How to Get an ESA Letter in Maine (2026): Clinician-Reviewed Step-by-Step from Intake to PDF

Key Takeaways

• A valid ESA letter in Maine must be issued by a licensed mental health professional (LMHP) who holds an active Maine or relevant state license — not by a website, a registry, or an automated algorithm.
• Federal Fair Housing Act protections, reinforced by HUD's landmark guidance notice FHEO-2020-01, give tenants with legitimate ESA letters the right to request reasonable housing accommodations in most Maine rental housing, including properties that otherwise maintain a no-pets policy.
• Maine does not currently impose the same mandatory 30-day prior-relationship rule that states such as California (AB-468) and Montana (HB-703) do, but a thorough clinical evaluation is still federally and ethically required.
• ESA letters confer no air-travel rights. The U.S. Department of Transportation removed ESAs from Air Carrier Access Act protections in January 2021; airlines now treat ESAs as ordinary pets.
• Online ESA registries, ESA ID cards, and "certified ESA" certificates carry no legal weight and have been explicitly called out by HUD as unreliable.
• The process — from completing an intake form to receiving a signed PDF letter — typically takes a few business days when working with a compliant telehealth platform staffed by Maine-licensed clinicians.

What an ESA Letter Actually Is — and What It Is Not

Before walking through how to get an ESA letter in Maine, it is worth establishing precisely what this document is — because misunderstanding its nature is the single most common reason tenants end up with paperwork their landlord (or a housing court) will not honor.

An emotional support animal letter is a formal clinical document, authored and signed by a licensed mental health professional, that attests two things: first, that the client has a mental or emotional disability as defined under the Fair Housing Act; and second, that the presence of an emotional support animal is part of that individual's treatment or therapeutic plan in a manner that meaningfully mitigates one or more symptoms of that disability. It is not a prescription in the pharmacological sense, but it carries comparable clinical weight — it reflects a professional judgment about your care.

What an ESA Letter Is Not

• It is not an ESA registration or certificate. No federal or Maine state agency maintains an official ESA registry. Websites selling "registration" or "certification" for a flat fee, often accompanied by a laminated ID card, are offering products with no legal standing. HUD's FHEO-2020-01 guidance explicitly notes that housing providers may be skeptical of documentation that does not come from a treating health professional.
• It is not a dog-training credential. ESAs require no specific training; their value is their companionship and emotional attunement. This distinguishes them from psychiatric service dogs (PSDs), which are individually trained to perform disability-related tasks and carry broader public-access rights under the Americans with Disabilities Act.
• It is not an airline boarding pass. Following the DOT's final rule effective January 11, 2021, emotional support animals no longer receive accommodation under the Air Carrier Access Act. If air travel with your animal is a priority, speak with a licensed clinician about whether a psychiatric service dog might be therapeutically appropriate for your situation.
• It is not a get-out-of-pet-deposit-free card for all housing. Certain housing categories — buildings with four or fewer units where the owner occupies one unit, and single-family homes sold or rented without a real estate broker — may be exempt from some FHA provisions. Consult a Maine-licensed attorney about your specific property.

Understanding these boundaries from the outset protects you from wasted spending and positions you to use your ESA letter for what it genuinely and powerfully does: provide legally supported access to housing accommodations under one of the most durable tenant-protection statutes in American law.

The Legal Framework: Federal FHA Protections and Maine-Specific Rules

The Fair Housing Act and HUD's FHEO-2020-01 Guidance

The cornerstone of ESA housing rights in the United States is the Fair Housing Act of 1968, as amended, 42 U.S.C. § 3604(f). Under this statute, housing providers are prohibited from discriminating against individuals on the basis of disability — and that prohibition extends to a housing provider's obligation to make reasonable accommodations in rules, policies, practices, or services when necessary for a person with a disability to have equal opportunity to use and enjoy a dwelling.

HUD operationalized this obligation for animal-related accommodations in its January 2020 guidance notice, FHEO-2020-01 ("Assisting Persons with Disabilities to Have an Emotional Support Animal as a Reasonable Accommodation Under the Fair Housing Act"). This notice is the definitive federal authority practitioners, landlords, and tenants cite. It clarifies:

• Housing providers may request reliable documentation of a disability-related need for an ESA when the need is not obvious or known.
• That documentation should come from a person's health care professional — not from an internet registry or third-party certification company.
• Landlords may not impose breed or weight restrictions on ESAs, require ESA-specific insurance, or charge a pet deposit for an ESA (though tenants remain liable for actual damage caused by the animal).
• Housing providers have 10 business days to respond to a reasonable accommodation request, a benchmark widely adopted in administrative proceedings.

