Our Services
Clinical Letters & Medical Documentation for $150
Private-pay telehealth care from Harpal Singh, PMHNP-BC, with published fees and no insurance hassle.
Clinical Letters & Documentation by telehealth anywhere in California, with Harpal Singh, PMHNP-BC.
At a Glance
- Secure video visits anywhere in California
- Care in English, Punjabi, Hindi, and Spanish
- Clinical letters $150
- HSA and FSA cards accepted, superbills on request
Sometimes getting better takes paperwork. You may need a letter for work accommodations, school supports, medical leave or a change of provider. Mindful Sewa Psychiatry writes clinical letters and medical documentation for established patients when clinically appropriate, for a flat $150.
Each letter is written with care and accuracy by Harpal Singh, PMHNP-BC. It is printed on professional letterhead and reviewed with you before it goes anywhere.
A clinical letter turns what your clinician knows about your health into a short, clear document that another person can act on. That person might be a manager, a school team or a leave coordinator. Letters are for patients who are already in care.
Letters are honest and specific. They focus on how symptoms affect daily tasks and what support could help, not on long medical detail. That keeps your private information protected while still giving the reader what they need to decide.
How Clinical Letters & Documentation Works
- Become an Established Patient. Letters are written only after an evaluation or during active care. New patients start with the $250 initial evaluation.
- Request Your Letter. Ask at a visit or send a message through the portal. Share any forms and deadlines and who the letter is for.
- Review What Is Needed. Your clinician checks that the request is supported by your care. You talk about what to include and what to leave out.
- Receive Your Letter. The finished letter is sent to you on professional letterhead. You decide who gets a copy.
Documentation We Provide
We write workplace accommodation letters under the ADA and school or testing letters that support a 504 plan or IEP. We also help with FMLA and medical leave paperwork, treatment summaries for other clinicians and continuity of care letters when you change providers.
How It Works
Requests follow an evaluation or come up during active care. Honest documentation needs real clinical knowledge of you. When you ask, share your deadline, and you will hear a clear timeline for when the letter will be ready.
What We Do Not Provide
Every letter needs a clinical reason behind it. We do not write letters that your evaluation does not support. That rule protects the trust readers place in every letter we write, including yours.
What to Send With Your Clinical Letter Request
Clear requests lead to faster, stronger letters. Send the exact form or instructions from your employer, school or agency if there is one. Include the name and title of the person the letter is for, plus any due date.
Also share what support you are asking for. Examples include a quiet workspace, extra test time or a flexible start time. When the request is specific and realistic, the letter can explain why it fits your needs.
How Letters Protect Your Privacy
Many letters do not need to name a diagnosis. They can describe functional limits instead, such as trouble focusing in noisy spaces. You review the wording before it is final, so nothing surprises you.
Your letter goes to you, not straight to your employer, unless you sign consent. This keeps you in control of who learns about your health. It also means you can decide not to use a letter at all.
Common Letter Types Explained
Workplace accommodation letters explain what support could help you do your job, such as a flexible schedule or fewer interruptions. School letters can support extra time, a quiet test room or other learning supports. Leave letters can help with forms for time off while you recover.
Treatment summaries list your care history for another clinician, which helps when you move or change providers. Continuity of care letters explain your current plan so treatment is not interrupted. Not sure which you need? Ask at your next follow-up visit.
Conditions We Often Treat
See also: all fees · conditions we treat · how telehealth visits work.
FAQ
Frequently Asked Questions
Can I get a letter without becoming a patient?
No. An honest letter needs a real clinical evaluation first. New patients start with the $250 initial evaluation, and letters can follow when your care supports them.
Do you write emotional support animal letters?
Only when an established clinical relationship and your evaluation truly support one. We do not sell same-day emotional support animal letters.
How fast can I get my letter?
Timing depends on the request and when it is reviewed at a visit. Tell us your deadline when you ask, and you will get a clear timeline. Rush requests can sometimes be handled, so it is worth asking.
Will my employer learn my diagnosis?
Often, no. Accommodation letters can describe your limits and needs without naming a diagnosis. We share only what is needed and review the wording with you first.
Can you fill out a form instead of writing a letter?
Often, yes. Send a copy of the form ahead of time so it can be reviewed and the fee confirmed before any work starts. The form must be supported by your care, just like a letter.
Can you write a letter for my child's school?
Yes, if your child is an established patient. Letters can support a 504 plan or IEP request by explaining how symptoms affect learning. The school team makes the final decision on supports.
Will a letter guarantee my accommodation or leave?
No. A letter gives your clinician's honest view, but the employer, school or agency makes the decision. Clear, specific requests tend to be easier for them to act on.
Can I get a letter updated later?
Yes. If your needs change, you can ask for an updated letter. Each new letter is $150 and is based on your current care.