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About Our Practice

Understanding Texas ESA Letters

We connect you with a licensed Texas doctor for real, caring ESA and PSD letters — honest, private, and fully online.

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HIPAA-Compliant Licensed in Texas ~15-min decision
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4.9/5 from 1,200+ reviews
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Our Story

Built to do things the right way

We started Texas ESA Letter Online after seeing too many people pay for meaningless certificates and fake registries that offer no real legal protection. Our founders believed Texans deserved something better: a real evaluation by a real licensed professional.

Today we connect residents across Texas with a dedicated team of state-licensed mental health providers. Explore our transparent pricing, read client reviews, or book an evaluation whenever you're ready.

12k+
Texans supported
4.9★
Average rating
MD
Board-certified
~15m
Approval decision
Why Choose Us

Why people trust us

We're not a letter mill. One real doctor, honest evaluations, and no games.

A real Texas doctor

Dr. Miller does every evaluation himself. He's a licensed Texas doctor, not a call center.

Private and secure

Your info is encrypted and kept safe under HIPAA rules.

Fast letters

If you're approved, your letter is issued within 10 minutes of your visit.

Letters that hold up

Your letter is written to meet Fair Housing Act and ADA standards.

Honest answers

The doctor gives you a real yes or no. We never promise an outcome.

All online

Do it all from home. No clinics, no commute, no waiting room.

How It Works

How it works

Four easy steps. No stress, no judgment.

1

Answer a few questions

Fill out a short, private questionnaire online. It takes about five minutes.

2

Meet your doctor

Talk with a licensed Texas doctor over secure video.

3

Get your answer

The doctor reviews your case and gives you an honest yes or no.

4

Get your letter

If you're approved, your signed letter is issued within 10 minutes.

Meet Your Doctor

Meet your doctor

A real, licensed doctor does your evaluation in person over video — no call centers, no rubber stamps. You get an honest answer every time.

Dr. Johnathan Chance Miller, MD Verified & Licensed

Dr. Johnathan Chance Miller, MD

Licensed Physician

Dr. Johnathan Chance Miller is a licensed doctor who helps people live healthier, longer lives. He pairs strong medical training with a practical, whole-person approach to care.

He earned his medical degree from Columbia University in New York City and finished his residency at Washington University in St. Louis — two of the top medical schools in the country.

A former college athlete and rugby captain, he knows how much nutrition and daily habits matter. He listens, keeps an open mind, and looks for the real cause instead of quick fixes.

License VerificationTexas Medical Board →
Session FeeStarts from$129
Here's what you get
  • A live video visit with Dr. Miller
  • Your signed ESA or PSD letter for Texas, if you qualify
  • License number on official letterhead
  • Free help if your landlord needs to verify it
  • Letter issued within 10 minutes of your evaluation
  • No charge if you don't qualify

If the doctor finds you don't qualify for an ESA or PSD letter, you pay nothing for the visit.

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Your Benefits

What your letter does for you

Real protections that keep you and your animal together.

Live in no-pet housing

With a valid ESA letter, most landlords and HOAs must let your animal stay under the Fair Housing Act.

Skip pet fees and deposits

An ESA isn't a pet by law, so landlords usually can't charge pet rent or deposits.

No breed or size limits

Breed bans and weight limits usually don't apply to a qualifying ESA.

Fly with your service dog

A psychiatric service dog can go in public places and fly in the cabin under ADA and DOT rules.

Client Stories

Why clients keep referring us

Our reputation is built one honest evaluation at a time.

★★★★★

“My landlord accepted the letter without any pushback at all. The whole experience felt legitimate and reassuring from start to finish.”

OP
Olivia P.Plano, TX
★★★★★

“The video visit felt like talking to a real doctor, because it was. Thoughtful questions and a decision I could actually trust.”

DR
Daniel R.Arlington, TX
★★★★★

“After months of anxiety I finally feel supported and understood. The clinician treated me with real compassion.”

SG
Sofia G.Irving, TX
★★★★★

“Clear steps, a quick reply, and a letter that actually holds up. Exactly what I hoped for and nothing I didn't.”

EB
Ethan B.Frisco, TX
★★★★★

“They refunded a friend who didn't qualify, no hassle. That kind of honesty is what sold me on booking my own evaluation.”

GH
Grace H.McKinney, TX
★★★★★

“Professional from start to finish. Every question I had was answered patiently and clearly before I paid anything.”

NC
Nathan C.Waco, TX
FAQ

Frequently asked questions

Quick, clear answers to the questions we hear most.

What is a Texas ESA letter and who can issue one?

A Texas ESA letter is a signed note from a licensed professional saying your animal helps with a mental or emotional health condition. In Texas, only a licensed provider — like a doctor, psychologist, therapist, or counselor — can issue a real one.

Is an ESA the same as a psychiatric service dog?

No. An emotional support animal helps just by being with you and is mainly protected in housing. A psychiatric service dog is trained to do specific tasks and gets full public-access rights under the ADA, including flying in the cabin.

How do I get a Texas ESA letter online, and how long does it take?

You fill out a short, private questionnaire, then meet a licensed Texas doctor over video. If you're approved, your signed Texas ESA letter is issued within 10 minutes of your evaluation.

What if I don't qualify?

Dr. Miller gives you an honest answer. If you're not approved, he'll tell you why. We never promise a result up front.

Can my landlord reject a valid Texas ESA letter?

Under the Fair Housing Act, most landlords must allow a qualifying ESA, with a few narrow exceptions. Your landlord can check that your Texas ESA letter comes from a licensed provider, and we're glad to help you sort it out.

What conditions can qualify for an ESA or PSD?

Things like anxiety, depression, PTSD, and panic disorder may qualify if a licensed doctor decides an animal really helps you. The only way to know for sure is a private evaluation.

Do you offer landlord verification support?

Yes. If your landlord calls or sends a form, we handle the verification for free so things go smoothly.

Which animals can be an emotional support animal?

Most animals can be an ESA — dogs, cats, rabbits, birds, and more. A psychiatric service dog has to be a dog, since it's trained to do specific tasks.

Is my information kept private?

Yes. Your visit is private and protected under HIPAA. Your landlord never sees your diagnosis — only that you need the accommodation.

How do I renew my Texas ESA letter?

A Texas ESA letter is usually good for one year. When yours is about to expire, you can do a quick renewal visit with a licensed Texas doctor to keep it current.

Ready to meet your clinician?

Start a confidential evaluation with a licensed Texas professional today.

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