Do I need an appointment or video call?

For clients Last reviewed: November 13, 2026

Short answer

In most states, no. The evaluation is an online questionnaire reviewed by a licensed professional in your state, and you can complete it any time. It's a telehealth service; you accept a telehealth consent when you sign up. California and Arkansas (for an emotional support dog), Louisiana and Montana are different: state law requires a relationship of at least 30 days with the professional (and at least two sessions in Louisiana), so your professional will schedule with you. Iowa has its own letter rules; contact support first. Session fees are set by your professional and paid to them directly; our price covers the evaluation and letter.

In most states: no appointment

The evaluation is a secure online questionnaire. You complete it whenever suits you, from home, and a professional licensed in your state reviews it. There's no appointment, video call or phone call to schedule. If the professional needs more from you, we email you a link to add it. What the evaluation involves.

It's a telehealth service

A licensed professional evaluates you remotely, so you accept our Consent to Telehealth when you sign up.

California, Arkansas, Louisiana and Montana

  • California and Arkansas: for an emotional support dog, state law requires a client relationship of at least 30 days with the professional (California, Arkansas).
  • Louisiana: at least 30 days and at least two sessions, in person or remote (Louisiana).
  • Montana: at least 30 days, with a Montana-licensed professional (Montana).

In these states your professional schedules with you. Session fees are set by your professional and paid to them directly; our price covers the evaluation and letter.

Iowa

Iowa has its own letter rules; contact support first (Iowa). How to reach us.