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Sample Doctor’s Letter for Emotional Support Dog

(date of the letter)


(doctor’s name)
(doctor’s address)

To whom it may concern:

(your name) is a patient who has been under my care since (when you began seeing the doctor). I have first-hand knowledge of (your first name)‘s disability and the functional limitations caused by the disability. Due to (his/her) disability, I am prescribing an emotional support dog to assist with limitations caused by (symptoms of disability experienced, such as stress or anxiety).

I will be happy to answer any questions you may have regarding my recommendation that (your name) have an emotional support dog.


(doctor’s name)