CounselorK Online

CounselorK Online

CounselorK Online

CounselorK Online

CounselorK Online

CounselorK Online

CounselorK Online

CounselorK Online


CounselorK Online

CounselorK Online
CounselorK Online

........................................................

CounselorK Online

 

Already completed the intake form?
Click below to get started.

CounselorK Online

CONNECT with Skype!
If we're currently available online,
Choose your payment option and
We'll connect immediately.

Our current online status:

My status

 

  OUR FEES  

1 Minute:        $0.99
10 Minutes:    $9.90
15 Minutes:    $14.85
20 Minutes:    $19.85
30 Minutes:    $25.00
1 Hour:            $50.00
90 Minutes:    $75.00

 

CounselorK Online Uses:
 
Solution Graphics
CounselorK Online

Phone &/or Webcam Counseling
CounselorK Online

Phone &/or Webcam counseling is one of the best ways to get help when you need it. You don't have to leave the comforts of your own surroundings, whether at home or office. Our Phone & Webcam Counseling offers a fast and affordable alternative to scheduling an office appointment with a therapist.

The first step is to complete the intake form below.  You will then be able to choose from two options:

1) Contacting us directly through Skype, a free world-wide phone service. We'll let you know if we're currently online.

2) We can call you (through Skype, your land line or cell phone) as soon as we're available to save you from paying long distance charges.

See the fee chart (below, left) or click "Services and Fees" for additional information regarding our rates.

To begin counseling by phone or webcam, please complete the form below. Once submitted you'll be prompted to pre-pay through PayPal.  We look forward to working with you to resolve your problems.

 

CounselorK Online

 
  PHONE OR WEBCAM COUNSELING INTAKE FORM
 
Please complete the details below and we will respond as quickly as possible.
   
*Your Name:
*Email Address:
*Street Address:
*City:
*State (Abbreviation):
Zip:
   
   
SKYPE OPTIONS  (Click HERE to find out more)  
   
I see you're online -- I will connect after payment: (Please check if applicable)
Please call me through Skype as soon as possible: (Please check if applicable)
Skype Name/ID/Number:  
Webcam (thru Skype)? (Please check if yes)
   
   
TELEPHONE (LAND LINE OR CELL PHONE) OPTIONS  
   
Please call my telephone or cell phone as soon as
you are available (please list number below):
(Please check if applicable)
Phone Number:  
Webcam? (Please check if yes)
   
   
Emergency Contact Name:
Emergency Contact Phone Number:
   
What are your counseling needs?
   
Have you ever had counseling before?  If so, please provide a brief description.
   
COMMENTS:
   
   
Form Verification - Please identify the image by selecting it from the pulldown menu:
   
      
   
   
 

Once you submit this form, you'll be directed to a PayPal payment page. Click here to read more about PayPal, a trusted online payment processor.