One flat price, published up front: $149, or $199 with an optional ID card — charged only if you’re approved.
The price of an ESA letter in North Carolina should be the least stressful part. Here’s the complete cost picture, including the one optional add-on.
The fee buys a genuine evaluation — a private phone or video visit with a professional holding an active North Carolina license — and, on approval, a signed letter bearing their license details, usually delivered within 10–15 minutes. The ID card add-on is purely optional and carries no legal weight.
The fast-growing Charlotte and Raleigh-Durham Triangle, plus college towns like Chapel Hill, mean many North Carolina renters meet pet-restricted apartment communities. That market context is exactly why a letter that holds up the first time matters.
The cheapest letter is the one that works the first time. A rejected “instant” certificate means lost application fees, delayed move-ins, and paying twice — a clinically issued letter avoids all of it.
No hidden fees · HIPAA secure · Pay only if approved.
No. Pricing is flat and shown before checkout. The only add-on is $60 per additional animal.
No — renewal is its own evaluation at the same flat rate, usually needed around the one-year mark.
Ultra-cheap “instant” letters usually skip the licensed evaluation entirely, which is exactly why North Carolina landlords reject them. A letter that doesn’t hold up costs more than it saves.
Health plans rarely cover ESA documentation, so we keep North Carolina pricing flat and published rather than hiding it behind a quote.
An extra $50: $199 for the letter plus card versus $149 for the letter alone. Skip it freely — the card has no legal significance.
Free pre-screening · Licensed in North Carolina · You only pay if approved
Start Your Evaluation