How to Get an ESA Letter in Utah (2026): Clinician-Reviewed Step-by-Step from Intake to PDF

Key Takeaways

• A valid Utah ESA letter must be issued by a licensed mental health professional (LMHP) who is licensed in Utah — not a registry, website database, or non-clinician service.
• Federal housing protections for ESA owners flow from the Fair Housing Act (FHA) and HUD's guidance document FHEO-2020-01, which applies in every Utah city, county, and rental community.
• Utah does not currently impose a mandatory minimum-relationship waiting period equivalent to California's AB-468 or Montana's HB-703, but the clinician must conduct a genuine, individualized assessment before issuing any letter.
• ESA letters no longer confer airline cabin rights under the Air Carrier Access Act (ACAA), following a rule change by the U.S. Department of Transportation effective January 2021.
• The process — from submitting your intake form to downloading your signed PDF — typically takes between 24 and 72 business hours when you work with a legitimate telehealth provider, though individual evaluation timelines vary.
• Cost for a Utah ESA letter from a licensed clinician generally ranges from approximately $99 to $199, depending on the scope of evaluation and whether renewal or multi-property letters are included.
• Online ESA registries, ID cards, and "certifications" carry no legal weight and are explicitly called out by HUD as misleading.

1. What Is an ESA Letter — and Why Does It Matter in Utah?

An Emotional Support Animal (ESA) letter is a formal clinical document, prepared on official letterhead and signed by a licensed mental health professional (LMHP), stating that a specific individual has a mental or emotional disability and that the presence of a companion animal is part of their therapeutic support plan. Unlike a prescription pad note dashed off in thirty seconds, a legitimate ESA letter reflects a real clinical assessment — a conversation, a review of symptoms, and a professional judgment that the animal meaningfully supports the individual's mental health.

In Utah, the practical value of this document is straightforward: it gives renters with qualifying conditions the legal standing to request a reasonable accommodation for their emotional support animal in housing that might otherwise prohibit pets. Landlords in Salt Lake City, Provo, Ogden, St. George, and every other Utah community are subject to the Fair Housing Act (FHA), and HUD's authoritative guidance document — FHEO-2020-01, "Assessing a Person's Request to Have an Animal as a Reasonable Accommodation Under the Fair Housing Act" — makes clear that a properly documented ESA request must be evaluated seriously, regardless of a building's no-pets policy.

It's worth clarifying what an ESA letter is not. It is not a form of pet registration. It is not an ID badge, a vest, a laminated card, or an entry in a national database — none of those things exist in any legally recognized form. HUD has explicitly stated that online ESA registries are misleading and that landlords are not required to accept them. The only document that carries legal weight is a letter prepared and signed by a licensed clinician who evaluated you in a genuine therapeutic context.

For Utah residents navigating rental markets that increasingly restrict large dogs, multiple animals, or certain breeds, a properly issued ESA letter can be the difference between keeping a beloved companion and facing an impossible choice. Understanding the process — and the standards that distinguish a legitimate letter from a worthless certificate — is the first step.

Learn more about the specific elements that make a document hold up to scrutiny in our companion guide: What Makes a Utah ESA Letter Legally Valid?

2. Who May Qualify for an ESA Letter in Utah?

The Clinical Threshold

To qualify for an ESA letter under the FHA framework, an individual must meet two related criteria. First, they must have a mental or emotional impairment that substantially limits one or more major life activities — a standard drawn directly from the Americans with Disabilities Act (ADA) definition and incorporated by reference into the FHA. Second, there must be a discernible therapeutic nexus between that impairment and the presence of the specific animal: the animal must provide measurable emotional or psychological support that helps address the symptoms or functional limitations of the disability.

Neither of these determinations is made by a website, an algorithm, or a pre-filled questionnaire. They are made by a licensed mental health professional who reviews your situation with clinical judgment. A legitimate provider will never promise that everyone who completes a form automatically qualifies — that claim is itself a signal of a fraudulent service.

