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Emotional Support Animal Letters

Penelope with textbook.jpeg

Hello! I am happy you found me!

I am happy to support you in obtaining an Emotional Support Animal (ESA) letter for housing or travel needs, when clinically appropriate.

In the picture above, is my sweet cat, Penelope, who is my emotional support animal. Emotional Support Animals can play a meaningful role in supporting mental health and daily functioning for many people.

An Emotional Support Animal letter does not require a public disclosure of your diagnosis. During our appointment, we’ll talk about how your animal supports your mental health and functioning, and I will assess whether an ESA letter is clinically appropriate. If so, I will write and provide the letter during or shortly after our session.

 

The appointment is intended to be quick and painless! My goal is to make this process respectful, straightforward, and supportive. I am here as a licensed mental health professional to provide a clinical evaluation and documentation when appropriate. All appointments are conducted via telehealth.

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Frequently Asked Questions

 

I accept credit card, HSA, and FSA for the $90 session fee for a 30-mnute appointment. If you have out-of-network benefits, I can provide a superbill for potential reimbursement. Reimbursement is determined by your insurance company and cannot be guaranteed. Please note that if you use insurance, your insurance provider will receive a diagnosis.

Here is my process for emotional support animal letters:

1. You would send me an email to let me know you want an emotional support animal letter, and the deadline by which you need the letter. Please also include a range of dates and times you are available for the appointment.

2. I would e-mail you back within 24 hours, Monday through Thursday, and send you some scheduling options.

3. We agree to a date and time that works for both of us.

4. I send you the standard counseling paperwork to read and sign. For the intake questionnaire, you can write as little or as much as you want. Note: Please fill out the paperwork prior to 24 hours to your appointment. If you have not filled out the paperwork before then, I will assume you are not able to make the appointment and I will cancel it. You will have one opportunity to reschedule and attend your appointment.

5. I also send you a Google calendar meeting invite for the agreed upon date and time. All times are in Pacific time, and per counseling legal rules, you must reside in Washington or Florida, where I am licensed. 

6. We meet for the session, I write the letter, sign it, and send it to you within the same day! If you want any adjustments, and/or if the place you are sending the appointment requires any adjustments, please send me an email, and I will make the requested changes within a few days, free of charge. :)  

If this sounds good to you, please send me an email at counselor@katemageau.com

All session times will be during my office hours, Monday and Thursday, 10 am to 5 pm PST

Thank you! You can reach me at counselor@katemageau.com

Interested in therapy? More information here :)

Mental Health Advocacy Ideas

Updated January 2026

Offering online counseling for people in Seattle, Bellingham, Tacoma, Olympia, Spokane, and all over Washington; and Miami, Orlando, Gold Coast, Gulf Coast, First Coast, Tampa, Jacksonville, and throughout Florida. Serving the following Washington counties, online: Adams County, WA, Asotin County, WA​, Benton County, WA, Chelan County, WA​, Clallam County, WA, Clark County, WA​, Columbia County, WA, Cowlitz County, WA​, Douglas County, WA, Ferry County, WA​, Franklin County, WA, Garfield County, WA​, Grant County, WA, Grays Harbor County, WA​, Island County, WA, Jefferson County, WA​, King County, WA, Kitsap County, WA​, Kittitas County, WA, Klickitat County, WA​, Lewis County, WA, Lincoln County, WA​, Mason County, WA, Okanogan County, WA​, Pacific County, WA, Pend Oreille County, WA​, Pierce County, WA, San Juan County, WA​, Skagit County, WA, Skamania County, WA​, Snohomish County, WA, Spokane County, WA​, Stevens County, WA, Thurston County, WA​, Wahkiakum County, WA, Walla Walla County, WA​, Whatcom County, WA, Whitman County, WA​, and Yakima County, WA. 

