This assessment is required to be completed annually to confirm the need for an emotional support animal and confirm the psychological diagnosis of the animal owner. 

On the second appointment the owner will bring their animal with them into the office for our clincian to observe and document the interaction of the owner with their animal. 

As part of the process the client will receive a copy of their treatment plan, a letter idetifying the client's need for an ESA, and a certificate for the animal documenting that they have been assessed as a ESA.