- ESA letters
- PSD letters
- Clinical evaluations
Andrew Patel, MD
Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.
Meet with a licensed mental health professional by secure telehealth. If a psychiatric service dog is part of your care, you receive a signed PSD letter documenting your disability-related need — ready for housing and workplace accommodation requests.
Psychiatric service dogs are protected by federal law in all 50 states, and Texas law may add further protections. Here is where a letter actually helps.
Under the Fair Housing Act, Texas landlords, HOAs, and property managers must reasonably accommodate your PSD — including in no-pet buildings — without pet rent or deposits. When your disability isn't obvious, they may ask for reliable documentation. Your letter is that documentation.
Bringing a service dog to work is a reasonable accommodation request under the ADA. Employers may ask for documentation of your disability and need, and a clinician's letter supports that conversation with HR.
Stores, restaurants, and hotels in Texas can't demand paperwork for a service dog. Access depends on your dog being task-trained and under control, so no letter is needed at the door.
Airlines accept trained psychiatric service dogs in the cabin and may ask you to complete the DOT Service Animal Air Transportation Form. Emotional support animals no longer qualify.
Two things must be true: you have a mental health condition that substantially limits a major life activity, and your dog is trained to perform specific tasks that help with it.
Hypervigilance, flashbacks, nightmares
Panic attacks, severe generalized anxiety
Major depressive disorder, persistent depression
Bipolar disorder, OCD, and more
Comfort alone isn't a task — that describes an emotional support animal. Tasks look like this:
Real evaluation, not a rubber stamp — and you only pay if you're approved.
Answer a short confidential questionnaire about your symptoms, history, and your dog's tasks.
A licensed mental health professional evaluates you by secure video or phone and decides whether a psychiatric service dog is appropriate.
If approved, you pay and receive your letter by secure email within about 10 minutes — print-ready PDF with your clinician's license details.
Same price in every state. Free to book, and you only pay after the clinician approves your letter.
Emotional support animal · up to 2 pets
Emotional support animal · 3 or more pets
Psychiatric service dog · up to 2 dogs
Psychiatric service dog · up to 3 dogs
Not sure which you need? If your animal isn't trained to perform tasks, an ESA letter in Texas is usually the right fit.
| Psychiatric Service Dog | Emotional Support Animal | |
|---|---|---|
| Animal | Dogs only | Any common household animal |
| Training | Individually trained to perform tasks | No task training required |
| Housing (FHA) | Protected | Protected |
| Stores & restaurants (ADA) | Protected | Not protected |
| Airline cabin | Yes, with DOT form | No — treated as a pet |
| HealifyNow price | $149 (up to 2 dogs) | $129 (up to 2 pets) |
Telehealth means the same care in every county and ZIP code — from Houston and San Antonio to rural Texas.
Be wary of sites selling instant "certifications," ID cards, or registry numbers — none are legally required, and none replace a real evaluation or real training. Many states penalize misrepresenting a pet as a service animal. A legitimate letter comes from a licensed clinician who actually evaluated you.
After your evaluation, your letter is reviewed and signed by one of our letter clinicians.
Reviews each evaluation and issues HealifyNow's emotional support animal and psychiatric service dog letters.
Conducts mental health evaluations and issues HealifyNow's emotional support animal and psychiatric service dog letters.
HealifyNow's medical care is overseen by independently licensed U.S. physicians. PSD evaluations are performed by licensed mental health professionals.

A board-certified physician who brings a rigorous, pharmacology-driven lens to longevity medicine and weight management.

A Columbia-trained physician and former collegiate athlete focused on metabolic function, body composition, and healthspan.

A board-certified OB-GYN and ACOG Fellow with more than four decades of experience in women's health.
Yes — when it comes from a licensed mental health professional after a real evaluation. HealifyNow matches you with a licensed clinician who assesses whether you have a mental health disability and whether a task-trained service dog helps with it. If you don't qualify, no letter is issued and you aren't charged.
Under the federal Fair Housing Act, housing providers in Texas must make reasonable accommodations for assistance animals, including psychiatric service dogs, even in "no pets" buildings — and they can't charge pet rent or pet deposits for them. A landlord can deny a specific animal only for narrow reasons, such as a direct threat to others' safety or substantial property damage that can't be reduced. You remain responsible for any damage your dog causes.
No. Under the ADA, businesses in Texas can't require documentation, ID, or certification for a service dog. Staff may ask only two questions: whether the dog is required because of a disability, and what work or task it has been trained to perform. Your dog's public-access rights come from its training and behavior, not from a letter. A PSD letter is most useful for housing and workplace accommodation requests.
Yes. Under the Department of Transportation's rules, airlines treat psychiatric service dogs like any other trained service dog. Airlines may require the DOT Service Animal Air Transportation Form, where you attest to your dog's health, training, and behavior. Emotional support animals no longer qualify — only trained service dogs.
No official registry or certification exists under federal law, and online "registrations" have no legal weight. Your dog must be individually trained to perform tasks related to your disability and behave in public, but you can train it yourself. Rules for service dogs still in training are set by state law, so check Texas's rules if your dog isn't fully trained yet.
Booking is free. A PSD letter is $149 for up to 2 dogs or $229 for up to 3 dogs. If an emotional support animal fits better, ESA letters are $129 for up to 2 pets or $199 for 3 or more. You only pay if the clinician approves your letter.
A psychiatric service dog is trained to perform specific tasks for a mental health disability and has public-access rights under the ADA. An emotional support animal provides comfort just by being there, needs no task training, and is protected mainly in housing. If your animal isn't task-trained, an ESA letter is usually the right document.
Book for free, answer a short questionnaire about your symptoms and your dog's tasks, then meet a licensed mental health professional by secure video or phone. If you qualify, your signed letter arrives by email about 10 minutes after approval.
Many members complete their evaluation within a few days of booking. Once the clinician approves your letter, it arrives by secure email in about 10 minutes.
You need a mental health condition that substantially limits a major life activity, such as PTSD, panic disorder, major depression or bipolar disorder, and a dog individually trained to perform tasks that help with it.
Yes. The Fair Housing Act generally covers university housing, so you can request an accommodation for your psychiatric service dog through your school's housing or disability office.
Yes. Bringing a service dog to work is a reasonable accommodation request under the ADA, and employers may ask for documentation of your disability and need. A clinician's letter supports that request.
Yes. Evaluations happen on a HIPAA-compliant telehealth platform, and your records are shared only with you and the clinician involved in your care.
No letter is issued and you aren't charged. If your animal provides comfort but isn't task-trained, the clinician may suggest an ESA letter instead.
Letters are dated and renewed yearly. Many housing providers ask for documentation from the past 12 months, so an annual renewal keeps your paperwork current.
Book free, meet a licensed clinician, and pay only if you're approved. Your letter arrives minutes after approval.