Flat, honest pricing — $149 for the letter, $199 with an optional ID card, and you only pay if approved.
No call-for-pricing games here: every North Dakota evaluation runs on the same published flat rates, and approval — not payment — always comes first.
The fee buys a genuine evaluation — a private phone or video visit with a professional holding an active North Dakota license — and, on approval, a signed letter bearing their license details, usually delivered within 10–15 minutes. The ID card add-on is purely optional and carries no legal weight.
In Fargo, Bismarck, and the Grand Forks university area, North Dakota’s limited rental supply and long winters make a companion animal especially valued. In a rental market like that, documentation a landlord accepts on first reading pays for itself.
The cheapest letter is the one that works the first time. A rejected “instant” certificate means lost application fees, delayed move-ins, and paying twice — a clinically issued letter avoids all of it.
No hidden fees · HIPAA secure · Pay only if approved.
You’re charged only after the evaluation — the card is authorized first, and if the licensed professional doesn’t approve you, no letter fee is taken.
Renewal is a separate, equally priced service when you need an updated letter — typically about a year later.
Yes — the pre-screening costs nothing and carries no obligation. Your card is only authorized when you book the evaluation, and only charged if you’re approved.
Health plans rarely cover ESA documentation, so we keep North Dakota pricing flat and published rather than hiding it behind a quote.
The bundle with the ID card is $199 — $50 more than the letter alone — and it’s entirely optional, since no card is ever legally required.
Free pre-screening · Licensed in North Dakota · You only pay if approved
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