Maine Human Rights Act Protections

At the state level, Maine's tenant protections align closely with federal law. The Maine Human Rights Act, 5 M.R.S.A. § 4581 et seq., prohibits disability-based discrimination in housing and applies to a broad range of Maine rental situations. The Maine Human Rights Commission (MHRC) is the administrative body where a Maine resident may file a complaint if a landlord unlawfully denies a reasonable accommodation request for an ESA. Filing with the MHRC does not preclude a subsequent federal complaint with HUD, and Maine residents are entitled to pursue both avenues.

It is important to note that the Maine Human Rights Act and the FHA operate in parallel. When a Maine landlord denies a properly documented ESA accommodation request without engaging in the interactive process contemplated by both statutes, that landlord may be exposed to liability under both state and federal law. For guidance specific to your situation, consult a Maine-licensed attorney or reach out to Pine Tree Legal Assistance.

Does Maine Have a 30-Day Prior-Relationship Requirement?

Several states have enacted legislation requiring that the clinician issuing an ESA letter have an established therapeutic relationship with the client for a minimum period — typically 30 days — before issuing the letter. California's AB-468 (Health & Safety Code § 122318) and Montana's HB-703 are the most prominent examples. Iowa, Arkansas, and Louisiana have enacted similar provisions.

As of the publication of this guide, Maine has not enacted a statute imposing a mandatory 30-day prior-relationship requirement on ESA letters. However, this does not mean a single-visit or algorithm-generated letter satisfies federal standards. HUD's FHEO-2020-01 guidance is clear that reliable documentation comes from a health care professional with knowledge of the individual's condition — language that presupposes more than a cursory online questionnaire. Reputable Maine-licensed clinicians conduct a substantive clinical interview, review relevant history, and exercise genuine professional judgment before issuing any letter. Learn more about how the therapeutic relationship standard applies to Maine ESA letters.

A Note on Telehealth and Maine-Licensed Clinicians

Maine is a member of the Psychology Interjurisdictional Compact (PSYPACT) and participates in several other professional licensure compacts, which expands the pool of licensed mental health professionals who may lawfully provide telehealth services to Maine residents. Nonetheless, the clinician issuing your ESA letter must hold an active, unencumbered license that authorizes practice with Maine clients under Maine or compact law. An out-of-state clinician who does not hold Maine licensure and is not authorized under a compact cannot issue a legally defensible ESA letter for a Maine resident. See our full breakdown of what makes a Maine ESA letter legally valid.

Step-by-Step: From Intake Form to PDF Letter

The process of obtaining a legitimate, clinician-issued ESA letter through a reputable Maine telehealth platform is structured, transparent, and clinician-led at every stage. Below is a detailed walkthrough of what you can expect — from your first click to the moment a signed PDF arrives in your inbox. Note that individual clinicians and platforms may vary in their specific workflow, but the essential clinical and legal milestones are consistent across compliant providers. Read our dedicated guide to the Maine ESA telehealth evaluation process.

Step 1: Complete the Intake Form

Every reputable ESA telehealth service begins with a structured intake questionnaire. This is not mere bureaucratic paperwork — it is the first layer of clinical information gathering. A well-designed intake form will ask about:

• Your current mental health symptoms or concerns (framed carefully to avoid self-diagnosis)
• How those symptoms affect your daily functioning, including sleep, work, social relationships, and self-care
• Whether you are currently working with a therapist, psychiatrist, or primary-care provider
• Your housing situation and the nature of the accommodation you are seeking
• Basic identifying information for the clinical record

Be thorough and honest. The intake form is not a test to pass — it is a clinical tool. A clinician who reviews your intake and determines you may not currently qualify for an ESA letter is performing exactly the professional duty that distinguishes legitimate services from rubber-stamp operations.

Step 2: Clinician Review and Scheduling

After intake, a Maine-licensed mental health professional — typically a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), psychologist, or licensed psychiatric practitioner — reviews your intake information. If the clinician determines that a telehealth evaluation is clinically appropriate, you will be invited to schedule a session.