Conditions That Licensed Clinicians Commonly Assess

Many people who may qualify for ESA letters in Utah are experiencing conditions such as — but by no means limited to — the following:

• Generalized anxiety disorder or chronic anxiety
• Major depressive disorder or persistent depressive disorder
• Post-traumatic stress disorder (PTSD)
• Panic disorder or agoraphobia
• Bipolar disorder
• Attention-deficit/hyperactivity disorder (ADHD), where emotional regulation difficulties are a significant impairment
• Obsessive-compulsive disorder (OCD)
• Social anxiety disorder
• Autism spectrum disorder (ASD), particularly where the animal supports daily functioning

This list is illustrative, not exhaustive, and it does not constitute a diagnostic checklist. A Utah-licensed clinician will determine whether your specific circumstances meet the clinical and legal thresholds. Simply owning a pet you love does not automatically qualify you, and an ethical provider will never tell you otherwise.

Utah-Specific Considerations

Utah does not currently impose a state statute requiring a specific minimum number of days of therapeutic relationship before an ESA letter may be issued — a distinction from states like California (AB-468) and Montana (HB-703), where a 30-day established relationship is mandated by law. However, this does not mean Utah clinicians can issue letters perfunctorily. HUD's FHEO-2020-01 guidance makes clear that the clinician must have sufficient knowledge of the individual's disability and needs to reliably assess whether an ESA is appropriate. A brief, genuine telehealth consultation conducted by a Utah-licensed LMHP satisfies that standard; a form auto-approved without any real evaluation does not.

For a deeper look at how therapeutic relationship requirements vary — and what Utah's current framework expects of clinicians — see our article: The 30-Day Therapeutic Relationship Rule: What Utah ESA Applicants Need to Know.

3. Step-by-Step: From Intake to Signed PDF

The following walkthrough describes the general process of obtaining a legitimate ESA letter in Utah through a telehealth platform staffed by Utah-licensed clinicians. Individual experiences may vary depending on the clinician, the complexity of your situation, and the completeness of your intake information. This is an overview, not a guarantee of any specific outcome or timeline.

Step 1: Complete the Intake Form Thoughtfully

Every legitimate ESA letter process begins with a structured intake questionnaire. This form is not a rubber-stamp formality — it is the clinician's first source of clinical information about you. You will typically be asked about your mental health history, current symptoms, how those symptoms affect your daily functioning, your relationship with your animal, and any prior diagnoses or therapeutic treatment you have received.

Complete this form honestly and thoroughly. If you have records from a previous therapist, psychiatrist, or primary-care provider, having that information available can help contextualize your responses. Do not exaggerate symptoms, and do not minimize them. The clinician reviewing your intake is a licensed professional making a real clinical assessment; accuracy serves both of you.

Step 2: Schedule or Await Your Clinician Review

On a reputable Utah telehealth platform, your intake will be assigned to a licensed mental health professional — typically a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), psychologist, or psychiatrist — who holds an active Utah license. The clinician reviews your intake and may conduct a synchronous video or phone consultation to ask follow-up questions, clarify responses, or gather additional clinical detail.

This step is where the actual clinical assessment occurs. The clinician is determining, based on their professional judgment, whether you appear to have a qualifying disability and whether an emotional support animal appears therapeutically appropriate for your situation. This is a genuine professional evaluation, not an automated scoring system.

For a detailed description of what this telehealth session looks like — including what questions to expect and how to prepare — visit our guide: What to Expect During Your Utah ESA Telehealth Evaluation.

Step 3: The Clinician Makes Their Determination

Following the evaluation, the clinician makes an independent clinical determination. If they find that you meet the criteria — a qualifying mental or emotional disability with a therapeutic nexus to your ESA — they will proceed to draft your letter. If they determine that the criteria are not met, a legitimate provider will inform you clearly and, in most cases, will not charge you (or will issue a refund per their stated policy).

This is a point of significant distinction between legitimate providers and fraudulent ones. A service that guarantees approval before evaluation is not conducting real clinical assessments and is not issuing valid letters under HUD's standards.

Step 4: Letter Drafting and Clinician Signature

Once the determination is made, the clinician prepares the ESA letter. A valid Utah ESA letter will include the following elements:

• The clinician's full name, professional credentials (e.g., LCSW, LMFT), and Utah license number
• The clinician's Utah state licensure status and the licensing board under which they practice
• Date of issuance
• A statement identifying you as a patient or client under the clinician's professional care
• A statement that you have a mental or emotional disability as defined under the FHA
• A statement establishing the therapeutic nexus between your disability and your need for an emotional support animal
• The clinician's original signature (wet ink or verifiable digital signature)
• Contact information for the clinician's practice, so your landlord may verify authenticity if needed

The letter does not need to — and ethically should not — disclose your specific diagnosis. HUD's FHEO-2020-01 guidance clarifies that landlords are not entitled to detailed medical records; they are entitled to reliable documentation of disability and therapeutic need. A clinician-issued letter that confirms these two elements is legally sufficient.

