Special Authorization

We offer evaluations for the Short Term Disability and Family Medical Leave Act (FMLA) when the psychiatric appointment and initial evaluation occur at least one month before the documentation due date, and you have provided previous historical documentation. For existing patients, please request at least 1 – 2 weeks before the due date.

We also offer initial evaluation and written documentation for Emotional Support Animals. This requires a psychiatric evaluation to assess, diagnose, and write the letter of recommendation or outcome.

Information gathering for children and adolescents includes parent and family health, school performance, and psychiatric histories. Since it can be challenging for very young children to explain what they’re thinking and feeling, the questions often depend on the child’s age. The parents, teachers, or other caregivers provide information and details.


Psychiatric disability, or mental illness, describes a wide range of mental and emotional conditions. A psychiatric disability is defined by the Americans with Disabilities Act (ADA) as “A mental impairment that substantially limits one or more of the major life activities of an individual; a record of impairment; or being regarded as having such an impairment. The Equal Employment Opportunity Commission (EEOC) regulations define it as “A mental impairment to include any mental or psychological disorder, such as an emotional or mental illness.” For more information, please visit the National Disabilities Website.

The appointment and the letter required to document your pet serves a specific purpose related to your mental or emotional disability. If you meet the criteria to recognize your pet as an ESA officially, then a letter of recommendation can be written and provided.

Important note: In 2020, Governor DeSantis passed a bill ensuring health care practitioners provide supporting information for emotional support animals. We cannot provide a letter of recommendation without personal knowledge and documentation of our patient’s disability or disability-related needs fulfilled by the support animal.