Service Dog Prescription: How Do I Get One?

Robert Clendenin, MD
There’s no doubt that a psychiatric service dog (PSD) can be an invaluable source of support for your mental health conditions. These specially trained dogs assist during times of emotional distress, helping to reduce anxiety, depression, PTSD, and other symptoms. However, to have a psychiatric service dog by your side, you’ll need a prescription, also known as a PSD letter, from a licensed healthcare professional. This letter confirms your diagnosis and explains how a service dog can help you manage your condition.
In this blog, we’ll walk you through the process of getting a psychiatric service dog prescription and cover everything you need to know to ensure you’re fully prepared to take this important step.

What Is a Psychiatric Service Dog Prescription?
This letter serves as proof of your need for a PSD and grants you access to certain legal protections, including housing accommodations and travel rights. With a PSD letter, your psychiatric service animal can accompany you in places where pets are typically not allowed.
Additionally, the PSD letter grants federally protected rights, ensuring the service dog can accompany the handler in various settings
Who Qualifies for a Psychiatric Service Dog Prescription?

To be eligible for a psychiatric service dog prescription, you must have a mental health condition that significantly limits your ability to perform major life activities. While there isn’t a specific list of qualifying conditions, individuals with a wide range of mental health disorders may be eligible. Common conditions that may qualify for a PSD include:
- Autism Spectrum Disorder (ASD)
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Depression
- Post-Traumatic Stress Disorder (PTSD)
- Anxiety
- Major Depressive Disorder
- Bipolar Disorder
- Obsessive-Compulsive Disorder (OCD)
- Schizophrenia
Ultimately, it’s up to your licensed mental healthcare professional to evaluate your condition and determine whether a psychiatric service dog would be a beneficial part of your treatment plan.
How To Get A Psychiatric Service Dog Prescription/PSD Letter?
There are two key steps involved in getting a psychiatric service dog prescription:
- Ensure Your Dog is Trained: Your dog must be individually trained to perform specific tasks that directly relate to your disability. Consider working with a professional trainer who specializes in psychiatric service dogs to ensure your dog meets the necessary standards and can perform these critical tasks reliably.
- Consult a Licensed Mental Health Professional (LMHP): An LMHP can assess your mental health condition and determine if a psychiatric service dog would be beneficial. They will evaluate your specific needs and provide a prescription to support your request for a PSD.
Can I Get the PSD Prescription Online, or Is an In-Person Consultation Necessary?
Many reputable online platforms like Fast ESA Letter offer mental health evaluations, allowing you to speak with a licensed professional from the comfort of your home. Additionally, many online platforms offer mental health services, including evaluations for PSD prescriptions.
Does the Process Vary Depending on the State You Live In?
However, it’s always a good idea to check for any additional state laws that may apply, particularly regarding public access or housing regulations. In most cases, the process of obtaining a psychiatric service dog prescription is consistent nationwide.
What Information Is Included in a PSD Letter?

