Learn how 30-Day Waiting Periods Work for ESA Letters in 2026
Key Takeaways: Five states now mandate 30-day waiting periods for ESA letters: California (2022), Arkansas (2023), Montana (2023), Louisiana (2024), and Iowa (2024) Therapeutic relationship requires actual clinical services , not just scheduling an appointment and waiting Telehealth appointments count toward the 30-day requirement in all states with this law Minimum two consultations required over at least 30 days to establish legitimate therapeutic relationship Laws enacted to combat ESA fraud by eliminating instant-letter mills that undermined legitimate disability accommodations What Is a 30-Day ESA Waiting Period? A 30-day ESA waiting period is a legal requirement in certain states that mandates healthcare providers establish and maintain a therapeutic relationship with a client for at least 30 consecutive days before issuing emotional support animal documentation. This requirement ensures ESA certifications are based on genuine clinical evaluation rat...