Step 5: Receive and Review Your PDF

Once signed, the letter is delivered to you — typically as a secure PDF via email or through a client portal. Review it carefully to confirm that all identifying information is accurate, the clinician's credentials and license number are legible, and the date of issuance is correct. Store a digital copy and, if you plan to present it to a landlord, consider keeping a printed copy as well.

Your letter will typically be valid for one year from the date of issuance, consistent with HUD guidance suggesting that housing providers may request updated documentation annually. Renewal is usually a streamlined process through the same clinician or platform.

Step 6: Submit Your Accommodation Request to Your Landlord

With your ESA letter in hand, you may submit a written reasonable accommodation request to your landlord, property manager, or housing association. This request should be made in writing and should include a copy of your ESA letter. You do not need to provide your full medical records, explain your diagnosis in detail, or justify why you chose a particular species of animal.

Under the FHA and HUD's FHEO-2020-01 guidance, housing providers with four or more units are generally required to engage in an interactive process to evaluate your request in good faith. They may contact the clinician to verify the letter's authenticity, but they may not demand additional medical records or impose conditions beyond what the statute allows. If your landlord denies your request or retaliates against you, consult a Utah-licensed attorney or contact the Utah Division of Antidiscrimination and Labor (UADL), which enforces the Utah Fair Housing Act (Utah Code Ann. § 57-21-1 et seq.) at the state level.

4. What Makes a Utah ESA Letter Legally Valid?

This is perhaps the most consequential question in the entire guide, because the difference between a valid ESA letter and a worthless one is not always immediately obvious to renters — or even to some landlords. Understanding the standards that govern legitimate documentation protects you from wasting money, losing housing accommodations, and potentially damaging your credibility with a landlord.

The Federal Standard: FHEO-2020-01

HUD's guidance document FHEO-2020-01, published January 28, 2020, is the definitive federal reference for ESA documentation in housing contexts. It establishes that housing providers may request documentation from "a reliable third party" when a disability or therapeutic need is not apparent. The document explicitly identifies licensed mental health professionals — and specifies that the most reliable documentation comes from an LMHP who has personal knowledge of the tenant's disability and therapeutic needs, not from third-party websites or ESA registries that the LMHP has no real relationship with.

Utah Licensure Requirements

For a Utah ESA letter to be legally defensible, the clinician who signs it must hold an active license issued by the state of Utah. Utah's licensed mental health professional categories include:

• Licensed Clinical Social Worker (LCSW) — licensed by the Utah Division of Professional Licensing (DOPL) under Utah Code Ann. § 58-60-200 et seq.
• Licensed Marriage and Family Therapist (LMFT) — licensed under Utah Code Ann. § 58-60-300 et seq.
• Licensed Professional Counselor (LPC) or Licensed Associate Professional Counselor — licensed under Utah Code Ann. § 58-60-400 et seq.
• Psychologist — licensed under Utah Code Ann. § 58-61-101 et seq.
• Psychiatrist — a licensed physician with psychiatric specialty, regulated through the Utah Medical Practice Act

A clinician licensed exclusively in California, Texas, or any other state cannot lawfully issue a valid Utah ESA letter for a Utah-based housing accommodation. Telehealth platforms that hold themselves out as national services and assign out-of-state clinicians to Utah residents are not providing legally compliant documentation.

The Therapeutic Nexus Requirement

Beyond licensure, the letter must establish a clinically meaningful connection between the individual's disability and the therapeutic function of the animal. This is not a formality. HUD's guidance specifically flags letters that are "not based on personal knowledge of the individual's disability" as unreliable. The clinician must be able to attest that, based on their professional assessment, the animal provides support that is meaningfully connected to the individual's mental health needs.

For a comprehensive breakdown of every element your Utah ESA letter should contain — and a checklist you can use to evaluate any document before presenting it to a landlord — see: What Makes a Utah ESA Letter Legally Valid?

