Home » ESA Letters from Nurse Practitioners: Understanding Their Legitimacy and Impact.

ESA Letter from Nurse Practitioners: Understanding Their Legitimacy and Impact.

Posted on August 24, 2023 by Lisa Tevis
After seeing the therapeutic benefits of emotional support animals, or ESAs, more people are seeking the support of these animal companions. They are aware that ESAs provide not only unconditional love but also offer certain legal benefits, such as the ability to live in places that restrict pets.

As more people recognize the benefits of ESAs, questions often arise about the professionals authorized to write an ESA letter.

In this blog post, we discuss the question, ‘Can a nurse write an ESA letter?’ The answer is yes. They can write your ESA letter. However, it’s crucial to understand their roles, qualifications, jurisdiction-specific guidelines, and the requirements of housing providers.

When you reach the end of this blog, you will be equipped to make informed decisions regarding your emotional support animal letter.

Can A Nurse Practitioner Write An ESA Letter

Can A Nurse Practitioner Write An ESA Letter?

Under the United States Department of Housing and Urban Development (HUD) rules for emotional support animals, an ESA letter can only come from a licensed healthcare professional.

Some nurse practitioners may be considered qualified mental health professionals because they are trained to diagnose and treat mental disabilities with animal-assisted therapy.

If you are considering a licensed nurse practitioner, you can receive an ESA letter from them.

However, not all nurse practitioners may be trained to recommend ESAs, and some housing providers may require the letter to be written by a licensed doctor, such as a psychologist, psychiatrist, therapist, or counselor.

Factors to Consider When Getting an ESA Letter from a Nurse Practitioner.

Their qualifications, role, and thorough assessment are some factors you should consider while obtaining an ESA letter from a nurse practitioner. It makes your animal-assisted therapy experience pleasant. Let’s talk about these factors in more detail.

Verify qualifications:

Ensure the nurse practitioner is licensed and authorized to determine whether an emotional support animal is appropriate for your treatment plan. They must have the necessary license or training certifications.

Check your landlord requirements:

Before obtaining an ESA letter from a nurse practitioner, confirm with your landlord whether they accept letters from nurse practitioners. Sometimes they only want an ESA letter from a licensed doctor, such as a psychiatrist, physician or psychologist.

Thorough assessment:

A comprehensive evaluation of your condition and need for an ESA is essential before obtaining an ESA letter. Make sure your nurse provides you with an ESA letter only after conducting a thorough assessment.

A legitimate ESA letter:

Ensure the ESA letter adheres to legal standards. It should be appropriately written and contain all the necessary information that makes an ESA letter legitimate.

Check The Following Information On The ESA Letter When Obtaining It From A Nurse Practitioner.

Whether your ESA letter comes from a psychiatrist or a nurse practitioner, it must contain information such as the referring professional’s name and license number. Here is the specific information that should be included in a legitimate ESA letter:

  • The ESA letter must be on the official letterhead of your nurse practitioner.
  • It must contain the nurse practitioner’s name, address, signature, field of practice, and license number.
  • The letter must include the patient’s name, medical condition, and the specific emotional support animal needs.
  • The date of issue must be clearly stated.
  • Optionally, it may include details about the emotional support animal.

If you wish to see a sample ESA letter, you can easily find it here.

Potential Limitations of Obtaining an ESA Letter from a Nurse Practitioner.

While nurse practitioners can write ESA letters, it’s essential to be aware of potential limitations arising from their ESA letters. Some of these limitations include:

Specific healthcare requirements: Some housing providers may have specific requirements regarding the type of health professional who can write an ESA letter. They might specify that the letter must come from a licensed psychologist, psychiatrist, therapist, or counselor. A nurse practitioner’s note might need to meet their criteria.

Lack of recognition: Not all housing providers may recognize nurse practitioners as qualified mental health professionals for ESA letters. Moreover, they may restrict your emotional support animal because nurse practitioners are less well-known as licensed healthcare professionals.

Proper documentation: Certain housing providers may prefer letters that provide specific details about your diagnosis, treatment plan, and the direct link between the emotional support animal and your mental health. Depending on their scope of practice, nurse practitioners may have limitations in providing detailed mental health evaluations.

What To Do If My Landlord Rejects My ESA Letter From A Nurse Practitioner?

If your nurse is licensed and has the authority to write an ESA letter, then no one can deny the validity of your ESA letter. You can try to convince your landlord that your nurse holds the necessary license and that your ESA letter is legitimate.

If they still refuse, you can seek the assistance of local authorities, such as housing agencies or tenant organizations in your area that specialize in fair housing and disability accommodation issues. They can provide guidance and support, enabling you to enjoy the benefits of having an emotional support animal without facing discrimination.

Moreover, if your nurse practitioner is not licensed, you should consider another licensed healthcare professional for your ESA letter.

My Nurse Practitioner Is Not Licensed. Who Else Can Write Me An ESA Letter?

An Emotional Support Animal letter must be written by a licensed healthcare professional qualified to diagnose and treat mental or emotional disabilities. The following mental health professionals are commonly recognized as qualified to write ESA letters:

  • Licensed psychologists.
  • Licensed psychiatrists.
  • Licensed clinical psychologists.
  • Licensed clinical social workers.
  • Licensed professional counselors.
  • Licensed mental health counselors.


The nurse practitioner can write emotional support animal letters if they possess the necessary licenses or expertise in handling animal-assisted therapy. However, some landlords may hesitate to accept an ESA letter signed by a nurse practitioner. In such cases, you can work to convince them by providing additional proof of your legitimacy. To get an ESA letter online, visit Fast ESA Letter now!

Posted in: Blog

About the Author

Lisa Tevis
Lisa Tevis
Lisa is a talented professional writer at Fast ESA Letter, fueled by a deep passion for animals. With a natural affinity for their well-being, Lisa combines her writing skills with her love for animals to create engaging and informative content. As a proud pet parent, Lisa shares her life with two beloved dogs, who have enriched her understanding of the human-animal bond. Through her work, Lisa aims to raise awareness about emotional support animals (ESAs) and their positive impact on mental health.

Looking To Apply For An Emotional Support Animal Letter?

1. Create an account and schedule your appointment.

2. Join the video/audio call consultation with the doctor.

3. Get approved and receive your ESA Letter .

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