Reputable platforms do not simply auto-approve every intake submission. If a clinician determines at this stage that the information provided does not support moving forward, that decision reflects professional integrity — not a system failure. A clinical evaluation is always individualized.

Step 3: The Telehealth Clinical Evaluation

This is the heart of the process and the element that most clearly separates legitimate ESA letters from fraudulent ones. During your telehealth session — conducted via secure, HIPAA-compliant video or phone — the licensed clinician will:

• Engage in a structured clinical interview exploring your mental health history, current symptoms, and functional impairment
• Ask about the role an ESA plays or could play in your therapeutic support
• Review any supporting documentation you have provided (prior diagnoses, treatment records, or a letter from a treating provider)
• Apply DSM-5 or ICD-10 diagnostic frameworks to assess whether your condition meets the definition of a disability under the FHA
• Exercise independent clinical judgment about whether an ESA is therapeutically appropriate for your specific circumstances

This session typically runs 20 to 45 minutes, depending on the complexity of your clinical picture. Arrive prepared: have any relevant mental health history available, be ready to speak honestly about your daily life, and ask questions if anything is unclear.

Step 4: Clinical Decision and Letter Drafting

Following the evaluation, the clinician makes an independent professional determination. If they conclude that you have a qualifying disability-related need and that an ESA would provide meaningful therapeutic support, they will draft and sign your ESA letter. This letter will include:

• The clinician's full name, professional title, and license number
• The state and jurisdiction of licensure
• The date of issuance and the letter's effective period (typically one year)
• A statement that you are their client and have a disability-related need for an emotional support animal
• The type of animal (species) recommended, if specified
• The clinician's original or electronic signature and contact information for verification

Critically, the letter will not include your specific diagnosis. Sharing a diagnosis is not required by FHA or HUD guidance and, in fact, FHEO-2020-01 explicitly notes that housing providers are not entitled to know a tenant's specific diagnosis. A responsible clinician protects your medical privacy while still providing a landlord with the information they are legally entitled to request.

Step 5: Delivery of the Signed PDF

Once signed, the letter is delivered to you as a secure PDF — typically via your patient portal or encrypted email. You retain this document and present it to your housing provider when submitting your reasonable accommodation request. Keep a digital and a printed copy. Some tenants also find it helpful to photograph or scan the letter as a backup.

The letter does not name a specific landlord or property address; it is addressed to whom it may concern or to your housing provider generally, which means a single letter can support accommodation requests across multiple properties if you move during its validity period.

Step 6: Submitting Your Accommodation Request

Receiving your ESA letter is not the final step — using it correctly is. When submitting a reasonable accommodation request to your Maine landlord or property manager:

1. Put the request in writing, even if you have discussed it verbally. Email creates a timestamped record.
2. Attach your ESA letter and retain confirmation of delivery.
3. Note the date of submission. HUD guidance references a 10-business-day response window as a reasonable expectation.
4. If your landlord requests additional information, respond promptly and in writing.
5. If your request is denied without a legally valid reason, contact Pine Tree Legal Assistance or a Maine-licensed attorney specializing in housing law.

What Makes a Maine ESA Letter Legally Valid?

Not every document bearing the words "emotional support animal letter" is created equal. Maine landlords and, more importantly, Maine courts and the Maine Human Rights Commission, will scrutinize whether an ESA letter meets the standards established by HUD's FHEO-2020-01 guidance and, where applicable, federal and state disability law. Our dedicated article on ESA letter validity in Maine goes deeper on each of these elements, but the core requirements are summarized below.

The Clinician Must Be Licensed in a Jurisdiction Authorized to Serve Maine Clients

As noted above, the issuing mental health professional must hold an active license in Maine or be authorized under an applicable licensure compact to provide telehealth services to Maine residents. License types that generally qualify include: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC) or Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), licensed psychologist, licensed clinical professional counselor, licensed psychiatric advanced practice registered nurse, or a psychiatrist. Licensed primary-care physicians may also qualify in certain circumstances where they have an established relationship with the client and are assessing mental health conditions within their scope of practice.

