How to Get an ESA Letter in Massachusetts: A Complete Guide

An emotional support animal (ESA) can be an excellent way to help cope with an emotional or mental health condition. However, you’ll need to get a letter if you want to qualify to register your pet as an ESA in Massachusetts. Obtaining an ESA letter ensures that your pet gets all the rights granted by the state and federal governments. 

Luckily, getting an ESA letter isn’t entirely difficult. Once you have your letter, you can start the ESA registration process.

This post will break down exactly how to get an ESA letter in Massachusetts. We’ll also touch on what it’s like to have an ESA in Massachusetts and what rights and privileges to expect. 

Do You Qualify for an ESA Letter in Massachusetts?

To qualify for an ESA letter in Massachusetts, you need to have a mental or emotional condition diagnosed by a licensed mental health professional. You can speak with your therapist to see if an ESA would help with your symptoms. If your therapist believes having an ESA will improve your quality of life, they can write you an ESA letter. 

Several medical conditions qualify for an ESA letter, such as:

  • PTSD
  • Anxiety
  • Depression
  • Social Disorders

One critical distinction to note is that emotional support animals are different from service animals. Service dogs are specially trained animals that help people perform tasks related to a specific disability. Registering an ESA doesn’t give you the same rights as service dogs protected under the Americans with Disabilities Act (ADA). 

Who Can Write an ESA Letter in Massachusetts?

Only a licensed mental health professional can write an ESA letter in the state of Massachusetts. The ESA letter is proof that your pet is needed for you to cope with your mental condition. Your pet won’t get any special privileges without proper documentation, such as being exempt from fees, no-pets policies, and numerous other restrictions. 

Here’s a list of the licensed healthcare specialists that are allowed to draft and sign ESA letters:

  • Behavioral therapists
  • Psychiatrists
  • Addiction Therapists
  • Professional Counselors
  • Licensed Social Workers
  • Licensed Clinical Psychologists
  • Licensed Marriage and Family Therapists

ESA Letter Scams To Be Aware Of

Unfortunately, there are a lot of ESA letter scams that claim to offer certifications in Massachusetts. These untrustworthy companies make it more difficult for people with mental disorders to get the help they need from their pets. To avoid wasting your time or money, look out for these warning signs of an ESA scam:

  • A company offers to register your pet to become an ESA. Registering one of your pets as an ESA in Massachusetts isn’t as easy as paying a fee and filling out an online application. You need to get a proper diagnosis from a certified professional to receive an ESA letter. A company that claims you can register your pet instantly to become an ESA online is likely a scam. ESA Registration of America registers existing ESAs so that you can stay up-to-date on any legal changes. 
  • The turnaround time is instant. Like most medical and government documents, an ESA letter can take time. A company offering an instant ESA letter is likely not legitimate. Getting authentic documentation from your certified mental health professional in Massachusetts can take 2-10 working days. 
  • The therapist doesn’t have a license. The therapist not having a license should be a significant red flag. You can only get an Emotional Support Animal letter from a licensed mental health professional, as stated above. 
  • The cost is too low. We all love a good bargain, but something unrealistically cheap usually isn’t legitimate. Booking time with a certified mental health professional will cost you a decent amount of cash

What’s Inside a Massachusetts ESA Letter

The contents of official ESA documentation are pretty straightforward. The letter will need to state the licensed mental health professional’s name and license number on the letterhead. Followed by that would be the name of the emotional support animal. 

Inside the letter will be a brief description of the condition for which the LMHP believes the patient requires an ESA. For example, this might be PTSD or social anxiety. It will also touch on how the condition negatively affects or limits their daily life or activities. 

The therapist will state how they’ve conducted a thorough analysis of the patient’s condition and firmly believe that an emotional support animal is necessary to help cope with symptoms.

The footer of the letter will contain the institution where the therapist is licensed and a method of verifying the said license. They will typically also include their contact information in the letter’s footer. 

Keep in mind that not every emotional support animal letter for Massachusetts will look the same. However, they will always contain the therapist’s name, license number, and verification method.

Benefits of Getting an ESA Letter in Massachusetts

There are various benefits of making your emotional support animal official in Massachusetts. For starters, Massachusetts ranked the 13th most pet-friendly state in America in 2019. The state is welcoming towards pets, so having yours registered as an emotional support animal will open up even more opportunities. 

