Our ESA/PSA ID cards help reduce questions and add extra legitimacy to your ESA letter combo pack.  This card helps you assert your rights.  YOU MUST BE AN EXISTING PATIENT TO ORDER THIS ID CARD (REQUIRES ESA COMBO LETTER PURCHASE) Features: Hologram security watermarks on the front and back of the card High quality thick plastic card manufacturing Credit card size for easy insertion into a wallet Complete customization for you your pet, yourself, and one of our doctors that represents you. A registration # for confirmation at our toll free number Note: Any references to ADA are only added to the card IF your dog is trained to assist with a physical limitation, otherwise an PSA template is used.