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The primary requirements are a mental health diagnosis and an animal that helps alleviate symptoms related to diagnosis.
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Unfortunately, no. Emotional Support Animals are not like Service Animals who are welcome in most settings. Emotional Support Animals are for in the home.
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The main use for an ESA letter is to get a reasonable accommodation to allow your animal in your home.
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No, there are no trainings required.
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No, an assessment can only be made regarding an animal you already own.