Online ESA Letter in New York

Emotional Support Pets

Emotional Support Animal Letter Online Application
To apply for an Emotional Support Animal letter please complete this online medical form.
Step 1 of 3

Patient Information

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ESA Pet Information

PHYSICIAN-PATIENT ARBITRATION AGREEMENT

AGREEMENT TO ARBITRATE: It is understood that any dispute as to medical malpractice, that is as to whether any medical service rendered under this contract were unnecessary or unauthorized or were improperly, negligently, or incompetently rendered, will be determined by the submission to arbitration as provided by Florida Law, and not by a lawsuit or resort to court process except as Florida law provides for judicial review of arbitration proceedings. Both parties to this contract, by entering into it, are giving up their constitutional right to have any dispute decided in a court of law before a jury, and instead, are accepting the use of arbitration.
I hereby acknowledge and agree that I will be responsible to the doctor for payment of entire bill.

Online Emotional Support Animal Letter Mango Clinic

WORKING HOURS


MONDAY
10:00 AM – 6:00 PM
TUESDAY
10:00 AM – 6:00 PM
WEDNESDAY
10:00 AM – 6:00 PM
THURSDAY
10:00 AM – 6:00 PM
FRIDAY
10:00 AM – 6:00 PM
SATURDAY
10:00 AM – 6:00 PM
SUNDAY
10:00 AM – 6:00 PM


CONTACT INFO


(305)776-2898

info@mangoclinic.com

Mango Clinic. All rights reserved.