We are exclusively offering telehealth appointments at this time, serving those that live in the state of Pennsylvania. Tice Counseling & Wellness LLC has plans to grow and we will be offering a physical space in the near future for in-person appointments.

We currently have a waitlist for new clients.

We are currently accepting new clients.
banner image

Emotional Support Animal (ESA) Letter

We are able to provide Emotional Support Animal (ESA) letters through our practice.  Requests for letters confirming the need for Emotional Support Animals (ESA) will be decided on an individual basis and will be determined based on therapeutic history and current state of mind. They will not be provided without a thorough evaluation.

You may notice that ESA letters are available on various websites for a minimal fee.  Please keep in mind that these letters are, most times, not legitimate.  The only way to receive a legitimate ESA letter for housing is through a qualified mental health practitioner.  An ESA letter received through us is valid for one (1) year.

What are Emotional Support Animals (ESAs)?

What an ESA is:

  • An animal that reduces the symptoms of a disability

  • An animal that makes it possible for those with disabilities to carry out one or more major life activities as described by the Americans with Disabilities Act (ADA)

  • An animal that provides comfort such that the comfort alleviates one or more symptoms of a disability

What an ESA is not:

  • A service animal

  • A pet that alleviates a general sense of discomfort but does not reduce specific symptoms of a disability

  • A pet that you don’t want to give up, but that does not alleviate one or more symptoms of a disability

  • A pet you cannot leave at home when you travel

  • A replacement for therapy

  • A substitute for human relationships

We require new clients to meet for at least three (3) sessions in order to conduct a thorough evaluation.  These sessions are able to be billed through the client's insurance, if we are in network.  There may be some time spent outside of the session (writing the letter, contacting others, etc.), which is not able to be billed to insurance and will be billed separately.  Please keep in mind that a letter is not guaranteed, and a letter will only be provided for those that meet criteria after an evaluation.

We know how helpful a beloved pet can be when managing challenging mental health symptoms.  We appreciate the opportunity to ensure that a pet can continue providing relief.  Please press the "contact" button below with any questions or to schedule an appointment.