Emotional Support Animal Oregon Letter Template – US

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Updated – 2025 /2026


Disclaimer

The information provided is for general reference regarding documentation associated with support animals in the state of Oregon. It is not intended as legal advice and should not replace consultation with a qualified legal professional familiar with applicable laws and regulations. Regulations governing assistance animals may vary by jurisdiction, and modifications may be necessary to ensure compliance. The use of this information is solely at the user’s discretion, and we disclaim any liability for errors, omissions, or consequences resulting from its application without expert review.


PDF

PDF

Word

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Sample

Sample

Template

Template


Please note: This is a sample template for an Emotional Support Animal Oregon Letter. Actual content should be personalized and verified for legal compliance.

Sample Emotional Support Animal (ESA) Oregon Letter

Parties:

Patient: [Full Name]
Address: [Address]

Licensed Mental Health Professional: [Name of Provider]
License Number: [License Number]

Purpose of This Letter:

This letter is provided to certify that the above-named individual has a qualifying emotional or mental health condition and that animal companionship is a necessary part of their treatment plan involving an emotional support animal.

Animal Details:

Type of Animal: [e.g., Dog, Cat]
Name of Animal: [Name]
Breed: [Breed, if applicable]

Legal Basis:

This certification is issued in accordance with the Fair Housing Act (FHA) and applicable Oregon state laws, supporting reasonable accommodation for the emotional support animal.

Licensed Mental Health Professional Signature: ____________________________

Date: ____________________________

Location: [City, Oregon]