Immediate crisis
988 Suicide and Crisis Lifeline by call or text, and Colorado Crisis Services statewide.
Medical disclaimer
What this site is, what it is not, and where to turn if you need help that we are not built to give.
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In crisis right now? Stop and get help. Call or text 988 for the 988 Suicide and Crisis Lifeline, free, any hour. Colorado Crisis Services is available statewide by phone and text and runs walk-in centres. If someone is in immediate danger, call 911. We are a scheduled service and cannot respond to emergencies.
What this is, and what it is not
| This site and service is | It is not |
|---|---|
| General information about assistance animals and Colorado housing law | Medical advice, or a diagnosis |
| A focused clinical evaluation for an ESA or PSD letter | Ongoing therapy, psychiatric care or medication management |
| Documentation of a clinical opinion | A permit, licence, certificate or registration |
| An explanation of how HB26-1045 and C.R.S. § 12-245-229 generally work | Legal advice about your lease, your HOA or your dispute |
| A scheduled, non-urgent service | Emergency or crisis care |
Reading this page does not make you our patient
A provider-patient relationship begins only when a licensed clinician evaluates you in a scheduled consultation, and even then it is limited to that evaluation. This matters more in Colorado than elsewhere, because state law defines what such a relationship requires before an ESA recommendation may be issued.
An animal supports a person; it does not treat a condition
If you are living with anxiety, depression, PTSD or anything else, please also work with a treating provider. Our clinicians will say so during your consultation where it applies. An assistance animal can make daily life more manageable. It is not a substitute for care.
Nobody can promise you an outcome
A clinician may decide you do not meet the criteria, and that judgement is theirs to make. Even with an approved letter, a landlord, HOA, airline, employer or university may still refuse. Colorado law is unusually favourable since August 2026, but favourable is not the same as guaranteed.
On accuracy
Housing and disability rules move quickly. Colorado's own HB26-1045 took effect in August 2026, weeks after HUD moved in the opposite direction, which is a good illustration of how fast a page written last year can become wrong. We update when the law changes and Andrew Patel, LCSW reviews these pages for clinical accuracy. Even so, verify anything that matters against the primary sources linked at the foot of every page, and email support@coloradoesaletter.org if you find an error. A person reads those.
Help we do not provide
Treatment referrals
SAMHSA's National Helpline, free and confidential, around the clock.
Ongoing care in Colorado
Your primary care provider, your health plan's behavioural health directory, or the Behavioral Health Administration.
Housing discrimination
The Colorado Civil Rights Division, which enforces the Anti-Discrimination Act.
Official sources for this page
Nothing legal on this page is asserted without a source behind it. Open them and read the originals rather than taking our summary on trust.
- 988 Suicide and Crisis LifelineFree, confidential crisis support 24 hours a day, by call or text.
- Colorado Crisis ServicesStatewide crisis line, text service and walk-in centres for Colorado residents.
- SAMHSA National HelplineFree, confidential treatment referral and information, around the clock.
- Colorado Behavioral Health AdministrationState behavioural health services and local provider directories.
- National Institute of Mental Health — Health TopicsGovernment-published information on the conditions our clinicians assess.
- HHS Telehealth — Information for patientsWhat telehealth can and cannot do.
- Colorado Civil Rights DivisionThe route for a housing discrimination complaint in Colorado.