Emotional Support Animal (ESA) Letter in Arizona — Real Evaluation, Licensed Prescriber
An ESA letter is only as good as the clinician who signs it. Sigmon Psychiatric provides emotional support animal letters for Arizona housing after a genuine psychiatric evaluation by video with Angela Marton, PMHNP-BC, a board-certified psychiatric mental health nurse practitioner licensed in Arizona. The fee is a flat $249, and it covers the evaluation whether or not a letter is written. View current appointment times to schedule.
At a glance: Online across Arizona: 5.0★ on Zocdoc across 88 verified reviews, $249 flat, and same-week openings often available.
What you get for $249
- A 45–60 minute psychiatric evaluation by secure video, the same evaluation any new patient receives
- When an ESA is clinically supported: a signed letter on practice letterhead stating your diagnosed condition category, the disability-related need for the animal, and Angela's Arizona license number and NPI
- The letter delivered securely as a PDF, usually within two business days of the visit
- A clinician whose credentials a property manager can verify in the NPI Registry and with the Arizona State Board of Nursing
There is no subscription, no "registration" product, and no upsell. If you also want ongoing care for the condition behind the request, follow-up visits are $129.
Why landlords reject some ESA letters
Property managers in Arizona have learned to spot letters from websites that promise approval in minutes. Guidance from the U.S. Department of Housing and Urban Development says housing providers may give less weight to documentation from an online service that issues letters without a personal evaluation. A letter from a licensed Arizona prescriber who actually evaluated you, with a verifiable license and NPI, is what holds up.
That is also why the letter is not guaranteed. If the evaluation does not support a diagnosed condition and a clinical reason the animal helps, Angela will tell you plainly and talk through what would help instead.
How ESA letters work for Arizona housing
Arizona housing follows the federal Fair Housing Act. When a licensed professional documents a disability-related need for an assistance animal, a housing provider must consider the request as a reasonable accommodation. In practice:
- "No pets" policies and breed or weight limits generally cannot be used to refuse an approved ESA
- Pet rent, pet fees, and pet deposits generally cannot be charged for an approved ESA
- You remain responsible for damage, nuisance, and waste, and an animal that poses a direct threat can still be refused
- Owner-occupied buildings with four or fewer units and some single-family homes rented without a broker are exempt from the Act
The letter is written for housing. It does not apply to air travel: since 2021, airlines are not required to accept emotional support animals and most treat them as pets. Public places that admit service dogs are not required to admit emotional support animals. If you need a psychiatric service dog letter, which involves a task-trained dog and a different legal standard, mention it when you book so the visit can be planned accordingly.
Who qualifies
Sigmon Psychiatric accepts children, teens, and adults for psychiatric evaluations and medication management when they are physically located in Arizona during the appointment. An ESA letter is appropriate when you have a mental health condition — commonly anxiety, depression, PTSD, or panic disorder — that limits daily functioning, and the animal measurably eases those symptoms. You do not need a prior diagnosis; the evaluation establishes it. Current patients of the practice can request a letter at a follow-up visit rather than booking a separate evaluation.
Renewals
Many Arizona property managers ask for a letter dated within the past twelve months. Established patients can request an updated letter at a follow-up visit rather than repeating the full evaluation; text the office for the current renewal fee.
Assessments and letters are outpatient services, not emergency care. If you or someone with you is in immediate danger, call 911. For a mental health crisis, call or text 988 or Arizona's statewide crisis line at 1-844-534-4673, both available 24 hours a day.
Book an ESA letter evaluation
View current appointment times — select a new patient evaluation and mention the ESA letter in the visit reason — or text (520) 650-5111 with questions. The full menu of assessments and letters lists every service and price.
Your provider: Angela Marton, PMHNP-BC
Angela Marton is a board-certified psychiatric mental health nurse practitioner providing telehealth psychiatric care to patients across Arizona. She specializes in medication management and comprehensive psychiatric evaluations for anxiety, depression, ADHD, and related conditions. Every visit is with the same provider. Same-week openings are often available, but timing varies; view current times when you book. More about Angela.
Insurance & costs
Emotional support animal (ESA) letter: $249, self-pay. HSA and FSA cards are accepted. All assessments and prices.
Commercial plans that may be accepted include Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, Oscar Health, and Optum. Coverage and network participation vary by exact plan, so verify benefits before your visit. Self-pay rates are $179 for an initial evaluation and $129 for follow-up visits; HSA and FSA cards are accepted. Medicare, Medicaid, and AHCCCS (Arizona Medicaid) are not accepted; patients with those plans are still welcome to book as self-pay. Full insurance and pricing details.
Frequently asked questions
How much does an ESA letter cost in Arizona at Sigmon Psychiatric?
$249, self-pay. The fee covers a 45–60 minute psychiatric evaluation by video with Angela Marton, PMHNP-BC and, when an emotional support animal is clinically supported, a signed letter on practice letterhead with her Arizona license number and NPI. HSA and FSA cards are accepted. Book at sigmonpsych.com/book.
Is the ESA letter guaranteed?
No. A letter is written only when the evaluation supports a diagnosed mental health condition and a clinical reason the animal helps. If it is not supported, Angela explains why and what would help instead; the fee covers the evaluation either way. A practice that guarantees a letter before meeting you is the kind of letter landlords are increasingly rejecting.
Does an ESA letter work for apartments in Arizona?
Under the federal Fair Housing Act, housing providers must consider a reasonable accommodation request for an assistance animal, including an emotional support animal, when a licensed professional documents a disability-related need. Pet fees and pet deposits generally cannot be charged for an approved ESA. Housing providers may still deny an animal that poses a direct threat or would cause undue burden, and the letter does not override lease rules about damage or nuisance.
Can I use the letter to fly with my animal?
No. Since 2021, U.S. airlines are not required to accept emotional support animals under the Air Carrier Access Act; most treat them as pets. The letter is written for housing only. Psychiatric service dogs are a separate category with different requirements.
How long is an ESA letter valid?
Federal law sets no expiration, but many Arizona property managers ask for a letter dated within the past 12 months. Established patients can request an updated letter at a follow-up visit.
Who can write an ESA letter in Arizona?
A licensed health professional with personal knowledge of your condition, such as a psychiatric nurse practitioner, psychiatrist, psychologist, or licensed counselor. Angela Marton is a board-certified psychiatric mental health nurse practitioner licensed in Arizona, and her credentials can be verified in the NPI Registry and with the Arizona State Board of Nursing.