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ESA letters for San Francisco renters

ESA letter in San Francisco, CA

Talk with a licensed clinician from home in San Francisco. If an emotional support animal supports your mental health, you get a signed letter for your housing provider.

  • $129 for up to 2 animals
  • Phone or video, 5–10 minutes
  • 30-day client–provider relationship

Free to book. You pay only if your letter is approved.

ESASan Francisco
$129per letter
Licensed clinician evaluation
Evaluation: Phone or video, 5–10 minutes
$129per letter
Phone or video, 5–10 minutesEvaluation
Up to 2 animalsCovers
$1993 or more animals

Renting with an ESA in San Francisco

San Francisco is full of Edwardian flats divided into units, many under rent control, held by tenants who keep the same lease for a decade or more. That longevity cuts both ways: owners sometimes treat a new animal as a lease change worth contesting, and tenants have a lot to lose in a dispute. Large newer buildings in SoMa and Mission Bay have formal processes but can be exacting about paperwork. Remember the state's 30-day relationship requirement, and know that the city's Human Rights Commission accepts housing complaints.

Neighborhoods we often hear from

  • Mission District
  • Inner Sunset
  • SoMa
  • Richmond District
  • Bernal Heights
  • Lower Haight

Local help: San Francisco Human Rights Commission

California ESA laws for San Francisco renters

State law applies

California is strict about who can write an emotional support dog letter and when. AB 468, now Health and Safety Code 122318, requires a 30-day client relationship and a clinical evaluation before the letter is issued, so we give you a same-day letter of intent and the final letter once 30 days have passed. State fair housing law, enforced by the Civil Rights Department, still protects ESAs in rentals.

  • The clinician must hold an active license where you are located and list its number, type, jurisdiction and effective date on the letter.
  • You must also be told, verbally or in writing, that falsely claiming a dog is a guide, signal or service dog is a misdemeanor under Penal Code 365.7.
  • The Civil Rights Department says landlords cannot charge pet rent or deposits for an ESA, or apply breed, size or weight limits to it.

Source: California Board of Psychology: AB 468 emotional support dog rules

Your San Francisco ESA letter, step by step

  1. Book a time

    Pick a phone or video slot online and answer a short questionnaire about how you are feeling and the animal you live with in San Francisco.

  2. Talk with a licensed clinician

    A licensed clinician spends about 5–10 minutes with you and decides whether an emotional support animal is part of your care.

  3. Receive a letter of intent

    California law calls for a 30-day client–provider relationship before an ESA letter. If you qualify, you get a same-day letter of intent, and the clinician follows up before the final letter.

  4. Final letter after 30 days

    Once the 30 days have passed and the clinician completes the follow-up, your signed ESA letter is issued for your landlord.

San Francisco ESA letter cost

LetterCoversPrice
ESA letterUp to 2 animals$129
ESA letter3 or more animals$199

Booking is free and you're charged only if your letter is approved. In California, AB 468 calls for a 30-day client–provider relationship before an ESA letter is issued, so you receive a same-day letter of intent and the final letter after 30 days.

Clinicians who evaluate letter requests

Andrew Patel, M.D.

Physician

Reviews each evaluation and signs ESA and PSD letters when the clinical findings support one.

Gabriel Warner, LCSW

Clinical social worker (LCSW)

Carries out the mental health evaluations behind ESA and PSD letter requests and issues letters when appropriate.

ESA letters in San Francisco: your questions

Booking is free and the consultation takes about 5–10 minutes.

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Can I get an ESA letter online in San Francisco?

Yes. You book online, talk with a licensed clinician by phone or video for about 5–10 minutes, and receive a signed letter if you qualify. Because of California's 30-day client–provider relationship rule, you get a letter of intent first.

What does an ESA letter cost for San Francisco renters?

It is $129 for up to two animals and $199 for three or more. You're charged only if your letter is approved.

Do landlords in San Francisco have to accept an ESA letter?

Housing providers must consider a reasonable accommodation request supported by reliable documentation. They can refuse in limited cases, such as an animal that poses a direct threat or causes serious damage.

Who can help if my landlord in San Francisco says no?

Local option: the San Francisco Human Rights Commission. Statewide: the California Civil Rights Department. HUD also accepts complaints.

Does my animal need training or a vest?

No. Emotional support animals need no special training, vest, ID card or listing in a database. What matters is the clinician's letter.

Get your ESA letter in San Francisco

Book a free 5–10 minute phone or video evaluation from home in San Francisco. Your housing letter is $129 for up to 2 animals, and you pay only if it is approved.

Reviewed October 2026. Laws and agency processes change, so confirm details with the relevant state agency. This page is general information, not legal or medical advice.

$129per letter
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