Advance Psychiatry& Wellness
ESEN / ES Call (305) 482-1452
5.0 from 50+ Google reviews

ESA Letters in Miami

Hablamos Español

For apartments, condos and townhomes. A real evaluation with a Florida-licensed provider, and your letter the same day.

We're closed now. Text or send a request anytime, and we'll reply tomorrow.

Call (305) 482-1452 Text Us
Ibis Reyes Soto, PMHNP-BC
Ibis Reyes Soto, PMHNP-BC
Board-certified psychiatric provider
Accepting New PatientsFirst Visit Often Within a Week
20+ YearsOf Experience
BilingualEnglish & Spanish
Meet Your Provider
Your ProviderIbis Reyes Soto, PMHNP-BCAccepting New Patients
Meet Your Provider

Where Your Letter Helps

ApartmentsCondos too.
TownhomesHOAs too.
RentalsHouses, duplexes.
CollegeDorms, campus.
Not Just Dogs and Cats
DogsCatsBirdsRabbitsFish
And other household animals that support your well-being.

In Florida, landlords can't charge pet fees or pet rent for an approved ESA. Some airlines also accept ESA letters for flights. Check your airline's policy before you travel.

Why Our Letters Hold Up

Every letter follows a real visit with your provider. That's what makes yours hold up with landlords, and it's what online certificate sites can't give you.

How It Works

  1. 1
    Book Your EvaluationNo referral needed.
  2. 2
    Your EvaluationIn person or by telehealth.
  3. 3
    Same-Day LetterReady the day of your visit.
“The doctor was great, staff were amazing, great experience.”
Alexander A., Google Review
New Patient RatesEnds November 30. Book to lock in.
ESA LetterSave $50
$150$100

Same-Day Letter

  • Florida-Licensed Provider
  • Video or In Office
  • English or Spanish

The letter follows a standard psychiatric evaluation, which takes insurance or self-pay at the regular rates.

Other Documentation

We do not offer forensic evaluations.

ESA Questions

Still Have Questions?

Call or text us.

  • Office Hours Monday to Friday, 9 AM to 5 PM
  • Text or send a request anytime, and we reply during office hours.
  • First Visit Often Within a Week
  • No Referral Needed

Your Letter

How Much Does It Cost?

The ESA letter is $150, now $100 for new patients through November 30.

That price covers the letter. A standard psychiatric evaluation comes first, and we take insurance or self-pay at our regular rates.

Can You Write an ESA Letter?

Yes. After your evaluation, you receive your ESA letter the same day.

How Fast Will I Get My Letter?

The same day, right after your evaluation.

Do I Need an Appointment First?

Yes. Every letter follows a clinical evaluation, so we meet first. No referral is needed to schedule.

Can It Be Done by Telehealth?

Yes. Your evaluation can be done by video anywhere in Florida, or in our Miami office. Your letter follows the same day.

Do I Need to Renew It?

Many landlords ask for a current letter each year. We can see you again and update yours.

Housing & Travel

Where Can I Use My Letter?

For housing: apartments, condos, townhomes, HOAs, rental homes and college housing, including buildings with no-pet rules.

Does It Have to Be a Dog?

No. Cats, birds, rabbits, fish and other household animals can all be emotional support animals.

Can My Landlord Charge Pet Fees?

No. Florida law says you can't be charged extra for an approved emotional support animal. You're still responsible for any damage it causes.

Will My Landlord See My Diagnosis?

No. Florida landlords can't ask for your diagnosis, and your letter doesn't include it.

Do Online ESA Certificates Work?

Not on their own. Under Florida law, an ESA certificate or registration bought online isn't enough by itself. Your letter should come from a licensed provider who knows you.

Does It Work for Flights?

Some airlines do. Since 2021, U.S. airlines decide for themselves whether to accept emotional support animals, and some still accept them with a letter. Check your airline's policy before you book.

Other Letters

Court or Immigration Letters?

Yes. We provide them after a clinical evaluation. We do not offer forensic evaluations.

What Other Letters Can You Write?

General mental health documentation tied to your care, such as letters for housing, travel, or work and school accommodations.

Related Care

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