- Patient Information: Your full name, contact details, and date of birth.
- Diagnosis and Disability: A detailed diagnosis of your mental health condition and how it affects your daily life.
- Service Dog Tasks: Specific tasks your PSD is trained to perform, such as providing emotional support, interrupting self-harm behaviors, or retrieving items. These tasks are crucial as they demonstrate how the PSD assists by performing tasks that help alleviate various mental health symptoms.
- Necessity of the PSD: An explanation of why a psychiatric service dog is essential for your well-being and how it helps manage symptoms.
- LMHP Information: The licensed mental health professional’s name, license number, and contact details.
Who Can Write a Prescription for a Psychiatric Service Dog?
Only licensed mental health professionals can prescribe a psychiatric service dog. Qualified professionals include:
- Therapists
- Psychiatrists
- Psychologists
- Mental Health Counselors
- Licensed Clinical Social Workers (LCSWs)
- Licensed Nurse Practitioners
- Physicians
These professionals are trained to assess mental health conditions and can determine if a psychiatric service dog is an appropriate part of your treatment plan. They also provide essential mental health services, including evaluations for PSD prescriptions.
How Long Is a PSD Prescription Valid?
This renewal process often includes a reevaluation to confirm that a PSD continues to be necessary for your well-being. Additionally, some places may require certification to ensure the PSD is recognized as a service animal.
Do I Need To Register My PSD In A Government Database?
However, while registration is not legally required, you can obtain a psychiatric service dog prescription letter from a licensed mental health professional to clarify your dog’s role and rights in public spaces and housing.
This documentation can help when traveling or accessing places that may have restrictions on pets. Additionally, while not legally required, a service dog vest can help identify the dog as a service animal in public spaces.
How Much Does It Cost to Get a PSD Prescription?
However, online services like Fast ESA Letter provide affordable alternatives, with prices starting as low as $149 for a consultation, making it easier to get the psychiatric service dog prescription letter you need. The cost of obtaining a PSD prescription is an investment in significant health benefits, including reduced stress and anxiety.
Can I Get a PSD Letter Before Training My Dog as a Psychiatric Service Dog?
While it is possible to obtain a psychiatric service dog letter before your dog completes training, it’s not recommended for two reasons.
- Legal Rights: Under the Americans with Disabilities Act (ADA), dogs that are still in training have limited legal rights compared to fully trained psychiatric service dogs. This means your dog may not yet be granted full public access rights during the training period.
- Letter Validity: Training a service dog typically takes six months to one year. Since a PSD letter is generally valid for one year, much of the validity period could expire while your dog is still in training. It’s more practical to wait until your dog is fully trained and able to perform the necessary tasks before obtaining the letter.

How Can I Train a Dog to Become a Psychiatric Service Dog?
- Consult with a Mental Health Professional: To begin, work with your mental health professional to identify the specific tasks your dog needs to perform to assist with your mental health condition. This collaboration ensures that the training addresses your unique challenges, and it may be necessary for obtaining your psychiatric service dog prescription letter.
- Choose a Suitable Breed: Select a breed known for its calm, gentle, and patient temperament. Popular choices for psychiatric service dogs include Golden Retrievers, Labrador Retrievers, and German Shepherds. These breeds are typically well-suited for individuals who have received a psychiatric service dog prescription. When choosing a dog, it’s important to consider factors such as size and energy level to match your needs and lifestyle.

- Start Training Early: Begin socializing your dog as early as possible, preferably when they are a puppy. Early exposure to various environments, such as restaurants, stores, and public transportation, helps build their confidence and appropriate behavior in public spaces. This early training is crucial, especially if you’re working toward a psychiatric service dog prescription.
- Find a Qualified Trainer: Look for a trainer experienced in working with service dogs, particularly those trained for psychiatric support. The trainer should customize the program based on your specific needs and the dog’s abilities. This personalized approach ensures the dog is properly trained to assist with your condition, making it easier to validate your service dog prescription.
- Focus on Specific Tasks: You’ll need to teach your dog specific tasks tailored to your mental health needs. For instance, they can be trained to provide emotional support during stressful moments or to interrupt harmful behaviors, such as self-harm. By focusing on these tasks, your dog will be able to meet the requirements needed to support your psychiatric service dog prescription.
Bottom Line
Remember, a psychiatric service dog prescription and a PSD letter are identical. The dog must be trained to perform service work that addresses the handler’s specific needs.
Frequently Asked Questions
Do You Need A Prescription For A Psychiatric Service Dog?
Do I Need To Provide Proof Of My Mental Health Condition To Get A PSD Prescription?
Do Psychiatric Service Dogs Need To Wear A Vest?
No, there is no legal requirement for psychiatric service dogs to wear a vest, leash, or special identification. However, many owners choose to use one to facilitate public access.
Can I Train My Own Dog To Be A Psychiatric Service Dog?
Self-training requires a deep understanding of your condition and the jobs the dog needs to perform, such as interrupting panic attacks, providing grounding during dissociative episodes, or retrieving medication.
Can My PCP Write A Prescription For A Psychiatric Service Dog?
Do Emotional Support Animals Have The Same Rights As Service Animals?
How Are Psychiatric Service Dogs Different From Emotional Support Or Therapy Animals?
Can I Train My Emotional Support Dog To Become A Psychiatric Service Animal?
Is Professional Documentation Necessary For A Psychiatric Service Dog?
Can I Use Other Animals Instead Of A Dog For Psychiatric Support?
Are There Any Legal Requirements For Obtaining A PSD Letter?
Post Author
Prince Sharma
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