My assessment was declined. What are my options?

For clients Last reviewed: November 13, 2026

Short answer

If you don't qualify, you won't be charged. If you believe the decision missed something, contact [email protected] with the subject 'ESA Assessment Review' and our team will review the decision with you. An online screening has limits; a decline doesn't necessarily mean you wouldn't qualify with more context.

You won't be charged

If you don't qualify, you won't be charged: your card is charged only when a professional approves your evaluation.

Asking for a review

If you believe the decision missed something:

  1. Email [email protected] from your account email.
  2. Use the subject ESA Assessment Review.
  3. Tell us briefly what you think the review didn't take into account.

Our team will review the decision with you and explain the next steps.

Why a decline isn't the final word

An online screening has limits. A decline doesn't necessarily mean you wouldn't qualify with more context, which is why we review the decision with you.

If you're struggling right now, you can call or text 988, the Suicide & Crisis Lifeline, any time.