Psychological and Behavioral Consultation
*Currently we are only accepting a limited number of brief child consultation cases in English or Japanese.
*Please send an e-mail to [email protected] or a message from here to inquire availability. It may take some time to get back to you. We are usually unable to answer phones.
Goal:
Format:
Cost:
Hours and Clinicians:
*Currently we are only accepting a limited number of brief child consultation cases in English or Japanese.
*Please send an e-mail to [email protected] or a message from here to inquire availability. It may take some time to get back to you. We are usually unable to answer phones.
Goal:
- To help children and their families deal with emotion and behavior regulation concerns through combinations of play and cognitive-behavioral therapy, behavioral management, and parent consultation.
- To help individuals understand and manage their depression, anxiety, trauma or other mental health challenges to improve day-to-day life and long-term happiness, and achieve a higher level of satisfaction and healthier functioning.
Format:
- An initial intake evaluation is conducted to assess concerns and broad areas of functioning and strengths of each individual/family and their surrounding environment.
- After the initial evaluation, weekly, bi-weekly, or monthly, or as-needed sessions are scheduled depending on each individual/family's needs.
- Most adult/parent consultation sessions are conducted online with those residing in Virginia, while in-person sessions for child clients.
- Please be aware that we do NOT provide medications. The therapist may consult with the prescribing physicians prior to and during treatment.
Cost:
- $200 for initial intake (90 min). $175 for 45-50 minute session, $200 for 60 minute session, $225 for 80 minute session. Selected insurance plans may be accepted (see below "Payment Methods and Insurance Plans").
- There are usually separate fees associated with preparing written documentations (for benefits, work, court, etc) that are not covered by insurance (see below).
Hours and Clinicians:
- Due to limited availability, we will send you information about our child psychologist and her hours when the initial contact is established.
Assessment/Written Documentations
Payment Methods and Insurance Plans
- We provide a brief evaluation for selected cases using questionnaires, interviews, and observations. We do not provide comprehensive educational or neuropsychological assessments.
- Fees are varied depending on specific requirements and will be discussed with you. Below are some guidelines.
- $100 per page for filling out forms provided.
- $350 ~ $550 for a short summary/letter describing current psychological functioning and difficulties.
- $550 ~ $2,500 for an evaluation requiring multiple assessment tools and a written report.
Payment Methods and Insurance Plans
- Services are provided on self-pay basis, i.e., fees are due at the beginning of each session. We provide receipts for you to submit to your insurance company for reimbursement. You will be responsible fore obtaining reimbursement.
- A limited number of insurance cases are accepted. Please verify your behavioral health benefits, Co-pay, and deductible with the insurance company and that Dr. Emi Furukawa is listed as an in-network provider under your plan. Once you verify, talk to us about using your insurance.
- Even when insurance is used, you will be responsible for fees for additional services that are not covered by insurance, such as shorter communications (e-mail or phone consultation), written statements for court, workplace or school testimony, and travel and waiting time if required.
- When we schedule an appointment for you, we set aside that block of time for you exclusively. To make our practice viable, we generally require 24 hours notice for a cancellation; otherwise, you will be charged $25.
Make an appointment or request more information
If this is your first appointment,
Please note:
If this is your first appointment,
- E-mail IPCS at [email protected] to inquire about availability. Please note that we are only accepting a limited number of brief child consultation cases.
- Download and complete the Initial Information form below, and e-mail it to the IPCS Clinician prior to your appointment. This helps ensure our services are appropriate for you.
- E-mail/mail pictures of your insurance card (front and back) and driver's license.
- Download, sign and e-mail/mail pictures of Informed Consent form below.
- Please call your insurance company to verify your benefits: a) your co-pay or co-insurance amount, b) unmet deductible amount, c) the number of sessions allowed for psychotherapy sessions for behavioral health and whether pre-approval is required, and d) if Dr. Furukawa is in-network for your particular plan.
- Your therapist will contact you to schedule an initial consultation.
Please note:
- An appointment needs to be made or canceled at least 24 hours in advance. A confirmation e-mail will be sent to you, through which you can cancel or reschedule if necessary.
- Please be aware of privacy limitations when using general emails. E-mails from us sometimes end up in your junk mail folder. We try to get back to you as soon as we can, but it may take a few days.
- Our clinicians are often full and have a waitlist. Please contact them for their availability before scheduling an appointment.
- Please be aware of fees associated with preparing written documentations that are not covered by insurance.
Initial Information Form Child

background_information_child.docx | |
File Size: | 113 kb |
File Type: | docx |
Initial Information Form Adult

initial_information_ipcs.docx | |
File Size: | 530 kb |
File Type: | docx |
Informed Consent Form

ipcs_informed_consent.pdf | |
File Size: | 351 kb |
File Type: |
Please read the HIPPA policies implemented at IPCS outlined in the below document.

hippa_privacy_disclosure.pdf | |
File Size: | 768 kb |
File Type: |
For general questions, please send an e-mail to [email protected] or via Psychology Today website by clicking the 'Contact' below.
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