Confirmation email
Your appointment time and the video visit link arrive immediately. Check spam if it has not landed in five minutes.
ImmediatelyHome / Book appointment
Book an appointment
Pick a time with a Texas-licensed clinician below. Most appointments are available within one to three business days, including some evenings and Saturdays.
Typical availability
Rescheduling is free with 12 hours’ notice.
Choose any open slot with a licensed Texas clinician. You are charged only once the appointment is confirmed, and refunded in full if the clinician does not approve — see pricing and plans.
After you book
Four things, in this order. Nothing else is required of you.
Your appointment time and the video visit link arrive immediately. Check spam if it has not landed in five minutes.
ImmediatelyWe confirm you are located in Texas and route your file to a clinician whose scope fits what you need.
Same business dayTwenty to thirty minutes with a licensed clinician who decides independently whether an ESA is clinically appropriate.
Your chosen slotApproved letters are emailed the same day on clinician letterhead. Not approved means a full refund, no argument.
Same day as your visitIf your property manager, HOA board, or university disability services office has given you an accommodation form or a portal link, forward it after booking. Letters that answer the property's own questions get approved faster.
A licensed clinician's assessment, the signed letter if approved, landlord and HOA verification for twelve months, and free re-issue if you move. Pricing starts at $129 for up to two pets — see the full breakdown.
This service does not provide urgent or crisis care and messages are not monitored around the clock. Call or text 988 for the Suicide and Crisis Lifeline, or call 911 if someone is in immediate danger.
Booking questions
You receive an email confirmation with your appointment time and a link to join the video visit. A coordinator reviews your details the same business day and will contact you if anything is missing before the appointment.
Payment is handled at the time your appointment is confirmed, not when you first land on this page. If the clinician does not approve an accommodation after the assessment, you are refunded in full.
A private space, a phone or laptop with a working camera, and about 30 minutes. If your landlord, HOA, or university has sent you an accommodation form or portal link, have it handy so the clinician can complete their section directly.
Yes. Reschedule at no cost with at least 12 hours' notice using the link in your confirmation email. Missing a confirmed appointment without notice means a $35 clinician reservation charge, waived once for genuine emergencies.
Yes. Our clinicians are licensed in Texas and may only assess patients located in Texas at the time of the appointment. If you are moving to Texas, book once you have a Texas address.
Want the longer version first? Read how booking works, or email hello@texasesapetletter.org and a coordinator will tell you whether we can help before you book anything.
⚡ Texas-licensed clinicians, same-week appointments.
Book appointment now