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

Medical Disclaimer

The information on this website is for general education and is not a substitute for professional care.

Start My Evaluation View Pricing
HIPAA-Compliant Licensed in Texas ~15-min decision
Medical Disclaimer Education Only Not Advice
HIPAA-Compliant & Secure
Board-Certified Physician
4.9/5 from 1,200+ reviews
Decision in ~15 minutes

Last updated: January 2, 2026

The content provided on texasesaletteronline.com is intended for general informational and educational purposes only. It is not medical advice and should not be relied upon as a substitute for consultation with a qualified healthcare provider.

Not medical advice. Reading this website does not create a clinician–patient relationship. A relationship is established only when you complete an evaluation with a licensed clinician.

No Guarantee of Diagnosis or Letter

We do not diagnose conditions through our website, and we do not guarantee that any individual will qualify for an emotional support animal or psychiatric service dog letter. Eligibility is determined solely by a licensed clinician after a genuine evaluation.

Individual Results Vary

Mental health needs are highly individual. Information that applies to one person may not apply to another. Always seek the advice of your physician or another qualified provider with any questions about a medical condition.

Emergencies

Our services are not for use in medical emergencies. If you are experiencing a crisis or thinking about harming yourself, call 988 (the Suicide & Crisis Lifeline) or 911 immediately, or go to your nearest emergency room.

Legal Information Is Not Legal Advice

References to laws such as the Fair Housing Act or the Americans with Disabilities Act are provided for general understanding only and do not constitute legal advice. Laws and their interpretation can change. Consult a qualified attorney for guidance specific to your situation.

External Links

Our website may link to third-party resources. We are not responsible for the accuracy or content of external sites.

Contact

If you have questions about this disclaimer, contact 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.

★★★★★

“I was skeptical at first, but the evaluation was thorough and real. Completely legitimate service.”

DV
Dominic V.Euless, TX
★★★★★

“Kind, quick and private. My apartment waived the pet fee within a day of getting my letter.”

KB
Kaylee B.Grapevine, TX
★★★★★

“They were upfront that approval depended on my evaluation, which is exactly why I trusted them.”

MP
Marshall P.Rowlett, TX
★★★★★

“The whole thing took one afternoon and felt genuinely supportive. I couldn't recommend them more.”

IS
Ingrid S.Conroe, TX
★★★★★

“My PSD letter made flying with my dog stress-free. The travel guidance they included was so helpful.”

XD
Xavier D.Victoria, TX
★★★★★

“Compassionate care and a fair, flat price. Finally a service that treats people like people.”

BA
Bridget A.San Angelo, TX
FAQ

Frequently asked questions

Quick, clear answers to the questions we hear most.

Is the information on this site medical advice?

No. Our content is for general education only and is not a substitute for consultation with a qualified healthcare provider.

Does reading this site create a clinician relationship?

No. A clinician-patient relationship is established only when you complete an evaluation with a licensed clinician.

Do you diagnose conditions through the website?

No. We do not diagnose conditions online, and we do not guarantee that any individual will qualify for a letter.

What should I do in an emergency?

Our services are not for emergencies. If you are in crisis or thinking about harming yourself, call or text 988, or dial 911 immediately.

Is your legal information legal advice?

No. References to laws such as the Fair Housing Act or the ADA are general information only. Consult a qualified attorney for advice about your situation.

Do individual results vary?

Yes. Mental-health needs are highly individual, and information that applies to one person may not apply to another.

Who reviews your health content?

Health-related content is reviewed for accuracy by or in consultation with licensed mental-health professionals on our team.

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