5. Your Utah Housing Rights Under the FHA

Federal Protections: The Fair Housing Act

The Fair Housing Act, codified at 42 U.S.C. § 3601 et seq., prohibits discrimination in housing on the basis of disability. The statute requires housing providers to make reasonable accommodations in rules, policies, practices, or services when necessary to give a person with a disability equal opportunity to use and enjoy housing. An ESA accommodation — allowing a tenant to keep an emotional support animal despite a no-pets policy, breed restriction, or weight limit — is a classic example of a reasonable accommodation under this framework.

HUD's FHEO-2020-01 guidance document provides detailed, operational instruction on how this accommodation process works in practice, including what documentation housing providers may request, how they must evaluate it, and what responses are considered discriminatory. Every Utah renter with a qualifying ESA should be familiar with this document's core provisions.

The Utah Fair Housing Act

Utah's state-level housing protections are codified at Utah Code Ann. § 57-21-1 through § 57-21-24. The Utah Fair Housing Act mirrors the federal FHA's disability provisions and is enforced by the Utah Division of Antidiscrimination and Labor (UADL). In practice, state and federal protections work in parallel: a landlord who unlawfully denies a valid ESA accommodation request may be liable under both federal and state law.

If you believe your landlord has violated your fair housing rights, you may file a complaint with HUD's Office of Fair Housing and Equal Opportunity (FHEO) at the federal level, or with the UADL at the state level. For guidance on enforcement strategy, consult a Utah-licensed attorney. Legal aid organizations such as Utah Legal Services (ULS) may also provide assistance to qualifying individuals.

What Landlords Can and Cannot Do

Important Limitations of ESA Status

ESA status under the FHA applies to housing. It does not apply to restaurants, retail stores, hotels, or other public accommodations — those facilities are governed by the ADA, which only recognizes trained service animals. ESAs are not service animals under the ADA.

Additionally, as noted above, the U.S. Department of Transportation's rule change effective January 2021 removed ESAs from ACAA cabin-access protections. Airlines are no longer required to allow ESAs in the cabin. If in-cabin animal access during air travel is important to you, consult a qualified clinician about whether a Psychiatric Service Dog (PSD) — which retains ADA and DOT protections — might be appropriate for your situation.

6. Cost, Turnaround, and What to Expect Online

How Much Does a Utah ESA Letter Cost?

The cost of a legitimate, clinician-issued ESA letter in Utah generally falls in the range of approximately $99 to $199 for a standard single-letter evaluation. Some providers offer bundled packages that include renewal letters, letters for multiple properties, or letters for multiple animals at higher price points. Pricing varies by platform, clinician, and scope of service.

It is worth noting that cost alone is not a reliable indicator of quality. Some of the most expensive services online are registries or certificate mills that charge a premium for documents that carry no legal weight. Conversely, a well-designed telehealth platform staffed by licensed Utah clinicians can deliver genuinely compliant letters at a fair price. Evaluate providers based on clinician credentials and transparency, not price point.

For a detailed breakdown of what you should — and should not — expect to pay, and what red flags in pricing structures look like, see: How Much Does an ESA Letter Cost in Utah?

How Long Does the Process Take?

When you work with a reputable Utah telehealth ESA provider, the typical timeline from submitting your intake form to receiving your signed PDF is 24 to 72 business hours, though this can vary. Factors that affect turnaround time include the completeness of your intake form, clinician availability, whether a follow-up consultation is needed, and the volume of evaluations being processed at any given time.

Be wary of services that promise "instant" letters or "same-day guaranteed" delivery. A legitimate clinical evaluation cannot be completed instantaneously. An honest provider will give you a realistic timeframe and will not sacrifice clinical rigor for the sake of speed. For a candid look at what drives evaluation timelines — and realistic expectations for Utah residents — visit: ESA Letter Turnaround Time in Utah: What to Realistically Expect

What the Online Process Looks Like

A legitimate Utah telehealth ESA evaluation follows a structured clinical workflow:

1. Secure intake form submission — completed through a HIPAA-compliant portal
2. Clinician review — a licensed Utah LMHP reviews your responses and may schedule a video or phone consultation
3. Clinical determination — the clinician exercises independent professional judgment
4. Letter preparation and signature — on official letterhead with the clinician's Utah license number
5. Secure PDF delivery — via encrypted email or client portal

This entire workflow is designed to be convenient for Utah residents across the state — from Salt Lake City and Park City to rural communities in San Juan County or Emery County where in-person mental health access is limited. Telehealth delivery does not compromise clinical quality; it expands access.

