This is an evolving issue and please see VA VHA Directive 1188 (https://www.boise.va.gov/docs/Service_Animal_Policy.pdf) or posted in Resources for specifics of service dogs in VA facilities. An emotional support dog is not considered a service animal. This policy is reviewed routinely as the potential for good is clear, but so is the potential for uncertified and unauthorized animals into a medical facility where have been situations of animals being overly aggressive with certified and professionally trained service dogs.