The Letter Must Reflect a Genuine Clinical Evaluation

FHEO-2020-01 specifies that housing providers may request documentation from a person who is their health care provider — emphasizing that the professional should have knowledge of the individual's condition. A letter produced by an algorithm after a 60-second questionnaire does not meet this standard. A letter produced after a substantive telehealth evaluation with a licensed clinician who has reviewed your history and exercised independent judgment does.

Required Elements of the Letter Itself

What Should NOT Appear in the Letter

• Your specific psychiatric diagnosis — this is private health information that HUD guidance confirms housing providers are not entitled to demand
• References to an "ESA registry" or "certification number" — these lend the appearance of validity while actually signaling illegitimacy to a knowledgeable landlord or housing authority
• Guarantees or unconditional language — a valid clinical letter reflects a professional assessment, not a marketing promise

Costs, Turnaround Times, and What to Expect

How Much Does a Maine ESA Letter Cost?

Pricing for ESA letters through telehealth platforms varies, and it is worth understanding what drives that variation so you can make an informed decision. Our full cost breakdown for Maine ESA letters walks through the factors in detail, but the broad framework is this:

Legitimate ESA letters — issued after a real clinical evaluation by a licensed professional — reflect the cost of professional clinical time. That is not an incidental expense; it is the entire point. Services charging very low flat fees with no visible clinician involvement are almost certainly not providing a clinically defensible letter, regardless of how official their documentation may look.

Reputable Maine ESA letter services generally fall within a range that covers the clinician's evaluation time, the administrative infrastructure of the platform (secure records, HIPAA compliance, identity verification), and any follow-up support. When comparing providers, look not at price alone but at the transparency of the clinical process, the identifiability of the clinicians, and whether the service stands behind the letter with a verifiable clinician contact.

Turnaround Time: What Is Realistic?

A common question — and a topic on which some disreputable services make irresponsible promises — is how quickly you can receive your ESA letter. Our turnaround time guide for Maine covers this in full, but here is an honest summary:

• Intake to scheduled evaluation: Often same day to 48 hours, depending on clinician availability and the completeness of your intake information
• Evaluation to letter delivery: Typically one to three business days after the telehealth session, as the clinician drafts, reviews, and signs the letter
• Total process: Most Maine residents working with a compliant telehealth platform can expect to receive a signed PDF within two to five business days of completing the intake — assuming no outstanding clinical questions require additional information

Be skeptical of any service promising an "instant" or "same-day guaranteed" letter. A clinician who issues a letter without conducting a real evaluation is not providing a clinical service — they are selling a document. That document may be useless when a landlord or court examines it.

Renewal and Letter Validity Period

Most ESA letters are issued with a one-year validity period, after which renewal requires a follow-up clinical interaction. This is not arbitrary — it reflects the clinical reality that mental health conditions and treatment plans evolve, and a responsible clinician should periodically reassess whether the ESA continues to be therapeutically appropriate. Some platforms offer streamlined renewal processes for established clients, which may involve a shorter follow-up evaluation rather than a full initial assessment.

Using Your ESA Letter with Maine Landlords

Which Maine Housing Is Covered?

The FHA's reasonable accommodation requirements apply broadly to most Maine rental housing, including apartment complexes, condominiums, co-ops, and single-family rental homes listed through a broker. There are narrow exemptions: owner-occupied buildings with four or fewer units (sometimes called the "Mrs. Murphy" exemption) and single-family homes rented directly by the owner without advertising through a broker or agent may fall outside certain FHA provisions. Maine's own Human Rights Act may provide additional or overlapping protections in some of these scenarios — again, consult a Maine-licensed attorney for advice specific to your property.

What Your Landlord Can and Cannot Ask

Under FHEO-2020-01, once you submit a written reasonable accommodation request with a valid ESA letter, your Maine landlord or property manager:

• May ask: For confirmation that you have a disability-related need for an ESA (already addressed by a proper letter), whether the specific animal poses a direct threat to the health or safety of others, or whether its presence would cause fundamental alteration or undue financial burden
• May NOT ask: For your specific diagnosis, for the animal to be trained or certified, for breed or weight waivers in writing (beyond what is required for any tenancy), or for a pet deposit or additional rent for the ESA
• May NOT do: Impose a blanket denial without engaging in an interactive process, impose breed or weight restrictions on an ESA, or retaliate against a tenant for making a reasonable accommodation request

Handling a Denial

If your Maine landlord denies your ESA accommodation request, request the denial in writing and ask for the specific legal basis. A landlord may lawfully deny a request only if: the accommodation would pose an undue financial and administrative burden, would fundamentally alter the nature of the housing provider's services, or if the specific animal in question poses a direct threat that cannot be mitigated by any reasonable means. Breed and size alone are not legally sufficient grounds for denial under the FHA.

