© 2026 ESA Letter Online. All rights reserved.
ESA Letter Online is a technology platform that connects individuals with independently licensed mental health professionals. The platform provides administrative, technology, and referral services — it does not provide medical or mental health services. All clinical evaluations and determinations are provided solely by the independently licensed clinician. ESA Letter Online does not supervise, direct, or control the clinical judgment of any clinician using the platform. Use of this platform does not create a therapist–client relationship with ESA Letter Online or its operators. Submission of an intake form or payment does not guarantee approval.
