Assessment Fees and Payment Policies

Initial Intake Fee

The fee for the initial intake is separate from the assessment fee. The regular fee for the intake session is 30,000 yen (plus tax), for a 1.5 session (75 minutes). Apart from the regular fee, we offer  a flexible-fee pricing structure/sliding scale fee for the intake session, based upon family/household income. Please note that sliding scale fee is applicable only for clients who pay out-of-pocket. We apply the regular fee for those whose fee is covered by a third party (insurance company, EAP, etc.).

How do I qualify for Sliding Scale Fee?

  • If you wish to qualify for Sliding Scale Fee you are required to show proof of gross annual income for all immediate family members living in your household.
  • Gross income is ALL income from ALL resources (housing allowances, savings, offshore funds, trust funds, benefits, etc.) before taxes.
  • If health insurance or an employer reimburses for the assessment, the regular fee is applicable.

Acceptable Income Verification:

  • Withholding Income Tax slip /源泉徴収表
  • Current pay stubs (recent 2-3 months)
  • A copy of recent bank account statement

How do I get started?

Please submit either one of the above Acceptable Income Verification items to TELL Counseling prior to the appointment date, or bring the document with you on the date of your initial appointment. Your therapist/psychologist will discuss your specific fees further with you individually.

Assessment Fee – for Children

The assessment fee is on a sliding scale based on family income; the figures quoted below represent the range. Clients holding international health insurance are charged the full rate. There are 3 different types of assessment. Your psychologist at TELL will advise you which assessment is recommended for your child following an initial intake session.

Needs Assessed Includes Cost
Intelligence Testing Required school admission testing
  • 1 brief cognitive assessment (WPSSI or WISC-V)

(tax exclusive)

(Hourly) Exceptions beyond other testing packages
Brief Assessment for Academic Skills

1 day in-person

 (5 hours)

School academic concerns

  • Reading
  • Math
  • Writing

Brief social emotional concerns

  • 1 brief cognitive assessment
  • 1 comprehensive academic assessment
  • Partial social emotional assessment – questionnaires completed by parents and teachers
  • Feedback session and brief report, including recommendations

(tax exclusive)

Comprehensive Neuropsychological Assessment

2 days in-person

(10 hours)

  • Any cognitive functioning concerns (ie. attention, memory, executive functioning)
  • Bilingual assessment (English & Japanese)
  • Social emotional concerns
  • Diagnostic Assessment
Testing of multiple cognitive domains using several cognitive assessments:

  • Intellectual skills (IQ testing – WPSSI, WISC-V or WAIS)
  • Cognitive skills (memory, attention)
  • Memory
  • Attention (visual, verbal, simple, complex, set/shifting/switching ability
  • Executive functioning  (initiation, planning/organization, self-monitoring, disinhibition)
  • Processing speed
  • Visual spatial
  • Language
  • Meetings and interviews with parents/teachers/child
  • School observation if needed
  • Feedback session (detailed report including recommendations)

(tax exclusive)

School Visit

2 hours on site visit 

School concerns regarding the student’s behavior Teacher interview(s)

Behavioral Observations


(tax exclusive)

*Depends on family income

Assessment Fee – for Adult

The assessment fee is a sliding scale based on family income; the figures quoted below represent the range. Clients holding international health insurance are charged the full rate.

Assessment Service provided Typically includes Fee*
Comprehensive Psychological /Neuropsychological Assessment. The assessment is detailed and comprehensive. It may take several meetings to complete
  • Assessment of attention, memory, intelligence, language, visual-spatial perception and thinking, motor abilities, executive functions, social reasoning, including the personality assessment and/or assessment of emotional functioning.
  • Feedback session and detailed report, including recommendations.
¥215,000 – ¥285,000
(tax exclusive)

*Depends on family income

Payment Schedule

Service fees (including applicable co-pays, deductibles) are due at/prior to each session. For the assessment service fee, depending upon type of service administered there are different payment schedules. Your psychologist at TELL will advise you regarding the payment schedule, based on the type of assessment.

Payment Method

We accept payment by cash, Bank Transfer, Post Office Transfer, Postal Cash Delivery (genkin kakitome), Credit Card (Visa, MasterCard, American Express, and UFJ) and PayPal. For more details about our bank account information, please review the Payment Options Information Sheet.

Pre-payment can also be arranged by contacting us prior to the appointment date.

Cancellation Policy

We require 24 hours notice for cancellation/re-scheduling. The full fee will be charged directly to clients for missed appointments or appointments cancelled for non-emergency reasons with less than 24 hours notice.

For the initial intake appointment, a cancellation fee of 6,000yen (tax excl.) will be charged if you do not show or cancel within 24 hours.

For the assessment/testing appointment, a cancellation fee of 20,000yen (tax excl.) will be charged if you do not show or cancel within 24 hours.

Please understand that the scheduling of an appointment exclusively reserves the psychologist’s time to meet with you. Insurance companies do not pay for missed sessions.

National Health Insurance

Services at TELL Counseling are not covered by Japan National Health Insurance.

Private Insurance

Most foreign private insurance companies cover all or a portion of the cost of assessment when policy provisions such as pre-authorization or a referral by a medical doctor are met. For information on payment of a neuropsychological or psychoeducational assessment, you should contact your health care insurer directly to determine the specific authorization procedures that may be necessary.

TELL does not accept payments directly from third parties, but will provide an invoice for families for reimbursement.