Licensed Mental Health Professional Evaluation
Telehealth Services | HIPAA Compliant Platform
Letter Validity: This letter is valid through March 16, 2027. Housing providers may request updated documentation annually.
To Whom It May Concern,
I, Dr. Sarah Mitchell, am a licensed mental health professional licensed in the state of Texas (License #LPC-48291). I am writing this letter on behalf of my client, Jamie Rivera, whom I clinically evaluated via HIPAA-compliant telehealth on March 15, 2026.
Following a thorough clinical evaluation conducted through a HIPAA-compliant platform, I have determined that Jamie Rivera has a mental or emotional disability as recognized under applicable federal law, including the Fair Housing Act (42 U.S.C. § 3604) and Section 504 of the Rehabilitation Act of 1973. This determination is consistent with guidance issued by the U.S. Department of Housing and Urban Development (HUD) in January 2020 regarding the documentation of disability-related needs for emotional support animals, and is based on my direct clinical assessment of the client's presenting symptoms, functional impairments, and mental health history.
Functional Impairment: The client experiences persistent anxiety that substantially limits their ability to maintain a stable daily routine, experience restful sleep, and feel safe in enclosed residential spaces. These functional impairments have been documented across multiple life domains including occupational functioning and independent living.
As a result of this disability, Jamie Rivera has a clinically established need for an Emotional Support Animal as part of their ongoing therapeutic support. The presence of their dog, named Biscuit, provides essential emotional support that directly alleviates one or more identified symptoms of their mental health condition. The client's ESA provides consistent grounding during acute anxiety episodes and serves as a stabilizing presence that reduces hypervigilance in the home environment. The therapeutic benefit of this animal's presence has been directly observed to reduce symptom intensity and support the client's ability to maintain residential stability.
Under the Fair Housing Act (FHA) and Section 504 of the Rehabilitation Act of 1973, housing providers are required to provide reasonable accommodations to individuals with disabilities. I am requesting that Jamie Rivera be permitted to keep their Emotional Support Animal, Biscuit, in their residence as a reasonable accommodation for their disability. This animal is not a pet but a medically necessary support animal prescribed as part of clinical treatment.
This accommodation request is additionally supported by the Texas Fair Housing Act (Property Code, Chapter 301), which prohibits housing discrimination against individuals with disabilities and requires reasonable accommodations including permission to keep an Emotional Support Animal.
This letter confirms that Jamie Rivera has been clinically evaluated and that the presence of their Emotional Support Animal is a clinically supported component of their mental health care. This letter was prepared in accordance with HUD's January 2020 guidance on assistance animal documentation. If you have any questions regarding this letter or require additional information, please contact us through the ESA Letter Online platform.
Sincerely,