Serving the following counties in Florida, online: Alachua County, FL​, Baker County, FL, Bay County, FL​, Bradford County, FL, Brevard County, FL​, Broward County, FL, Calhoun County, FL​, Charlotte County, FL, Citrus County, FL​, Clay County, FL, Collier County, FL​, Columbia County, FL, DeSoto County, FL​, Dixie County, FL, Duval County, FL​, Escambia County, FL, Flagler County, FL​, Franklin County, FL, Gadsden County, FL​, Gilchrist County, FL, Glades County, FL​, Gulf County, FL, Hamilton County, FL​, Hardee County, FL, Hendry County, FL​, Hernando County, FL, Highlands County, FL​, Hillsborough County, FL, Holmes County, FL​, Indian River County, FL, Jackson County, FL​, Jefferson County, FL, Lafayette County, FL​, Lake County, FL, Lee County, FL​, Leon County, FL, Levy County, FL​, Liberty County, FL, Madison County, FL​, Manatee County, FL, Marion County, FL​, Martin County, FL, Miami-Dade County, FL​, Monroe County, FL, Nassau County, FL​, Okaloosa County, FL, Okeechobee County, FL​, Orange County, FL, Osceola County, FL​, Palm Beach County, FL, Pasco County, FL, Pinellas County, FL​, Polk County, FL, Putnam County, FL​, Saint Johns County, FL, Saint Lucie County, FL​, Santa Rosa County, FL, Sarasota County, FL​, Seminole County, FL, Sumter County, FL​, Suwannee County, FL, Taylor County, FL​, Union County, FL, Volusia County, FL​, Wakulla County, FL, Walton County, FL​, and Washington County, FL.

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Counselor@katemageau.com

@Kate.therapist.author

I am a Licensed Mental Health Counselor, LMHC, in Washington state, #LH61597675.

I am registered as an out-of-state Telehealth counselor provider in Florida, #TPIH84: https://flhealthsource.gov/telehealth/

Land Acknowledgment

”I would like to acknowledge that we are on the traditional land of the first people of Seattle, the Duwamish People past and present and honor with gratitude the land itself and the Duwamish Tribe.”

Offering virtual, Telehealth, online ADHD Assessments and Autism Assessments for people in Seattle, Bellingham, Tacoma, Olympia, Spokane, and all over Washington; and Miami, Orlando, Gold Coast, Gulf Coast, First Coast, Tampa, Jacksonville, and throughout Florida. 

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Online therapy for people in Seattle, Bellingham, Tacoma, Olympia, Spokane, and all over Washington; and Miami, Orlando, Gold Coast, Gulf Coast, First Coast, Tampa, Jacksonville, and throughout Florida. Serving the following Washington counties, online: Adams County, WA, Asotin County, WA​, Benton County, WA, Chelan County, WA​, Clallam County, WA, Clark County, WA​, Columbia County, WA, Cowlitz County, WA​, Douglas County, WA, Ferry County, WA​, Franklin County, WA, Garfield County, WA​, Grant County, WA, Grays Harbor County, WA​, Island County, WA, Jefferson County, WA​, King County, WA, Kitsap County, WA​, Kittitas County, WA, Klickitat County, WA​, Lewis County, WA, Lincoln County, WA​, Mason County, WA, Okanogan County, WA​, Pacific County, WA, Pend Oreille County, WA​, Pierce County, WA, San Juan County, WA​, Skagit County, WA, Skamania County, WA​, Snohomish County, WA, Spokane County, WA​, Stevens County, WA, Thurston County, WA​, Wahkiakum County, WA, Walla Walla County, WA​, Whatcom County, WA, Whitman County, WA​, and Yakima County, WA. 
Online therapy for counties in Florida, online: Alachua County, FL​, Baker County, FL, Bay County, FL​, Bradford County, FL, Brevard County, FL​, Broward County, FL, Calhoun County, FL​, Charlotte County, FL, Citrus County, FL​, Clay County, FL, Collier County, FL​, Columbia County, FL, DeSoto County, FL​, Dixie County, FL, Duval County, FL​, Escambia County, FL, Flagler County, FL​, Franklin County, FL, Gadsden County, FL​, Gilchrist County, FL, Glades County, FL​, Gulf County, FL, Hamilton County, FL​, Hardee County, FL, Hendry County, FL​, Hernando County, FL, Highlands County, FL​, Hillsborough County, FL, Holmes County, FL​, Indian River County, FL, Jackson County, FL​, Jefferson County, FL, Lafayette County, FL​, Lake County, FL, Lee County, FL​, Leon County, FL, Levy County, FL​, Liberty County, FL, Madison County, FL​, Manatee County, FL, Marion County, FL​, Martin County, FL, Miami-Dade County, FL​, Monroe County, FL, Nassau County, FL​, Okaloosa County, FL, Okeechobee County, FL​, Orange County, FL, Osceola County, FL​, Palm Beach County, FL, Pasco County, FL, Pinellas County, FL​, Polk County, FL, Putnam County, FL​, Saint Johns County, FL, Saint Lucie County, FL​, Santa Rosa County, FL, Sarasota County, FL​, Seminole County, FL, Sumter County, FL​, Suwannee County, FL, Taylor County, FL​, Union County, FL, Volusia County, FL​, Wakulla County, FL, Walton County, FL​, and Washington County, FL.

© 2026 Kate Mageau

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