Question 1

Have you experienced signs and symptoms of
depression in the last 6 months?

Have you experienced significant anxiety or
panic in the last 6 months?

Are you currently experiencing significant stress or
difficulty adjusting to a major life change?

Is your stress or mood impacting your social, occupational, or
educational performance or ability to engage in these activities?

Have you experienced a major life change in the last 6 months?

Registration Form
Fill out the form below to begin the process

Mr.    Ms.

By clicking Submit I agree to the Terms & Conditions and Privacy Policy of this site. I certify that I am 18 years or older and a resident of the United States. I understand this site will provide me with an evaluation with a licensed Psychologist in my state, and if I qualify, based solely on the evaluation, a downloadable ESA Letter. I have read and understand the information provided regarding telepsychology, I agree to share my information with my assigned Psychologist per the HIPAA privacy rights. I hereby give my informed consent for the use of telepsychology in my care.

By clicking "Take The Free Test Now!", I provide my signature expressly consenting contact from American Service Pets or its subsidiaries and consent to receive recurring automated and/or prerecorded telemarketing calls/texts relating to pets and/or ESA letters and/or services. I understand that consent is not a condition of purchase. I also understand that my telephone company may impose charges on me for these contacts, and that I can revoke this consent at any time. To agree without providing consent to be contacted by these means do not check this box. For SMS campaigns: Text STOP to cancel and HELP for help. Msg & data rates may apply.