If you believe your denial is unlawful, you have several options:

1. File a complaint with the U.S. Department of Housing and Urban Development (HUD) through their online portal
2. File a complaint with the Maine Human Rights Commission under 5 M.R.S.A. § 4581
3. Consult Pine Tree Legal Assistance for free legal aid
4. Engage a Maine-licensed attorney who practices housing discrimination law

Multiple Animals and Species Other Than Dogs

The FHA does not limit ESAs to dogs, and HUD's FHEO-2020-01 guidance confirms that other species may qualify as emotional support animals. Maine landlords are generally required to consider reasonable accommodation requests for cats, rabbits, birds, and other animals, though they may consider whether the specific animal poses a direct threat or would cause substantial property damage. Requests for exotic or unusual animals receive more intensive scrutiny, and the clinician's letter should address the nexus between that specific animal and the tenant's therapeutic needs. Multiple ESAs may be requested, but each must be supported by clinical documentation of a nexus to the person's disability.

How to Avoid ESA Scams and Fraudulent Services

The proliferation of illegitimate ESA services online is one of the most significant challenges facing tenants who genuinely need housing accommodations — and one of the clearest reasons to understand what a valid ESA letter looks like before you spend a dollar. HUD has explicitly warned housing providers that documentation from third-party internet registries is not reliable evidence of a disability-related need, which means tenants who purchase these documents may find themselves no better protected than if they had presented nothing at all.

Red Flags to Watch For

• "Instant approval" or "guaranteed letter" — No legitimate clinician can guarantee approval before conducting an evaluation. These phrases are marketing signals, not clinical realities.
• ESA registry, certification, or ID card — There is no official ESA registry in Maine, the United States, or anywhere. These products exist only to extract money from people who do not know they carry no legal weight.
• No visible clinician involvement — If the website never mentions a licensed mental health professional, does not name any clinicians, and does not describe a clinical evaluation process, the "letter" you receive will not be defensible.
• Very low flat fees with no evaluation component — Professional clinical time has real cost. A $20 letter has not been written by a clinician who spent meaningful time with your history.
• Air travel guarantees — Any service claiming their ESA letter will allow your animal to fly in-cabin free of charge is either unaware of or deliberately misrepresenting the 2021 DOT rule change. This is a significant red flag about the service's overall accuracy and integrity.
• No verifiable contact for the clinician — A legitimate ESA letter includes the issuing clinician's license number and contact information. If a landlord or housing authority cannot verify the clinician independently, the letter will be treated with justifiable skepticism.

How to Verify a Legitimate Maine ESA Service

1. Confirm that the platform discloses the names and license types of the clinicians who conduct evaluations
2. Verify those clinicians' license numbers through the Maine Office of Professional and Occupational Regulation (OPOR) at maine.gov/pfr/professionallicensing or the relevant licensing board
3. Look for a clearly described clinical evaluation process — not just a questionnaire, but a scheduled interaction with a licensed professional
4. Read the service's terms of service carefully; reputable providers will not promise approval, certification, or air-travel rights
5. Check that the platform uses HIPAA-compliant systems for intake, evaluation, and document delivery

Frequently Asked Questions

Can I use an ESA letter from another state in Maine?

The letter itself is not state-specific in the sense that FHA protections apply nationwide. However, the clinician who issued the letter must have been authorized to practice with you at the time of issuance. If you received a letter from a clinician in your previous state of residence while you lived there, and you have since moved to Maine, you should obtain an updated letter from a clinician licensed to serve Maine residents. Additionally, your circumstances and therapeutic needs may have changed, which is another clinical reason for an updated evaluation.

Does my ESA need to be registered anywhere in Maine?

No. There is no Maine state ESA registry, no federal ESA registry, and no registration requirement for emotional support animals. Anyone asking you to register your ESA — particularly for a fee — is misrepresenting how the law works. The only documentation you need is a valid letter from a licensed mental health professional.

My landlord says they've never heard of ESA letters and is refusing to discuss it. What should I do?

