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

Terms & Conditions

Please read these terms carefully. By using our website and services, you agree to them.

HIPAA-Compliant Licensed in Texas ~15-min decision
Clear, Fair Terms Plain Language No Surprises
HIPAA-Compliant & Secure
Board-Certified Physician
4.9/5 from 1,200+ reviews
Decision in ~15 minutes

Last updated: January 2, 2026

These Terms & Conditions (“Terms”) govern your use of texasesaletteronline.com and the services offered by Texas ESA Letter Online. By accessing our site or booking an evaluation, you agree to be bound by these Terms.

Our Services

We connect Texas residents with independent, state-licensed mental health professionals who may, at their sole professional discretion, issue emotional support animal (ESA) or psychiatric service dog (PSD) letters following a clinical evaluation.

No guaranteed outcome. Booking an evaluation does not guarantee that you will receive a letter. Each clinician makes an independent determination based on their professional judgment.

Eligibility

You must be at least 18 years old and a resident of Texas to use our services. You agree to provide accurate, complete and truthful information during your evaluation. Providing false information may result in denial without refund.

Payments

Fees are described on our Pricing page and are due at the time of booking. All prices are in U.S. dollars. Payment is for the clinical evaluation and letter preparation, not for a guaranteed letter.

Refund Policy

Because our service involves a professional clinical evaluation, fees are generally non-refundable once your evaluation has taken place. If you believe there has been a billing error, contact us and we will review your request in good faith. Fees are not refundable once a letter has been issued, or where false information was provided.

Client Responsibilities

Intellectual Property

All content on this website, including text, graphics, logos and design, is owned by or licensed to Texas ESA Letter Online and may not be reproduced without permission.

Limitation of Liability

To the fullest extent permitted by law, Texas ESA Letter Online is not liable for indirect, incidental or consequential damages arising from your use of our services, including decisions made by third parties regarding any letter you receive.

Disclaimer

Our website provides general information only and does not constitute medical, legal or professional advice. Please review our Medical Disclaimer.

Governing Law

These Terms are governed by the laws of the State of Texas, without regard to conflict-of-law principles.

Changes to These Terms

We may revise these Terms at any time. Continued use of our services after changes constitutes acceptance of the updated Terms.

Contact

Questions? Email 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.

★★★★★

“After a deployment, having my ESA formally recognized helped me settle back home. Grateful for the support.”

BK
Brady K.League City, TX
★★★★★

“Everything was digital and stress-free. The letter arrived exactly when they said it would.”

SC
Simone C.Pearland, TX
★★★★★

“They answered every question before I paid anything. That kind of transparency is rare these days.”

EM
Everett M.Baytown, TX
★★★★★

“My cat has been my anchor through a hard year, and now she's protected at home too. Thank you.”

LG
Lucia G.Edinburg, TX
★★★★★

“Professional and genuinely caring. The clinician made a tough conversation feel surprisingly easy.”

PH
Preston H.Bryan, TX
★★★★★

“The multi-pet plan was perfect for my two dogs. Fair price and zero hassle from start to finish.”

TN
Tara N.Mansfield, TX
FAQ

Frequently asked questions

Quick, clear answers to the questions we hear most.

Who can use your services?

You must be at least 18 years old and a Texas resident, and you agree to provide accurate, truthful information during your evaluation.

Does booking guarantee a letter?

No. Booking an evaluation does not guarantee a letter. Each clinician makes an independent determination based on professional judgment.

When am I charged?

Fees are described on our pricing page and are due at the time of booking for the clinical evaluation and letter preparation.

What is your refund approach?

Because our service involves a professional evaluation, fees are generally non-refundable once your evaluation has taken place. Contact us about any billing concern and we will review it in good faith.

How may I use my letter?

You agree to use any letter you receive lawfully and honestly, and not to misrepresent your animal's status or your health condition.

Who owns the website content?

All content on this website is owned by or licensed to Texas ESA Letter Online and may not be reproduced without permission.

Which law governs these terms?

These terms are governed by the laws of the State of Texas, without regard to conflict-of-law principles.

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