Psychelp Sydney

Registration Form

Your Name ^*:

Your Mobile Phone ^*:

Your Email ^*:

Choose Date for Skype Call^*:

Choose Time for Skype Call^*:

Choose your main problem area ^*:

Describe your problem ^*:

Describe any previous counselling for same problem ^*:

How has counselling helped in the past? ^*:

What recent events have made this problem worse ? ^*:

Choose Session Type: ^*:

Choose Service Type ^*:

Office Counselling appointments call 1300852858

Choose Payment Options: ^*:

Paypal Details ^*:

Join Paypal for free here or else choose Direct Deposit here
Send us your Email address in order to :
receive confirmation of you Skype session times
receive your Skype set-up details.
Receive our PayPal Payment Request or invoice
Click " pay Now" which also confirms your attendance
Be on your phone or computer at the agreed time
Cancellations within 24 hours may be credited for a later appointment but are not otherwise refundable.
Clients living in a remote area should check with their GP as Medicare rebates may also apply for Skype Counselling with a registered Clinical Psychologist.

Direct Deposit to:

Greta Goldberg

PsychelpSydney

BSB: 112 879

ACCT. No. 062857368