Rated 4.9/5 by 1,200+ Texans · Licensed & HIPAA-secure ESA & PSD letters Start your evaluation →
Transparent Pricing

Simple, honest pricing.

Clear prices for ESA and PSD letters, with no hidden charges. If you qualify, your letter is issued within 10 minutes of your visit — and if you don't, you pay nothing.

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HIPAA-Compliant Licensed in Texas ~15-min decision
Transparent Pricing $129 Starting $0 Hidden fees
HIPAA-Compliant & Secure
Board-Certified Physician
4.9/5 from 1,200+ reviews
Decision in ~15 minutes
Pricing

Pick your letter

Clear, upfront prices. Your letter is issued within 10 minutes after the doctor's evaluation. If you don't qualify, you don't pay.

Up to 2 pets

ESA Letter

$129

Housing & rental protection · up to 2 pets

  • Live video visit with a licensed Texas doctor
  • Covers up to 2 emotional support animals
  • Signed letter with license number on official letterhead
  • Meets the Fair Housing Act
  • Waives no-pet rules, pet rent & deposits
  • Free landlord verification help
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3+ pets

ESA Letter

$199

Housing & rental protection · 3 or more pets

  • Everything in the ESA Letter
  • Covers 3 or more emotional support animals
  • One visit, one letter for the whole crew
  • Free landlord verification help
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Most Popular Up to 2 pets

PSD Letter

$149

Full ADA public access (dogs) · up to 2 pets

  • Full psychiatric service dog evaluation
  • ADA public-access rights for task-trained dogs
  • Covers up to 2 psychiatric service dogs
  • Works for housing & DOT air-travel forms
  • Guidance on PSD task-training
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Up to 3 pets

PSD Letter

$229

Full ADA public access (dogs) · up to 3 pets

  • Everything in the PSD Letter
  • Covers up to 3 psychiatric service dogs
  • Housing & DOT air-travel documents
  • Verification support included
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Every plan includes a real visit with Dr. Miller. Approval always depends on your evaluation. Read client reviews or book now.

ESA vs PSD

Which letter do you need?

An ESA letter protects your housing. A PSD letter adds full public-access rights for trained service dogs.

FeatureESA LetterPSD Letter
Protects housing & rentals✓ Yes✓ Yes
Public access (stores, venues)– Not covered✓ Yes (dogs)
Cabin air travel– Not covered✓ Yes (dogs)
Eligible animalsMost animalsDogs only
Pets coveredUp to 3Up to 3
Letter issued10 min after visit10 min after visit
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

Value clients feel good about

Fair pricing, real clinicians and results Texans are happy to talk about.

★★★★★

“My emotional support cat can finally stay with me at home. I can't describe how much peace of mind that brought me.”

IM
Isabella M.Denton, TX
★★★★★

“The PSD documentation made air travel with my dog so much easier. The guidance on what to expect was invaluable.”

RS
Ryan S.Round Rock, TX
★★★★★

“Kind, confidential and genuinely helpful. I felt cared for the entire time and would recommend them to anyone.”

MD
Maya D.Tyler, TX
★★★★★

“No gimmicks and no fake registry, just a real evaluation with a licensed professional. Refreshingly honest.”

CL
Christopher L.Lubbock, TX
★★★★★

“The clinician took time to understand me before making any decision. I never felt rushed or processed.”

AN
Ava N.Killeen, TX
★★★★★

“Smooth scheduling and a letter I could trust for my apartment. The support team was responsive and warm.”

JF
Jordan F.Midland, TX
Pricing FAQ

Good to know before you pay

Clear answers about plans, fees and delivery.

How much does a Texas ESA or PSD letter cost?

Pricing starts from $129 and covers your full evaluation with Dr. Miller and, if you qualify, your official ESA or PSD letter for Texas. Airline documentation is an optional add-on for $60. If you are not deemed eligible, there is no charge for the visit.

Are there any tiers or subscriptions?

No. There are no subscriptions or recurring charges — just a one-off session fee that starts from $129. The only optional add-on is airline documentation for $60.

Can one letter cover more than one animal?

Yes. Your evaluation includes guidance for multiple animals when medically appropriate, at no additional letter cost.

What is the difference between an ESA and a PSD letter?

An ESA letter supports your right to live with your animal under the Fair Housing Act. A PSD letter documents a trained psychiatric service dog and supports full public-access rights under the ADA, including cabin air travel.

Are there any hidden fees?

No. Your session fee (starting from $129) is the price you pay, aside from the optional $60 airline-documentation add-on. Landlord verification support is included at no extra cost.

What if I am not approved?

Dr. Miller makes honest, independent decisions. If you do not qualify, he will explain why, and there is no charge for the visit. We never promise an outcome before your evaluation.

How will I receive my letter?

Your signed letter is emailed as a PDF, issued within 10 minutes of your evaluation once Dr. Miller approves it.

Do you offer discounted renewals?

Yes. Returning clients can renew at a reduced rate when their letter approaches its one-year expiry, after a brief re-evaluation.

Which payment methods do you accept?

We accept all major credit and debit cards through a secure, encrypted checkout. Your payment details are never stored on our servers.

Ready to get started?

Book your confidential evaluation with a licensed Texas clinician today.

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