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Published: Jul 27, 2025

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Can I get a mental health clearance letter online?

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Written by Bianca Deng

Medically Reviewed by Klarity Editorial Team

Published: Jul 27, 2025

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Mental health services are more accessible than ever thanks to telehealth. One question many people have when receiving online mental health care is: Can I get a mental health clearance letter online? A mental health clearance letter can be essential when you need to return to a specific activity, like work or school, receive accommodations, or undergo a specific procedure, like surgery. Regardless of why you need a letter, it’s important to understand who qualifies, how to get one, and what to expect during the process.

Need a mental health clearance letter—and possibly a prescription? Book your online prescription appointment with Klarity Health. Licensed providers can assess your situation, issue your mental health clearance letter, and prescribe medication, if medically necessary.

Need a medical letter for travel, ESA, or legal use?

Licensed providers on Klarity may issue letters when medically appropriate, based on your needs and the outcome of an online evaluation.

Who needs a mental health clearance letter?

A mental health clearance letter confirms that a person is mentally fit for a specific activity or obligation. Common reasons for needing one include:

  • Returning to work or school after a mental health episode (such as anxiety, depression, or suicidal thoughts)
  • Participating in sports, surgery, or travel that requires confirmation of psychological readiness
  • Applying for government or security clearance (mental health evaluations may be part of the SF-86 process)
  • Requesting accommodations under the Americans with Disabilities Act (ADA) for work or school

These letters must be written by a licensed mental health professional, such as a psychologist, psychiatrist, or licensed professional counselor (LPC), after a clinical evaluation.

Can you get a mental health clearance letter online?

Yes, many telehealth platforms, including Klarity Health, allow you to meet with a licensed provider via secure video consultation from the comfort of your own home. After the consultation, the provider can issue a clearance letter if appropriate. This digital method provides a safe, fast, and HIPAA-compliant way to obtain a mental health clearance letter without the need for in-person clinic visits.

How to get a mental health clearance letter online

1. Identify a reputable telehealth provider

There are many telehealth providers online, but you’ll want to confirm that the provider you choose is licensed in the state where you’re located during the session. While some providers are allowed to practice across participating state lines thanks to PSYPACT, a multi-state licensing compact, most telehealth laws still require that the provider be licensed in the state where you reside.

Make sure the platform explicitly offers mental health clearance letters, not just general doctor’s notes. Also, ensure they use HIPAA-compliant video tools, encrypted systems, and proper privacy practices.

2. Schedule a telehealth appointment

Choose a platform like Klarity Health, CallonDoc, or Abby Health, which often offer same-day or next-business-day appointments. When booking, clearly explain the purpose of the visit, for example, “requesting a mental health clearance letter for work.”

3. Fill out intake and history forms

Before your appointment, complete any required intake forms that include your mental health history, current medications, prior diagnoses, past hospitalizations, and any therapy you’ve received. Explain how your condition affects your daily life and note any specific deadlines or delivery format (such as, sealed envelope or PDF).

4. Attend the video evaluation

Before the session begins, the provider must obtain informed consent, as required by HIPAA and state law. This typically includes a discussion of privacy, emergency procedures, and technical limitations.

During the consultation, use a quiet, private, well-lit space with a stable internet connection. The provider will assess your mood, cognition, behavior, and mental stability. You may be asked to upload supporting records like therapy notes or medication lists.

5. Receive your mental health clearance letter

Most platforms deliver the mental health clearance letter within 24 hours, although some may take up to 72 hours to process. The letter typically includes the date of evaluation, your name, the provider’s credentials and license number, the reason for the letter, a statement of mental stability, and any relevant accommodations.

Letters are usually delivered via secure PDF or uploaded to a patient portal. Some providers may send the letter directly to your employer or school upon request.

6. Submit the letter to the appropriate party

Follow the instructions given by your employer, school, or organization. Ensure the document contains all necessary information (date, signature, and contact information) and submit it via email or upload. You may want to confirm receipt and ask if any further documentation is needed.

