Contact & Maps


Contact Form

If you would like to make an appointment or ask us questions, please use the form below or the following email address : [email protected].

If you have not heard back from us within 48 hours, please check your email spam folder. If you still don’t see it, please contact us at [email protected] or call us on 03-6280-4750 (12:30-16:30 on weekdays; English only).

Please fill out the form in English.
RequiredName
RequiredEmail Address* If your email address ends with .mil, .msn, or .hotmail, then please be sure to add a backup email address below.
OptionalBackup Email* in case your primary email filters block our email reply to your enquiry
OptionalTelephone
RequiredHow can we help you?
RequiredHave you had an appointment with us before? NoYes

RequiredPlease provide further information:

RequiredI would like to see a provider at:
RequiredI would like to be seen:
* Multiple selections allowed		Face to faceVia telehealth
RequiredI am seeking: Individual CounselingCouples CounselingFamily TherapyPsychological Assessment/Evaluation

Learn more

RequiredI am looking for services for:

MyselfAnother adultA minor and I have parental authority (e.g., my child)

RequiredI am:

18 years old or olderLess than 18 years old

RequiredTheir email:

RequiredTheir name:

RequiredTheir age:

OptionalTheir email:

* For older minors (16 and 17 year olds) please let us know their email address if you would like us to CC them into our email reply.

RequiredPartner's name:

RequiredPartner's email address:

RequiredPlease provide the names, ages and relationships of those seeking to attend the session.

OptionalPlease list language(s) if the therapist needs to speak a language other than English.
RequiredWhat time of day might work for you for your appointment?
* Multiple selections allowed		MorningAfternoonEvening
RequiredWhen during the week might work for you for your appointment?
* Multiple selections allowed		WeekdaysWeekends
RequiredHealth insurance information

We cannot accept Japanese health insurance.

None (I don't have a private health insurance plan. I am self pay.)Private health insurer (I have a private health insurance plan and will claim retrospectively.)TRICARE Prime (I have TRICARE Prime and an authorization form or it is pending.)TRICARE other (I have another TRICARE plan (e.g. Select, Plus) and will claim retrospectively.)

What is TRICARE?

OptionalPlease enter your Sponsor SSN or your DBN:
* We need this information to confirm your TRICARE eligibility before we can proceed.

Sponsor SSNDBN
RequiredPlease click the reCAPTCHA button:

Maps and Access Info

Please click the buttons below to see the maps, access info, and other location-specific information about our offices.

Tokyo Mental Health
Shintomi Therapy Office

6F Urbane Mitsui Building, Shintomi 2-4-6, Chuo-ku, Tokyo [Map ]
Location Details

Psychiatry Clinic
at American Clinic Tokyo

No.1 Niikura Building 3F, 1-7-4 Akasaka, Minato-ku, Tokyo [Map ]
Location Details

TMH Okinawa
Mihama Therapy Office

301 Hawk Town II, 2-5-23 Mihama, Chatan, Nakagami-gun, Okinawa [Map ]
Location Details
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