Online Medical Exam

Choose a Plan:*

Compassion Plan - $199 (Covers 1 Pet Only)
Care Plan - $159 (Covers 1 Pet Only)
Travel Plan - $149 (Covers 1 Pet Only)

Additional Pets

Do you have or want more than 1 pet as an ESA? Get a discount of ONLY $99 for each additional pet!

ID Card Sample

ESA ID Card and Lettter Mailed via USPS?*

* We will email you an ESA PDF letter regardless of what option is selected. The Hardcopy of the ESA letter is printed on special 67lb weighted paper and should be used when traveling overseas.

USPS Shipping Options*

USPS Standard
USPS PRIORITY w/Tracking

Pet Name*

Pet Breed*

Please enter breed like this, "terrier" or "terrier/poodle" and leave out american or any other additional info like "american" or words "with" etc.

Pet Weight*

Pet Image*

Pet #2 Name*

Pet #2 Breed*

Pet #2 Weight*

Pet #2 Image

Pet #3 Name*

Pet #3 Breed*

Pet #3 Weight*

Pet #3 Image*

Would you like a hard copy of your letter sent via USPS?*

ESA Letter via USPS Standard +$10.00
ESA Letter via USPS PRIORITY w/Tracking +$20.00
No Hard Copy

Optional Same Day Service

Same Day Rush Service

Do you want or need this approval process expedited to ensure that you get your approval letter within 24 hours if you are approved? Get your submission to the top for a rush fee of ONLY $49.95!

Rush Service Deadline*

12 hours +$69.95
24 hours +$49.95

Total

$ 0.00

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Very Important: Make sure that the address and zip code entered below match with what the Credit Card you are using has on file. If it does not match, the payment will not get approved and you will have to start the entire process over from the beginning.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Coupon

Required*

BY CHECKING THIS BOX AND UNDER THE PENALTY OF PERJURY, I ACKNOWLEDGE THAT I HAVE ANSWERED THE QUESTIONS ON THIS QUESTIONNAIRE HONEST AND TRUTHFUL.

*

BY CHECKING THIS BOX I UNDERSTAND THAT I AM GIVING MY CONSENT FOR THE DOGTOR TO SUBMIT THIS QUESTIONNAIRE TO AN INDEPENDENT LICENSED MEDICAL PROFESSIONAL IN THEDOGTOR’s REFERRAL NETWORK TO REVIEW AND EVALUATE THIS QUESTIONNAIRE.

*

BY CHECKING THIS BOX I UNDERSTAND IF I AM APPROVED FOR AN EMOTIONAL SUPPORT ANIMAL(s), I WILL NOT BE ENTITLED TO ANY REFUND AMOUNT FOR ANY REASON.

*

Due to ESA travel laws being changed by the Department of Transportation, I understand that my ESA letter for TRAVEL may no longer be valid after January 3, 2021. However, I am willing to move forward with my ESA approval submission, and if approved, I will NOT ask for a refund. I trust The DOGtor will do whatever they can, if possible, to change whatever they need to accordingly so I will be able to travel with my furry family support companion in 2021 and beyond.

Attention: You must submit payment in order for this medical exam to be evaluated.

Online Exam Form

Step 1 of 8

Part I: Personal Information

Section 2: General and Mental Health

Section 3: General Medical History:

Section 4: Major Depression

Section 5: Generalized Anxiety & Panic Disorder

Section 6: Post Traumatic Stress Disorder

Section 7: SOCIAL PHOBIAS