
  • Dorchester CountyCambridge
  • Kent CountyChestertown
  • Queen Anne's CountyCentreville
  • Somerset CountyPrincess Anne, Crisfield
  • Talbot CountyEaston, St. Michaels
  • Wicomico CountySalisbury, FruitlandESA and PSD letters in Salisbury
  • Worcester CountyOcean City, Berlin

What We Provide Across Maryland

Garrett County to Ocean City, one sequence applies everywhere: screening online, followed when appropriate by a telehealth visit with a Maryland-licensed clinician.

Read the Maryland guide
  • ESA letters for Maryland housingFor renters, condominium owners and HOA households who ask a housing provider to accept an assistance animal.
  • Psychiatric service dog evaluations in MarylandCovering dogs trained in tasks for their handler's psychiatric disability.
  • Video visits with clinicians licensed in MarylandYour clinician joins you on video if it is clinically appropriate.
  • Optional certificates and ID cards with a letterAdd-ons after a letter; the clinician's signed letter is what matters most.

Trusted by Licensed Mental Health Professionals

We work exclusively with licensed mental health professionals authorized to practice in Maryland and most states

Licensed Professional Counselor (LPC)
Licensed Clinical Social Worker (LCSW)
Licensed Marriage & Family Therapist (LMFT)
Psychologist or Psychiatrist

Generic online registries or certificates, without a clinical evaluation, do not replace a legitimate ESA letter from a nationally licensed provider.

Licensed mental health providers
Fair Housing Act compliant ESA and PSA letters
Support for common anxiety, trauma and mood related needs
Fast and secure digital delivery of your letter

Serving clients in Baltimore, Frederick, Gaithersburg, Rockville, Bowie, Hagerstown, Annapolis, College Park, Salisbury, Laurel, and all cities across Maryland.

Start Your Free Evaluation

Maryland ESA Questions, Answered From the Sources

More answers on our FAQ page

What does an ESA letter cost in Maryland?

Maryland's one-pet ESA housing letter is $149. There is no screening fee; the plan is purchased before the evaluation begins; if the Maryland-licensed clinician finds no support for a letter, our refund policy covers you on a request inside 30 days of buying it.

Does Maryland still protect emotional support animals after HUD's 2026 change?

Yes, according to the Maryland Commission on Civil Rights. Its September 2026 guidance says a change in federal enforcement policy does not eliminate protections under Maryland law, and that a reasonable accommodation under the Maryland Fair Housing Act may include an emotional support animal that has no task training.

Can a Maryland landlord charge a pet fee or deposit for an ESA?

No. MCCR's guidance says housing providers may not impose fees, deposits or other charges because of an ESA, including fees for processing the request, even where they normally charge for pets. Damage the animal causes can be charged the same way it would be for any tenant.

Will a Maryland landlord accept an ESA letter from a telehealth provider?

It can. MCCR's guidance says documentation is not unreliable just because it came from the internet or telemedicine, but landlords are advised to check that it was issued by a healthcare provider with a bona fide relationship with you and that it affirms a real therapeutic benefit. Rubber-stamp approvals may be refused.

What can a Maryland landlord ask about my emotional support animal?

Questions about the animal: whether it is housetrained, its size, weight, breed and species, whether it is safe around people and other animals, any history of injury or damage, and whether you can care for it and control it in shared spaces. The landlord may not ask about your diagnosis or its severity, or demand medical records or an exam.

What is the MCCR deadline for a housing complaint?

One year from the alleged discriminatory act. Complaints about public accommodations have a shorter deadline of six months.

Can a Maryland landlord refuse an ESA because of its breed or the building's insurance?

Generally not. MCCR says a rejection based only on species or breed will generally be evidence of discrimination, and that a lack of insurance coverage for animals is generally an improper reason to deny an ESA unless the landlord shows a specific undue burden.

How much can a Maryland landlord hold as a security deposit?

One month's rent per dwelling unit is the ceiling under Real Property Article 8-203, with a narrow exception for some tenants who receive utility assistance. A tenant charged more can recover up to three times the extra amount plus reasonable attorney's fees.

Marylanders: read this page as broad guidance, current as of October 2026, rather than legal advice. Laws, rules and agency guidance evolve, and the commission looks at each case's own facts. Screening does not guarantee a letter. Further pages: ESA rights overview, ESA laws elsewhere and our company. During a crisis, call or text 988 around the clock or chat online; veterans can press 1.

Talk With a Maryland Clinician About Your Animal

Bring your question to a Maryland-licensed clinician, who can say whether your situation fits an ESA letter or a PSD letter, if either; the screening is free.

Garrett to Worcester
Real clinicians only
Clinical, not clerical
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