Document your accommodation request in writing with a copy of your ESA letter and keep proof of delivery. Familiarize yourself with the basic requirements of FHEO-2020-01 and the Maine Human Rights Act. If your landlord continues to refuse engagement, contact Pine Tree Legal Assistance or consult a Maine-licensed attorney. A well-documented accommodation request and refusal creates a strong basis for an administrative complaint. Do not provide any medical records beyond the ESA letter itself.

Can my Maine landlord require me to use their preferred therapist or form?

No. While a housing provider may ask for documentation, they may not dictate which licensed professional you consult or require you to use a specific form. Your ESA letter from your own treating or evaluating licensed mental health professional is sufficient documentation under FHA and HUD guidance. However, the clinician must be genuinely licensed and the letter must meet the content requirements described in this guide.

How often do I need to renew my ESA letter in Maine?

Most ESA letters carry a one-year validity date. Many housing providers will accept letters older than one year without requiring renewal, but some property management companies and landlords — particularly larger institutional landlords — may request an updated letter annually. Given that mental health conditions and treatment plans evolve over time, periodic reassessment is also simply good clinical practice. See our guide on ESA letter turnaround time in Maine for information on streamlined renewal processes.

I already have a therapist in Maine. Can they write my ESA letter?

Yes — and in many ways, a letter from your existing treating mental health professional is the most clinically robust documentation you can present, because it reflects an established therapeutic relationship and direct knowledge of your condition. Speak with your therapist about your housing situation and whether they believe an ESA is therapeutically appropriate for you. If they agree, they can write the letter directly. Some therapists prefer not to write ESA letters for administrative reasons unrelated to your clinical situation; in that case, a telehealth ESA platform staffed by Maine-licensed clinicians is an appropriate alternative.

What animals can qualify as ESAs in Maine?

The FHA does not specify a list of approved ESA species. Dogs and cats are by far the most common, but rabbits, birds, guinea pigs, and other domestic animals have been the subject of successful accommodation requests. Exotic, wild, or inherently dangerous animals face substantially higher scrutiny, and a clinician must address the nexus between the specific animal and the person's therapeutic needs. Maine landlords may lawfully consider whether a particular animal poses a genuine direct threat or would cause significant property damage that cannot be mitigated.

Can I have more than one ESA?

Multiple ESAs are not categorically prohibited under the FHA, but each animal must be supported by documentation establishing its specific nexus to your disability-related needs. A housing provider may weigh the reasonableness of multiple animals against the size of the unit and any legitimate management concerns. Discuss this with your licensed clinician during the evaluation if multiple animals are part of your support plan.

Does my ESA letter help with travel?

No. Effective January 11, 2021, the U.S. Department of Transportation's final rule excluded emotional support animals from Air Carrier Access Act protections. Airlines are now permitted to treat ESAs as regular pets, subject to whatever pet policies and fees apply. If traveling with your animal is a priority, discuss with a licensed clinician whether a psychiatric service dog — which continues to receive ACAA protections — might be therapeutically appropriate and achievable for your situation.

Conclusion: Getting It Right From the Start

Knowing how to get an ESA letter in Maine — genuinely, legally, and with full clinical integrity — is the difference between a document that opens housing doors and one that gets you nowhere, or worse, damages your credibility with a landlord or housing authority. The process is not complicated when you work with the right provider. It requires honest engagement with a licensed Maine clinician, transparency about your mental health history and current needs, and realistic expectations about what an ESA letter can and cannot do for you.

A best ESA letter Maine experience begins with a real clinical evaluation, proceeds through a transparent professional process, and ends with a signed PDF that carries the weight of a genuinely licensed professional's judgment — one a landlord can verify, a housing authority will respect, and that you can present with confidence.

If you are ready to begin, complete our intake form and connect with a Maine-licensed mental health professional who can evaluate whether an ESA letter is appropriate for your circumstances. If you have questions about the process before you start, our clinician-staffed support team is available to walk you through what to expect — honestly, and without overpromising outcomes that only a licensed professional can determine.

Remember: This guide is informational only and does not constitute medical, mental health, or legal advice. Please consult a Maine-licensed mental health professional to determine whether an ESA letter is clinically appropriate for your situation. For housing disputes or landlord denials, consult a Maine-licensed attorney or contact Pine Tree Legal Assistance at 1-800-559-1900.