Here are some of the top reasons to obtain an emotional support animal letter in Massachusetts:

Access to Restricted Areas

While the state is incredibly pet-friendly, there are still numerous places animals aren’t allowed to enter. Having a valid letter can bypass these restrictions so that your pet can accompany you at all times. Areas restricted to pets that an ESA can access could include public transportation, restaurants, hotels, and more. 

That said, private businesses can still prohibit emotional support animals from entering their property. However, having a valid letter showcasing that your pet helps with your condition might convince them to let you inside. You’ll just need to make sure your pet is trained and won’t cause any problems with others.

Reduced or No Pet Fees

Many public places might implement added fees for pets, but this is usually not allowed for emotional support animals. The Fair Housing Act prohibits landlords from charging extra pet fees to lease their property. 

Emotional support animals used to be able to fly on all major airlines free of charge, but the laws changed back in 2020. Now, ESAs are under the same classification as any other pets when traveling by air. 

Access to a Better Quality of Life

Any long-term pet parent can vouch for the emotional connection you experience with your pets. That’s because dogs and other animals offer loyalty and unconditional love. It’s no secret that emotional support animals provide wonderful relief for people with mental and emotional conditions. 

Here are some ways emotional support animals can improve the quality of life for patients with mental disorders:

  • Providing comfort—these animals can help provide comfort and a feeling of safety for people struggling with PTSD, anxiety, depression, and numerous phobias. 
  • Reduced travel anxiety—traveling can be stressful, and it’s even more challenging to manage if you have severe anxiety. Having your furry companion with you can make traveling the world much more manageable and stress-free. 
  • Offering a purpose—finding a purpose in life is crucial for people who are depressed or struggling with a form of PTSD or social anxiety. Having an animal to look after is an excellent way to develop a routine and add meaning to your life. 
  • Enhancing other treatments—since emotional support animals make life less stressful overall, they can also help enhance your other forms of treatment. Your ESA might give you a more optimistic point of view on your therapy or prescribed medication. 
  • Developing social skills—when you’re a pet owner (especially dogs), you’re more likely to interact with people. Going for walks or to the park is a surefire way to improve your social skills. If you’re feeling up for it, you can look into dog social groups online or on social media. It’s an excellent way to meet more people in your community, and your dog is sure to love socializing.

Emotional Support Animals Laws in Massachusetts

The state of Massachusetts abides by the national laws for emotional support animals. These laws can affect your life in three ways: housing, public access, and travel.


Under the Fair Housing Act, support animals aren’t classified as regular pets. As a result, the animals and their owners are entitled to reasonable accommodation regardless of the property’s pet policy. However, having proper documentation and a letter is required in Massachusetts.

Private Property

Unfortunately, emotional support animals don’t share the same rights as service dogs. In short, they aren’t always allowed in any private or public space. You will need permission in advance for your ESA to enter the property.


In most cases, public transportation will allow your emotional support animal to accompany you in Massachusetts. However, the public transportation organization may restrict access to your pet if they impose a danger to other passengers. 

How to Get an ESA Letter in Massachusetts: A Step-by-Step Guide

Here are the steps for obtaining an ESA letter in Massachusetts:

  1. Schedule an appointment with your licensed mental health professional.
  2. Talk with the LMHP about what kind of symptoms you’re having and how they impact your daily life.
  3. Ask if they can evaluate you for an ESA letter.
  4. Let your licensed mental healthcare worker speak with your doctor after your evaluation.
  5. Receive your emotional support letter.
  6. Choose a pet or register a current one.

Please note that not all mental health professionals use this method for offering emotional support animal recommendation letters. They might require additional information or try to prescribe you a different treatment method. We strongly advise working with a professional who understands your needs and the treatments best suited for your condition.  


It’s truly amazing what emotional support animals can do for those struggling with mild or severe mental health problems. They provide a sense of relief, and they can also help improve their owner’s mental state over time. The first step towards registering an emotional support animal is to get a letter of recommendation from your licensed mental healthcare professional. 

Check out The ESA Registration of America to learn more about whether you or a loved one qualifies for an emotional support animal. We have all the resources you need, including qualifying for an ESA letter, registering your animal, and more.