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

HIPAA Compliance

Protecting your health information isn't just a policy for us — it's a promise.

Start My Evaluation View Pricing
HIPAA-Compliant Licensed in Texas ~15-min decision
HIPAA Compliance PHI Protected Secure Systems
HIPAA-Compliant & Secure
Board-Certified Physician
4.9/5 from 1,200+ reviews
Decision in ~15 minutes

Last updated: January 2, 2026

At Texas ESA Letter Online, we take the privacy and security of your protected health information (PHI) seriously. We align our practices with the standards set by the Health Insurance Portability and Accountability Act (HIPAA) to keep your sensitive information confidential and secure. For a full overview of the data we collect, see our Privacy Policy.

What HIPAA Means for You

HIPAA is a federal law that establishes national standards for protecting individuals' medical records and other personal health information. It gives you rights over your health information and sets rules and limits on who can view and receive it.

Any information you share during a clinical evaluation — including questionnaire responses and details discussed with your clinician — is treated as protected health information.

How We Protect Your Information

Your Rights Under HIPAA

You generally have the right to:

When We May Disclose Information

We disclose PHI only as permitted or required by law — for example, to provide your evaluation, for payment and operations, or when legally compelled. We do not sell your health information.

Filing a Concern

If you believe your privacy rights have been violated, you may contact us directly or file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will never retaliate against you for filing a complaint.

Contact

To exercise your rights or ask a question, email our privacy contact at support@texasesaletteronline.com.

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 Texans statewide

Real feedback from clients who chose our licensed, ethical service.

★★★★★

“Simple process, real clinician, honest outcome. Everything I wish other services actually were.”

RT
Roman T.Texarkana, TX
★★★★★

“They helped me understand my housing rights clearly. I walked away feeling informed and confident.”

DM
Delia M.Del Rio, TX
★★★★★

“Quick turnaround and a letter my landlord accepted immediately. Smooth from the first click.”

FO
Franklin O.Huntsville, TX
★★★★★

“The clinician's kindness put me at ease right away. I felt heard and genuinely cared for.”

NR
Noelle R.Rockwall, TX
★★★★★

“Transparent pricing and no pressure at all. I picked the plan that fit and never looked back.”

GW
Grant W.Friendswood, TX
★★★★★

“My emotional support animal is officially recognized now, and it means the world to me.”

SC
Selena C.Weslaco, TX
FAQ

Frequently asked questions

Quick, clear answers to the questions we hear most.

What is HIPAA?

HIPAA is a federal law that sets national standards for protecting medical records and other personal health information, giving you rights over your data.

What counts as protected health information here?

Any information you share during a clinical evaluation — including questionnaire responses and details discussed with your clinician — is treated as protected health information.

How do you safeguard my data?

We use encryption in transit, strict access controls, secure platforms, business-associate safeguards and staff training to protect your information.

What are my rights under HIPAA?

You generally have the right to access your records, request corrections, receive an accounting of certain disclosures, request restrictions, and be notified of a breach.

When can you disclose my information?

We disclose protected health information only as permitted or required by law, such as to provide your evaluation, for payment and operations, or when legally compelled.

Do you sell health information?

No. We never sell your health information to anyone.

How do I raise a privacy concern?

You can contact our privacy team directly, or file a complaint with the U.S. Department of Health and Human Services. We never retaliate for good-faith complaints.

Have questions? We're here to help.

Reach our Texas support team, or start a confidential evaluation with a licensed clinician.

Book My Appointment
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