A 30-Day Relationship Before the Letter
In these states, ESA documentation can only come from a clinician who has known you as a client for 30 days or longer.
- California
For emotional support dogs: a 30-day client relationship and a clinical evaluation come first.
- Arkansas
For emotional support dogs: 30 days with the provider, license details on the letter and a yearly evaluation.
- Iowa
A 30-day provider-patient relationship, in person or by telehealth, with the license number and type in the finding.
- Louisiana
A Louisiana license, at least 30 days and two sessions before any support animal documentation.
- Montana
A Montana-licensed clinician, a client relationship of 30 days or more and a clinical evaluation.