How it works
From free screening to your signed letter — here is exactly what to expect with Colorado Service Animals.
A simple, transparent process
1. Free Screening
Answer a short, confidential questionnaire — takes about 2 minutes.
2. Clinician Review
A Colorado-licensed therapist reviews your responses and verifies eligibility.
3. Letter Issued
If you qualify, your ESA or PSD letter is signed on official letterhead.
4. Delivered Fast
Receive your documents securely in your dashboard within 24-48 hours.
Real Clinical Evaluation
No fake registries or instant certificates. Every letter is reviewed by a Colorado-licensed clinician.
Fast Turnaround
Most letters are issued within 24-48 hours of your evaluation submission.
HIPAA-Secure
All communication and document handling is encrypted and HIPAA compliant.
What you receive
- Signed ESA / PSD letter on clinician letterhead
- Colorado-licensed therapist credentials
- PDF copy in your secure dashboard
- Optional ID card and certificate
- Free re-issue within 12 months
- Customer support 7 days a week
Inside the Clinical Review Process
Once you submit your questionnaire, here is exactly what your Colorado-licensed clinician does before issuing your letter.
What the Clinician Reviews
- PHQ-9 (Patient Health Questionnaire) responses — a standardized screening tool for depressive disorders
- GAD-7 (Generalized Anxiety Disorder) responses — a standardized screening tool for anxiety disorders
- Your stated mental health history and duration of symptoms
- Your relationship with your pet and how it supports your mental health
- Any additional clinical notes you provided
- The type of letter requested (housing ESA, travel ESA, or PSD evaluation)
What Happens After Review
The clinician signs and issues your letter. You receive an email notification and your letter is available in your dashboard within minutes of approval.
If the clinician needs clarification, they will send you a secure message with specific follow-up questions. Most cases are resolved same-day.
If you do not meet clinical criteria, you receive a full refund. The clinician may suggest alternative support resources.
Your HIPAA Rights Throughout the Process
As a patient of our Colorado-licensed clinicians, you have full HIPAA protections at every step.
Right to Privacy
Your health information is never shared with third parties, landlords, or employers without your explicit written authorization.
Right to Access Your Records
You may request a copy of your complete evaluation record at any time through your patient dashboard or by contacting support.
Right to an Accounting of Disclosures
You may request a list of anyone to whom your PHI has been disclosed for non-treatment purposes in the past 6 years.
Right to Request Restrictions
You may request that we restrict certain uses or disclosures of your health information, subject to certain limitations.
Right to Confidential Communications
You may request that we contact you using alternative means (e.g., specific email or phone) for additional privacy.
Right to Request Deletion
You may request deletion of your health records from our systems at any time, subject to applicable legal retention requirements.
After Your Letter is Issued
Here is how to access, download, and use your Colorado ESA or PSD letter.
Download from Dashboard
Log into your patient dashboard at any time and download your signed PDF letter. It is available 24/7 and can be re-downloaded as many times as needed.
Email to Your Landlord
Attach your letter PDF to a written Reasonable Accommodation Request email. Keep a copy of your email and your landlord's response for your records.
Await Confirmation
Your landlord has a reasonable time to respond (typically 10 business days). If they deny your request, contact us and we will provide guidance on next steps.
Using Your Letter with Colorado Landlords & HOAs
Your rights under the Fair Housing Act are clear — here is how to assert them effectively.
Submitting a Reasonable Accommodation Request
Send your landlord or HOA a written Reasonable Accommodation Request. Include:
- Your full name and unit address
- A brief statement that you have a disability (no diagnosis required)
- A request to keep your ESA as a reasonable accommodation under the FHA
- Your Colorado Service Animals ESA letter as an attachment
- Your contact information for any follow-up questions
What Landlords Can and Cannot Do
Annual Renewal Process
ESA letters should be renewed annually to remain valid with Colorado housing providers.
When to Renew
Renew your letter within 30 days of its 12-month expiration date. Your patient dashboard will show your letter's expiration date and send you a reminder email 45 days before it expires.
Faster Renewal Process
Returning clients complete a shorter renewal questionnaire — no need to re-enter your personal information or pet details. Your previous responses are pre-filled for confirmation.
Renewal Pricing
Renewing clients receive a discounted rate. Your clinician reviews your updated mental health status and issues a new dated letter, usually within 24 hours.