Flat prices up front: ESA from $129, PSD from $149 — charged only if you’re approved.
Wondering what an ESA letter costs in Missouri? The honest answer is simple: flat pricing, a free pre-screening, and payment only after a licensed professional approves you.
Your payment covers a real telehealth evaluation with a mental health professional licensed in Missouri and, if approved, a signed letter on their letterhead with their Missouri license details — delivered in 10–15 minutes once approved. No registry, badge, or ID card is ever legally required.
From Kansas City and St. Louis to the Columbia university market, Missouri renters regularly face no-pet and breed-restricted leases. 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.
None. What you see is what you pay — flat, published pricing with no hidden charges.
Renewal is a separate, equally priced service when you need an updated letter — typically about a year later.
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.
Health plans rarely cover ESA documentation, so we keep Missouri pricing flat and published rather than hiding it behind a quote.
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 Missouri · You only pay if approved
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