Rated 4.9/5 by 1,200+ Texans · Licensed & HIPAA-secure ESA & PSD letters Start your evaluation →
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Contact our Texas team.

Questions about eligibility, pricing or your rights? Our Texas-based support team is glad to guide you before and after your evaluation.

HIPAA-Compliant Licensed in Texas ~15-min decision
We're Here to Help <1 day Reply time TX Based support
HIPAA-Compliant & Secure
Board-Certified Physician
4.9/5 from 1,200+ reviews
Decision in ~15 minutes

Email us

support@texasesaletteronline.com

We reply within one business day

Support hours

Monday to Friday: 9am – 6pm CT

Saturday: 10am – 2pm CT

Service area

Serving residents across Texas

100% remote — no office visits

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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.

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.

Book an Appointment
Client Stories

Trusted by clients like you

A few words from Texans who reached out and never looked back.

★★★★★

“The clinician explained exactly what my ESA letter does and doesn't do. That honesty meant a lot to me.”

DR
Devin R.Abilene, TX
★★★★★

“As a college student, affordable and legit was everything. My dorm accepted the letter without a single issue.”

SM
Sasha M.San Marcos, TX
★★★★★

“They covered both of my support animals in one evaluation. Simple, fair and genuinely kind throughout.”

OF
Omar F.Mission, TX
★★★★★

“My anxiety had kept me from asking for help for years. The team made it feel completely safe to finally do it.”

WB
Whitney B.Temple, TX
★★★★★

“Booked in the morning, approved by evening. Fast without ever feeling like a factory.”

CS
Caleb S.Longview, TX
★★★★★

“The Spanish-friendly support made the whole process comfortable for my family. Truly thoughtful people.”

PA
Priscilla A.Harlingen, 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.

Prefer to just get started?

Book a confidential evaluation online in minutes with a licensed Texas clinician.

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HIPAA-Compliant Licensed Texas physician 4.9/5 from 1,200+ reviews
100% legitimate ESA & PSD letters — licensed Texas providers. Approval decision in as little as 15 minutes. Book an Appointment