Flat prices up front: ESA from $129, PSD from $149 — charged only if you’re approved.
The price of an ESA letter in Maryland should be the least stressful part. Here’s the complete cost picture, including the one optional add-on.
Your payment covers a real telehealth evaluation with a mental health professional licensed in Maryland and, if approved, a signed letter on their letterhead with their Maryland license details — delivered in 10–15 minutes once approved. No registry, badge, or ID card is ever legally required.
From Baltimore rowhomes to the dense D.C.-suburb corridor in Montgomery and Prince George’s counties, Maryland renters often face firm pet rules. That market context is exactly why a letter that holds up the first time matters.
Compare totals, not stickers: a rejected quiz-generated letter can cost a lost deposit and a second purchase. One legitimate evaluation, accepted the first time, is the cheaper path.
No hidden fees · HIPAA secure · Pay only if approved.
You’re charged only after the evaluation — the card is authorized first, and if the licensed professional doesn’t approve you, no letter fee is taken.
No. Pricing is flat and shown before checkout, with clear rates for additional pets.
No — renewal is its own evaluation at the same flat rate, usually needed around the one-year mark.
Yes — the pre-screening costs nothing and carries no obligation. Your card is only authorized when you book the evaluation, and only charged if you’re approved.
An ESA letter covers up to two pets at $129; for three or more it’s $199. PSD letters are $149 for up to two pets, or $229 for up to three.
Free pre-screening · Licensed in Maryland · You only pay if approved
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