But this safe harbor is an example and not prescriptive. 

Except for the emergency room staff, who may or may not be hospital staff (they may rotate into the ER from their private practice), doctors are generally in private practice or belong to a larger office of physicians with admitting privileges at a hospital so they can use the facilities to perform operations.Also, you speak about the Affordable Care Act in the future tense.  

. - does not indicate the ESA is a treatment (or prescription) for any condition - just a mental and behavioral health condition.- does not have a signature- does not have specific wording to comply with regulations (legal diagnosis, statement of treatment, ESA prescription, etc.)I believe CA passed a law (1/22) requiring the therapist to see the patient for 30 days prior to issuing an ESA recommendation and letter.

We are now moving and buying another home with my wife’s physicians loan.

Currently I hold a full-time position as a physician assistant working in Family Practice.

My thoughts are not prescriptive, but maybe something helped spark an idea.  

I am a physician in the Jacksonville, FL area.

@Christine Krevalin - Any of my thoughts below are not meant to be prescriptive especially since we only know a small part of your story.

Professor plumber policemen Painter physician prostitute etc  etc  

I'm a Physician Assistant and looking to connect with other who have interest in real estate in Long Island/Queens as well.