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Medical Questionnaire

Step 1 of 8

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  • The following online medical questionnaire is a HIPAA compliant Psychological assessment evaluation, and it is required to be completed in order to be reviewed from a medical professional who is licensed in the state you live, and/ or the state you will be moving to. The questions you will be asked to answer, are the same types of questions you would answer with pen and paper on a clipboard in a waiting room, as well as the same sort of questions that a licensed medical professional would ask you in person. It shouldn’t take you that long to complete, but PLEASE be thorough and detailed with your answers, and PLEASE be as honest as possible.

    Please prepare yourself to complete the entire medical assessment from start to finish, as there will be unfortunately no way of saving your work and coming back to it later. Therefore, if you are not prepared to finish it now, please come back when you have enough time to complete it. This online medical questionnaire is also MOBILE FRIENDLY so you will be able to use your mobile phone or tablet. However, please make sure you have a STRONG and stable Wi-Fi or mobile service connection, for if lost or disrupted, your medical questionnaire could also be lost, and you would be forced to start over again from the beginning.

    When you are finished with the medical assessment and select the appropriate ESA/ PSD plan to your liking, you will then make payment. As soon as that is done, your medical questionnaire will be immediately sent to the appropriate medical professional who is licensed in your state for review! Please allow 24-72 hours for the medical professional to review you submission and contact you with your APPROVAL results. However, if needed, we do offer an optional RUSH PRIORITY service, that will prioritize the review of your medical questionnaire, where you can receive your ESA/ PSD approval letters within 24 hours! If you are not approved by the medical professional, you might be asked to provide further information. If you are not able to do so, you will receive a same-day refund.
  • Part I: Personal Information

  • This address will be used for shipping of hard copy documents.
    Payment MUST be Made for Each Additional Pet: $99 Each
  • Hidden
    (Please specify if wanting more than one pet in the "other" box. Payment MUST be made for each pet, EX: 2 dogs)

  • I CONFIRM THE INFORMATION ABOVE REGARDING THE SPELLING OF MY NAME, DATE OF BIRTH, EMAIL ADDRESS, AND GENDER ARE ALL ENTERED AND SPELLED CORRECTLY. ANY ERRORS WILL CAUSE COMPLICATIONS WITH THE APPROVAL PROCESS AND IF APPROVED, THERE WILL BE A $25 CHANGE/ EDIT FEE.


  • By filling out this online medical exam, I understand that by not providing as much detail as possible with the following answers, can result in denial and/ or significantly prolong the approval process.
  • Section 2: General and Mental Health

  • Section 3: General Medical History:

  • Section 4: Major Depression

  • Section 5: Generalized Anxiety & Panic Disorder

  • Section 6: Post Traumatic Stress Disorder

  • Section 7: SOCIAL PHOBIAS

  • Compassion Plan
    BEST VALUE
    ESA Housing Letter!
    PSD Travel Letter!
    Dogs ONLY
    Will NOT Need To Have To Go Through The Approval Process Again!
    Significant Annual Discounted Rate!
    Whether You Own Your Home, or Never Travel With Your Pet, This Is The BEST & CHEAPEST PLAN!
    $199
    Covers 1 Animal (Additional Animals Can Be Added)
    * ESA/ PSD ID Card and/ or Hard Copy Letters Are Also Available!
    ESA Housing Plan
    ESA Housing Letter ONLY
    Must Pay FULL Price To Renew
    Does NOT Include PSD Travel Letter
    Letter Never Expires, Unless You Move
    Exempt From Pet Rent & Pet Deposit!
    $159
    Covers 1 Animal (Additional Animals Can Be Added)
    * ESA ID Card and/ or Hard Copy Letter Is Also Available!
    PSD Travel Plan
    PSD Travel Letter ONLY
    Dogs ONLY
    Covers ALL Domestic & International Flights Originating in the US or Run by US Airlines
    Except AeroMexico – They Will NOT Accept This Letter
    Covers ALL Flights For 1 Year From Date of Issue!
    EXEMPT From ALL Airline Fees!
    MUST Pay FULL Price To Renew
    Does NOT Include ESA Housing Letter
    $149
    Covers 1 Dog (Additional Dogs Can Be Added)
    * PSD ID Card and/ or Hard Copy Letter Is Also Available!
    • Please reference “Pricing Plans” at www.TheDOGtor.net to see further details if needed.
  • Do you have or want more than 1 pet as an PSD/ESA? Get a discount of ONLY $99 for each additional pet!
    • Please Note: For housing purposes, we always recommend making ALL of your pets Emotional Support Animals, so that way your housing does not question if you are trying to “cheat” their “No Pet” Policy. Meaning, if your housing allows 1 pet, and you have 2, but ONLY one of your pets is an “Emotional Support Animal,” it may look very questionable, suspicious, and raise concerns.
    * We will email you an PSD/ESA PDF letter regardless of what option is selected. The Hardcopy of the PSD/ESA letter is printed on special 67lb weighted paper and should be used when traveling overseas.
  • Please enter breed like this, "terrier" or "terrier/poodle" and leave out american or any other additional info like "american" or words "with" etc.
  • Accepted file types: jpg, jpeg, png, Max. file size: 2 MB.
  • * If you have issues uploading the images please leave the field empty and email your pictures to [email protected]
  • Accepted file types: jpg, jpeg, png, Max. file size: 2 MB.
  • Accepted file types: jpg, jpeg, png, Max. file size: 2 MB.
    Do you want or need this approval process expedited to ensure that you get your approval letter within 24 hours if you are approved? Get your submission to the top for a rush fee of ONLY $49.95!
  • $0.00
  • Very Important: Make sure that the address and zip code entered below match with what the Credit Card you are using has on file. If it does not match, the payment will not get approved and you will have to start the entire process over from the beginning.
  • However, You WILL Receive a “TEMPORARY” ESA Housing Letter & Your PSD Travel Letter IMMEDIATELY.
    * This ONLY Pertains To California Residents ONLY. * If You Do NOT Live In California, Please Check The Box To Continue, But Know That This Box Does NOT Apply To You.
  • * This ONLY Pertains To California Residents ONLY. * If You Do NOT Live In California, Please Check The Box To Continue, But Know That This Box Does NOT Apply To You.
  • Attention: You must submit payment in order for this medical exam to be evaluated.


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