For a full walkthrough of what the telehealth evaluation experience feels like from a client's perspective, including what questions the clinician is likely to ask, see: What to Expect During Your Utah ESA Telehealth Evaluation.

7. Red Flags: How to Spot an Illegitimate ESA Letter Service

The ESA letter industry is, unfortunately, rife with services that charge real money for documents that provide no legal protection. Understanding how to identify these services before you pay protects your finances, your housing situation, and your credibility with your landlord. The following red flags are drawn directly from HUD's own guidance and from widely documented patterns in the industry.

Red Flag 1: Guaranteed Approval

If a service guarantees that everyone who completes their form will receive an ESA letter, it is not conducting real clinical evaluations. A genuine licensed clinician must assess each person individually and may determine that ESA documentation is not clinically appropriate. Any service that promises unconditional approval before evaluation is not providing legitimate clinical documentation — period.

Red Flag 2: online pet-registry website, Certificate, or ID Card

There is no official national online pet-registry website. There is no "ESA certification" recognized by federal or Utah state law. There is no ESA ID card that a landlord is required — or even expected — to accept. HUD's FHEO-2020-01 guidance explicitly states that documentation from internet-based businesses offering "online "registration" services" for a fee is "not, by itself, proof" of a disability or a reliable basis for an accommodation request. Services that sell these products are taking your money for something legally meaningless.

Red Flag 3: Out-of-State Clinicians for Utah Letters

A clinician must be licensed in Utah to issue a valid ESA letter for a Utah housing accommodation. If a platform assigns you a clinician licensed only in another state — or if the letter does not include a Utah license number — the document's legal standing is seriously compromised. Always confirm that the clinician signing your letter holds an active Utah DOPL license.

Red Flag 4: No Real Consultation

If you complete a form, pay a fee, and receive a letter within minutes — with no interaction with a clinician, no follow-up questions, and no opportunity for the clinician to assess your individual situation — you have not received a legitimate clinical document. You have received a template with a signature. HUD's guidance requires personal knowledge of the individual's circumstances. A letter issued without any real interaction does not meet that standard.

Red Flag 5: Unconditional Money-Back Guarantees Tied to Landlord Acceptance

Some services offer "money-back guarantees if your landlord doesn't accept the letter." While consumer-friendly refund policies can be legitimate, a guarantee framed as "we'll refund you if denied" implicitly conflates the quality of the letter with landlord compliance — and sometimes signals that the service knows its letters may not hold up to scrutiny. A legitimate provider stands behind the clinical quality of their process; they cannot guarantee landlord behavior, which is subject to FHA enforcement, not service policy.

Red Flag 6: No Clinician Credentials on the Letter

Every valid ESA letter must display the issuing clinician's full name, professional credentials, Utah license number, and contact information. A letter that is vague about who issued it, that lists only a company name without individual clinician credentials, or that cannot be verified by contacting the clinician's practice should not be presented to a landlord as legitimate documentation.

Red Flag 7: Claims of Airline or Public-Access Rights

As noted above, ESA letters no longer provide cabin-access rights on airlines under the ACAA. Any service that claims its letter will allow your ESA to fly in the cabin is providing inaccurate information. This may indicate that the service is not current with federal regulatory changes — a concerning sign about the quality of its clinical compliance more broadly.

8. Frequently Asked Questions

Can my existing therapist or psychiatrist write my ESA letter?

Yes — if your existing therapist, psychologist, psychiatrist, LCSW, LMFT, or LPC is licensed in Utah and has sufficient clinical knowledge of your mental health needs, they are an excellent candidate to issue your ESA letter. An established therapeutic relationship is, in fact, considered more reliable documentation under HUD's FHEO-2020-01 guidance than a letter from a clinician who conducted only a brief intake evaluation. If your current provider is comfortable issuing this documentation, that is often the most streamlined path.

Does my ESA need to be trained or certified?

No. Unlike service animals under the ADA, emotional support animals are not required to have specialized training, pass any test, or hold any certification. The therapeutic benefit of an ESA flows from the companionship and emotional support the animal provides, not from task-specific training. Any species of animal may serve as an ESA, though housing providers may deny accommodation for animals that pose a direct threat or cause substantial property damage regardless of their ESA status.