Telehealth platforms compared: mental health clearance letters

PlatformCost (self-pay)Speed of Clearance LetterInsurance / HSA‑FSAProvider CredentialsDelivery Method
Klarity HealthStarting from $51 per session (self-pay); accepts insurance Typically within 24 hrs; some same-dayYes — major insurers, HSA/FSA support 1,000+ licensed providers across 500+ specialties Secure PDF via email or direct upload
Doctor On Demand$134 (therapy) / $299 (psychiatry); uninsured can self-pay Same-day notes via urgent care visit Accepts insurance (~98 M Americans) Board-certified MDs, psychiatrists, psychologists Downloadable PDF note sent to the patient
CallonDocFlat $59.99 for clearance letter; optional $45/quarter subscription Issued immediately after the consultation No — self-pay onlyBoard-certified physicians & mental health specialists PDF via email or direct employer delivery
Amwell$109–$279 per psych visit; insurance may reduce costImmediate post-consult, EHR delivery time depends on systemYes — covers major insurers via partnerships Licensed psychiatrists and mental health professionals Delivered via EHR or patient portal
Teladoc Health~$89 general visit; mental health cost varies, insurance covered Generated after session; varies by planYes — via employer benefit plans Licensed therapists, psychiatrists, and counselors Portal or email delivery

The right telehealth platform for you depends on your specific needs. 

  • Klarity Health: Best balance of speed, insurance acceptance, affordability, and provider access. Ideal if you want a reliable clearance letter quickly.
  • Doctor On Demand: Ideal for insured users seeking comprehensive mental health support with fast note delivery.
  • CallonDoc: Most budget-friendly flat-rate option with immediate results—perfect for self-pay users.
  • Amwell: Best suited for those integrated into large healthcare systems needing EHR integration.
  • Teladoc Health: Strong choice for enterprise or employer-covered mental health services with good provider access.

What information should be in a mental health clearance letter?

A complete mental health clearance letter typically includes:

  • The date of evaluation
  • Patient’s full name and date of birth
  • Provider’s name, credentials, and license number
  • The reason for the letter (e.g., return to school or work)
  • Summary of mental health findings
  • Statement of fitness or any necessary accommodations
  • The provider’s contact information and signature

Tips for getting a mental health clearance letter online

Getting a mental health clearance letter online doesn’t have to be a hassle, as long as you: 

  • Choose a credible provider: Ensure they are licensed in your state.
  • Be honest and thorough: Being open with your provider helps them make a more informed and responsible assessment.
  • Prepare documentation: Be prepared with prior evaluations, treatment plans, or medication lists.
  • Clarify deadlines: Share the submission date when booking your appointment to ensure timely completion.
  • Ask about accommodations: If the evaluation reflects ongoing care, discuss workplace or academic adjustments.
  • Know your pricing and insurance coverage: Verify session costs and check if mental health visits are covered by your insurance.

Get a mental health clearance letter online within 24 hours 

You can get a mental health clearance letter online quickly and legally through a licensed provider. Telehealth platforms like Klarity Health allow you to complete the entire process remotely, ultimately saving time, protecting your privacy, and often accepting insurance or HSA/FSA payments.

Book your appointment to get a mental health clearance letter online

Need a mental health clearance letter for work, school, travel, or licensing? Klarity Health makes it easy. Our platform connects you with licensed mental health providers in your state, with most appointments available within 24 hours. Many providers offer same-day documentation if clinically appropriate.

With Klarity, you get:

  • Private 1:1 video visits with credentialed professionals
  • HIPAA-compliant telehealth sessions
  • Custom letters tailored to your specific situation
  • Transparent pricing with insurance, HSA/FSA, or self-pay options

Book your appointment with Klarity Health today.

Looking for a medical clearance letter online?

Klarity makes it easy to connect with a provider who can issue medical documentation if clinically appropriate.

Therapists Prescribe Medication

FAQs about getting a mental health clearance letter online

*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.

The information provided in this article is for educational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage.  Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.

If you’re having a mental health crisis or experiencing a psychiatric emergency, it’s crucial to seek immediate help from a mental healthcare professional, such as a psychiatrist, psychologist, or therapist. You can also call your local emergency services, visit your nearest emergency room, or contact a crisis hotline, such as the National Suicide Prevention Lifeline, by calling or texting 988 or dialing the Lifeline’s previous phone number, 1-800-273-TALK (1-800-273-8255) in the U.S.

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Need a medical letter for travel, ESA, or legal use?

Licensed providers on Klarity may issue letters when medically appropriate, based on your needs and the outcome of an online evaluation.

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All professional services are provided by independent private practices via the Klarity technology platform. Klarity Health, Inc. does not provide medical services.

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All professional services are provided by independent private practices via the Klarity technology platform. Klarity Health, Inc. does not provide medical services.

PO Box 5098 Redwood City, CA 94063

100 Broadway Street, Redwood City CA, 94063

If you’re having an emergency or in emotional distress, here are some resources for immediate help: Emergency: Call 911. National Suicide Prevention Lifeline: call or text 988. Crisis Text Line: Text HOME to 741741.
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