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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.

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.

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.

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

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.

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.

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

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.

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

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.