“They were upfront that this is one assessment and not ongoing care, then referred me to a therapist for the rest.”
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Texas ESA Registration Medical Disclaimer
What our clinicians do, what they do not do, and when you need a different kind of care instead.
Know the limits
What this is not
- Not crisis or emergency care
- Not ongoing psychotherapy
- No prescriptions of any kind
- Not legal advice
- Not a guarantee of approval
If you are in crisis, call or text 988 rather than booking.
Last updated: July 1, 2026
If you are in crisis, do not use this website
This service does not provide emergency, urgent, or crisis care, and messages are not monitored around the clock. If you are thinking about harming yourself or someone else, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. If you are experiencing a medical emergency, go to the nearest emergency department.
Scope of the assessment
A clinician working with Texas ESA Registration conducts a focused telehealth assessment for a specific purpose: determining whether you have a disability-related need for an assistance animal and, if so, documenting that need in a form housing providers can evaluate. The assessment includes a review of your intake, a clinical interview, and a professional determination. It is genuine clinical work, and it is narrow by design.
This is not ongoing treatment
A single assessment is not:
- Psychotherapy or medication management
- A comprehensive psychiatric evaluation
- A treatment plan for a chronic condition
- A continuing treatment relationship — your clinician is not your primary mental health provider unless you separately arrange care
If your symptoms warrant ongoing care, and for many people they do, your clinician will say so and can refer you to providers, community mental health centers, or sliding-scale clinics near you.
An assistance animal is a support, not a substitute for treatment. We say this plainly because some marketing in this industry implies otherwise.
No prescriptions and no controlled substances
Our clinicians do not prescribe medication through this service, do not refill prescriptions, and do not issue controlled substance prescriptions. Requests for medication will be redirected to an appropriate provider.
Website content is not medical or legal advice
The guides describe the Fair Housing Act, the ADA, DOT regulations, and Texas law in general terms, as of the date shown on each page. Laws and agency guidance change, and how they apply depends on facts we do not know about your situation.
Nothing here is medical advice, legal advice, or a substitute for consulting a qualified professional about your own circumstances. Reading this site creates no clinician-patient or attorney-client relationship.
Telehealth limitations
Telehealth has real advantages and real limits. A clinician cannot perform a physical examination, may miss what an in-person visit would reveal, and depends on the accuracy of what you report. Technology can also fail mid-appointment.
If a clinician concludes telehealth is not appropriate for your situation, they will say so and you will be refunded. By proceeding you consent to telehealth assessment and confirm you will be physically located in Texas during the appointment.
No guaranteed outcome
Approval is not guaranteed, and anyone who tells you otherwise is not being straight with you. Two separate decisions are involved:
- Your clinician may determine that documentation is not clinically appropriate.
- A landlord, HOA, university, employer, or airline then makes its own decision under its own process, which no clinician controls.
What we do guarantee is a real assessment and a refund if the clinician does not approve.
Animal care, behavior, and liability
You are solely responsible for your animal's health, vaccinations, licensing, training, supervision, and behaviour, and for any injury or property damage it causes.
An accommodation letter does not certify that an animal is well behaved, safe, or trained, and it does not shield you from liability. Housing providers may lawfully act on evidence that a specific animal poses a direct threat or has caused substantial damage.
Keep veterinary records current. You will likely be asked for them.
Questions about this document? Email hello@texasesapetletter.org. We answer policy questions in writing so you have a record.
Client experiences
What clients say
“The crisis line was displayed clearly. I did not expect a website to handle that part responsibly.”
“An animal is a support and not a treatment plan. They said so out loud, which I respected.”
“I wanted a prescription as well and had to go elsewhere for it, but they explained that at the start.”
Questions before you commit?
Every policy on this page applies from the moment you book, and a coordinator will walk you through any of it in writing first.