Have a private video evaluation with a North Carolina-licensed mental health clinician. There is no registry and no instant certificate here; when the clinician supports your need, a signed letter follows for your NC apartment, rental house, HOA or dorm.
The questionnaire costs nothing; checkout for a plan comes before the clinician's evaluation.
A short questionnaire on your symptoms, the animal you depend on and your North Carolina home.
After checkout, a North Carolina-licensed clinician reviews the answers and holds a secure video visit when one is called for.
A supported letter arrives signed and digital. If the request cannot be supported, a refund is yours on request for 30 days after purchase.
Pricing
Every amount below is pulled from our live checkout. The North Carolina screening is free; the plan you choose is paid at checkout ahead of the evaluation, and if a North Carolina-licensed clinician cannot support a letter, our refund policy repays it in full on a request inside 30 days. Questions? Read our FAQ page or contact us.
One emotional support animal and its North Carolina housing letter.
$149.00/ one-time
All of your support animals, weighed in a single North Carolina evaluation.
$159.00/ one-time
Psychiatric service dog evaluation with a clinician who holds a North Carolina license.
$199.00/ one-time
Compare the combined letter and document options.
The North Carolina ESA letter with a matching certificate.
$199.00/ one-time
PSD letter, certificate and ID card for North Carolina handlers.
$225.00/ one-time
Unsure which plan fits? Start with the free North Carolina screening or see all plans together. A letter needs a clinician's approval, and the optional certificates and cards carry no access rights of their own.
From the Blue Ridge to the Sounds, these three points apply to each ESA and PSD letter we write for North Carolina.
Each letter names the North Carolina-licensed clinician who evaluated you, with license details a landlord can verify on the board's own lookup.
Your clinician studies every answer and schedules a video conversation whenever the evaluation needs one, so the letter reflects your actual need.
The letter is written for a reasonable accommodation request to a North Carolina landlord, condo board or university housing office.
Three statutes shape most North Carolina requests involving a disability-related animal.
Under the State Fair Housing Act, it is unlawful to refuse reasonable accommodations to rules, policies, practices or services that a person with a handicapping condition may need for equal use and enjoyment of a dwelling.
Asking to keep an ESA despite a no-pet rule is this kind of request.
Under the Act's definition, a handicapping condition is an impairment, of body or mind, that substantially limits a major life activity; a history of one, or being regarded as having one, also counts.
A mental health condition can qualify; the clinician's letter speaks to that.
Section 168-4.2 lets anyone with a disability be accompanied in public places by a service animal trained for that disability, and keep it at a home they lease or rent.
Public access in stores and restaurants belongs to trained service animals, not ESAs.
Federal change: under a May 22, 2026 HUD memo, HUD pulled back its own federal enforcement for emotional support animals that are not trained. North Carolina's Act keeps its own accommodation rule, which the state Human Relations Commission enforces.
North Carolina does keep one animal registry, and it is not for emotional support animals.
Under G.S. 168-4.3, the Department of Health and Human Services registers service animals, or animals in training, for a person with a disability.
No North Carolina office registers an ESA, and a certificate or ID number bought online is not a state document.
How much a landlord may hold depends on how long the tenancy runs.
Maximum security deposits under G.S. 42-51(b), which the landlord must fully account for.
G.S. 42-53 allows a reasonable, nonrefundable fee for pets kept on the premises. No North Carolina statute addresses fees for assistance animals specifically, so it is worth asking, in writing, for the fee to be dropped when you make the accommodation request.
The state commission, local commissions and free legal help each have a part.
The North Carolina Human Relations Commission, part of the Civil Rights Division of the Office of Administrative Hearings since 2017.
G.S. 41A-7(b) allows one year from the alleged discriminatory housing practice, and complaints must be verified.
The housing discrimination page has the complaint form; housing complaints also go to hrc.complaints@oah.nc.gov, and the office number is 984-236-1850.
A project of Legal Aid of North Carolina for people who believe they faced housing discrimination.
(855) 797-3247
The state's disability rights organization, in Raleigh at 801 Corporate Center Drive.
1-877-235-4210 toll free in NC
Several cities and counties run their own human relations commissions, among them Charlotte-Mecklenburg, Durham, Winston-Salem, Greensboro, Raleigh and Orange County; the state commission keeps the full list.
All 100 North Carolina counties can use our telehealth evaluations, from Cherokee County in the west to Dare County on the Outer Banks.
Towns not listed are served identically: screening online first, then telehealth with a North Carolina-licensed clinician when appropriate. Our North Carolina guide collects local information as it grows.
Each licensing board publishes its own public search, so you or your landlord can confirm who signed.
A name in a search result is only a start; open the full record to see whether the license is active and whether any public action is listed.
Eight short answers, drawn from the General Statutes and from how our own process runs.
A North Carolina housing letter for one emotional support animal costs $149 at checkout today. The screening is free, the plan is bought before the evaluation, and if a North Carolina-licensed clinician cannot support a letter, the plan price is refunded on request during the first 30 days after you buy.
No North Carolina statute lists who may write one. Landlords look for a licensed health or mental health professional who knows your condition, and our North Carolina letters are signed by clinicians who hold North Carolina licenses, after an evaluation.
No. The free state registration under G.S. 168-4.3 is run by the Department of Health and Human Services for trained service animals only. Emotional support animals have no state registry, and an online ESA registration is not a North Carolina document.
At the state level, yes. North Carolina's State Fair Housing Act bars refusing any reasonable accommodation a person with a handicapping condition may need to use and enjoy a dwelling, and a request to keep an ESA under a no-pet rule fits that description. On May 22, 2026, HUD scaled back its own federal enforcement where an emotional support animal has no task training.
G.S. 42-53 lets landlords charge a reasonable, nonrefundable fee for pets, and no North Carolina statute addresses assistance animals specifically, so put a request to waive it in writing, alongside your accommodation request.
One year. Under G.S. 41A-7(b), a complaint must reach the North Carolina Human Relations Commission within a year of the alleged discriminatory housing practice. The Commission now sits in the Civil Rights Division of the Office of Administrative Hearings.
Yes. G.S. 168-4.5 makes it unlawful to pass an animal off as a service animal, including as a service animal in training; a violation is a Class 3 misdemeanor.
Complete the free online screening, choose a plan at checkout, and meet a North Carolina-licensed clinician by telehealth. If the evaluation supports your need, the signed letter is delivered digitally, ready for your landlord, HOA or campus housing office.
For North Carolina readers: the guidance here, current as of October 2026, does not replace legal advice. Statutes, agency practice and federal enforcement all shift over time, every lease is different, and screening alone never guarantees a letter. If you are struggling right now, call or text 988 at any hour. Background reading: ESA rights in housing, state-by-state ESA rules and the team at American Service Animals.
The questionnaire is free from any corner of the state, and a North Carolina-licensed clinician then decides which letter, if any, fits: ESA or psychiatric service dog.
