REFRESH DALLAS · LETTERS & DOCUMENTATION
Documentation that follows the work, not the other way around.
Letters and documentation are produced after evaluation and within ongoing clinical care. They are not written on demand, and they have to reflect the clinical record.
In-network with most major insurance · Same-week availability · Psychiatric specialists
THE SERVICE
What we provide.
Testing & Student Accommodations: When clinically appropriate, the practice can provide student and academic accommodation letters and documentation based on psychiatric evaluation and ongoing care. This is for current or new patients whose accommodations need a clinical basis tied to a diagnosis and treatment plan, not standalone letter requests. This is consistent with how accommodations may be addressed in conditions like ADHD.
Emotional Support Animal (ESA) Documentation: The practice can provide ESA documentation only when clinically appropriate, only following an evaluation, and only within established care. An ESA letter is a clinical assessment, not an on-demand service. It is provided at the provider's discretion based on whether the documentation reflects an actual clinical need. The practice does not provide ESA letters on request or for patients outside of established psychiatric care.
WHAT TO EXPECT
How the work runs.
The process begins with an initial evaluation or an established care relationship. The provider has to understand the diagnosis, the treatment plan, the functional concern, and whether the requested documentation is clinically supported.
If documentation is appropriate, the letter is written from the clinical record. Turnaround depends on clinical complexity, the type of documentation requested, and whether additional information is needed before the provider can make a responsible decision.
WHO THIS IS FOR
People who need documentation tied to real care.
This service is for students whose psychiatric care intersects with academic needs, patients whose treatment plan reasonably supports ESA documentation, and people who want documentation produced by a provider who actually knows their case.
It is not the right fit for standalone letter requests, requests from people who are not patients, or documentation that cannot be supported by the clinical record.
FAQ
Questions.
A provider has to evaluate the clinical picture first. Accommodation documentation may be appropriate when a psychiatric diagnosis creates functional limitations that are relevant to school or testing, and when the documentation is supported by the treatment record.
The provider evaluates whether the requested documentation reflects an actual clinical need within psychiatric care. ESA documentation is not automatic, and it is provided only when the provider believes it is clinically appropriate.
No. Documentation is tied to psychiatric evaluation and established clinical care. The practice does not provide standalone letters for people outside of care here.
Turnaround depends on the type of request, the clinical complexity, and whether the provider needs additional information. The team can discuss timing after the request is reviewed.
There may be a separate cost for letters or documentation, and it may not be covered by insurance. Confirm current fees with the practice before requesting documentation.
