One flat price, published up front: $149, or $199 with an optional ID card — 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. The optional ID card is a convenience only; it’s never 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. The only add-on is $60 per additional animal.
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.
The bundle with the ID card is $199 — $50 more than the letter alone — and it’s entirely optional, since no card is ever legally required.
Free pre-screening · Licensed in Maryland · You only pay if approved
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