Apply For An Emotional Support Animal LetterPlease fill in the questionnaire below and one of our doctors will review the information submitted. Once approved, your medical certificate will be sent to your email address. If you need any support, please reach out to us at info@merlinhealth.co.uk - you can expect a response within hours.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your DetailsFull Name *FirstLastMobile Number *Email *Your medical letter will be sent to this email addressDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Sex *Please selectMaleFemaleOtherAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeWhat Is This Letter For?Please give us some information about who or what you need this letter for - this will help us tailor the letter to your needs. If none of these categories fit your purpose, you can select 'Other'. Please select from the following (you can select more than one option): *HousingLandlordTravelWorkGeneral day-to-day useOther If you selected housing, please provide the details of the individual or organization this letter is intended for: * If you selected travel, please provide the details of the individual or organization this letter is intended for: *If you selected work, please provide the NAME and ADDRESS of your workplace: *If you selected other, please provide further details here: *Why Do You Need This Letter?Please tell us why you need an Emotional Support Animal Letter: *Please provide as much detail as possibleAbout Your Medical ConditionPlease describe the condition you have and how it affects you *Please provide as much detail as possibleAre you able to provide us with any documentation confirming your condition? (e.g. medical records, clinic letters etc) *YesNoIf you selected yes, please upload this here: * Click or drag files to this area to upload. You can upload up to 100 files. About your Emotional Support AnimalHave you already gotten your emotional support animal? *YesNoWhat is the name of your Emotional Support Animal? *What type of animal are they? *Please upload an Image of your Emotional Support Animal here: * Click or drag files to this area to upload. You can upload up to 100 files. What type of animal do you intend to get? *Identification VerificationPlease upload a clear IMAGE of a form of photographic ID to verify your identity (e.g. passport, driving license) * Click or drag files to this area to upload. You can upload up to 100 files. Anything Else? (Optional)Is there anything else you would like us to know about your application? (Optional)Are there any other additional documents related to your application that you would like to upload? (Optional) Click or drag files to this area to upload. You can upload up to 100 files. Terms and ConditionsUpon submitting your application, you acknowledge our Terms and Privacy Policy and consent to the following: (1) You have comprehended the questions in the questionnaire and answered them honestly. (2) The requested letter is solely for the individual with the provided name and details. (3) Our certificates are intended to confirm your reason for having an emotional support animal. They are not a guarantee against adverse events. They are not an insurance policy. They are not valid as medical indemnity. They do not represent a medical consultation. (4) At Merlin Health, we do not offer a medical consultation service. No liability is accepted for any adverse events affecting you at any point in time. (5) Merlin Health or our doctors are not liable for any events affecting third parties that you present this letter to. (6) If a third party does not accept or rejects a Merlin Health letter or certificate, for any reason, neither Merlin Health nor our Doctors are responsible for any costs incurred. (7) You have uploaded the relevant evidence and have not purposefully withheld any information. (8) Merlin Health is unable to process refunds once our doctor has reviewed your request and you've been sent a letter written by them. (9) Merlin Health is not a replacement for a doctor's visit, nor is Merlin Health your primary doctor or GP, and healthcare professionals at Merlin Health may be unable to access your NHS or regular GP medical records. Agreement to Terms and Conditions *I have read and agree to the Terms and Conditions listed aboveCheckoutEmotional Support Animal LetterPrice: £45.00Submit