Can a landlord charge me a pet deposit for my ESA?

Under the FHA, a housing provider may not charge a pet deposit or pet fee for a legitimate ESA. The ESA is not legally classified as a "pet" for the purposes of housing accommodation. However, if the animal causes actual damage to the unit, the tenant may be held responsible for the cost of repairs in the same way any tenant is responsible for damage they or their guests cause — this is a standard lease obligation, not an ESA-specific fee.

What if I have more than one ESA?

Multiple ESAs are not automatically covered by a single accommodation request. If you have two animals that both provide therapeutic support, your ESA letter should address both animals specifically — and the housing provider may evaluate each accommodation request individually. The provider may deny accommodation for multiple animals if the number or type of animals constitutes an undue burden or fundamental alteration. A clinician can assess and document therapeutic need for multiple animals where clinically appropriate.

How long is a Utah ESA letter valid?

ESA letters do not have a federally mandated expiration date, but HUD's guidance indicates that housing providers may request updated documentation if the disability or therapeutic need is not apparent or if a significant period of time has passed. In practice, most legitimate ESA letters are issued with a one-year validity period, and renewal typically involves a follow-up clinical assessment rather than a full new evaluation. Renewing annually is considered best practice and keeps your documentation current if questions arise.

Can I use my Utah ESA letter in another state?

The FHA is a federal statute that applies nationwide. An ESA letter issued by a Utah-licensed clinician based on a genuine evaluation of your disability and therapeutic need will generally support an accommodation request in any state, as the federal legal framework is consistent. However, some states — California (AB-468), Montana (HB-703), and others — have enacted state-level laws that impose additional requirements on ESA letter issuance. If you are moving to one of those states, you may wish to consult with a clinician licensed there. For Utah residents who remain in Utah, your Utah-issued letter is the appropriate and sufficient document.

What happens if my landlord denies my ESA accommodation request?

If a landlord denies what you believe to be a valid ESA accommodation request, you have several avenues of recourse. You may file a fair housing complaint with HUD's FHEO online at hud.gov, file a complaint with the Utah Division of Antidiscrimination and Labor (UADL), or consult a Utah-licensed attorney who practices housing law. Legal aid organizations, including Utah Legal Services (ULS), may be able to assist individuals who cannot afford private legal counsel. Do not rely solely on this article for guidance in a housing dispute — consult a qualified attorney familiar with Utah's fair housing enforcement landscape.

Does an ESA letter help with homeowners associations (HOAs)?

Yes. Homeowners associations are covered by the FHA to the extent that they operate as housing providers governing residential units. An HOA that maintains a no-pets policy must evaluate a valid ESA accommodation request under the same standards that apply to landlords. The process is the same: a written reasonable accommodation request accompanied by a clinician-issued ESA letter. If an HOA denies a valid request, the same complaint and enforcement pathways described above are available to you.

The Bottom Line: Quality Begins With the Clinician

Getting an ESA letter in Utah in 2026 is a straightforward process — when you work with the right provider. The steps are clear, the legal framework is well-established, and the telehealth infrastructure now makes it possible for residents across the entire state, from the Wasatch Front to rural Southern Utah, to access licensed mental health professionals without leaving home.

But the quality of the process rests entirely on the clinician at its center. A legitimate ESA letter is the product of a genuine therapeutic assessment conducted by a licensed Utah professional who has taken the time to understand your situation, applied their clinical judgment, and attached their name, credentials, and license number to a document they stand behind. That is what HUD expects. That is what your landlord is entitled to receive. And that is what you deserve as someone seeking a reasonable accommodation to protect your mental health and your housing stability.

If you are ready to take the next step, begin with an honest review of your situation, gather any relevant information about your mental health history, and look for a provider whose clinicians hold active Utah DOPL licenses, whose process includes a real consultation, and whose letters include verifiable clinician credentials. The investment of a little due diligence at the front end is what separates a document that protects you from one that leaves you unprotected when it matters most.

Reminder: This guide is for informational purposes only. It is not medical, mental-health, or legal advice. Please consult a Utah-licensed mental health professional to determine whether an ESA letter is appropriate for your individual circumstances, and a Utah-licensed attorney if you need guidance on fair housing enforcement or landlord disputes.