The letters issued by the licensed mental health professionals in our network do expire one year after the approval date. Most housing authorities and airline companies do not accept letters that are older than one year. The recommendation letter is a prescription, prescriptions expire and eventually need to be renewed.
The cost to renew the recommendation letter for the emotional support animal is $100 for one letter and $150 for both. At the time of renewal, the patient will need to be reevaluated for the continued need for an emotional support animal. A client can renew up to three months before their current letter expires.