Form to register

Registration Order Form -- Choose a Service

[ Terms of Agreement]

WELCOME!!!! Please choose one of the following options for the service you are interested in receiving. Once you select, you will be sent to a secure server (ClickBank) and asked for your charge card or debit card information.Cards accepted are: Visa, Mastercard, Discover, American Express, Eurocard, Visa Debit and Novus cards. As soon as you have supplied this information and your credit/debit card is approved, you will be able to ask a question or consult with and submit your form to PsychOptions™.

Please select/click one:

1. One question / One Problem -- If you have one specific question or problem (click here for Examples) you would like to ask PsychOptions, then select this service. Support/ recommendations/referrals if needed will be offered. Your credit card/debit card will be charged $ 25.00 through a secure server (ClickBank) for this service.(Expect a response from PsychOptions within 48 hours, except friday and saturdays.)

2. One e-Consultation / First On-going session -- Here you will be provided with a questionnaire to gather more information for one comprehensive consultation or your on-going sessions (click here to review Copy of Questionnaire before having to complete it). The questionnaire and response by PsychOptions™ will be more involved/extensive. The review and response will likely take an hour or more. Consideration will be given to guidance, coaching, and to referrals, if needed. Please keep in mind that no diagnoses or treatments can or will be made over the internet. Your credit card will be charged $ 50.00 through a secure server (ClickBank) for this service. (Expect a response from PsychOptions within 48--72 hours, except fridays and saturdays.)

3. On-going Sessions ( requires first on-going session above) -- Each session will be done through e-mail (at your convenience) after you have completed your first on-going session (and questionnaire) above. Although these sessions can be halted at any time, you should be at least moderately committed to several sessions and working on specific issues . Your credit card ( through a secure server--ClickBank) will be charged $ 35.00 for each (1) e-mail session, and expect a response within 48--72 hours, except fridays and saturdays.

4. Telephone Session Appointment-- This option is available should a telephone session be needed for immediate interaction (addition of verbal cues) or if you would prefer a telephone session over an e-mail session. Each telephone session will cost $ 50.00 ( for 50 minutes) and payment made through our secure server (ClickBank), and expect a response with an appointment within 48 hours, except fridays and saturdays.First you must prearrange a telephone-session appointment via e-mail (click Telehone Session above). After an appointment is agreed to and made, you will then initiate the phone call to PsychOptions™ for the 50 minute session on the day and time of the appointment.

Once we agree to a date and time, I will commit to this time so please telephone me at the agreed upon time on the agreed upon date. If you must cancel or change your appointment, I will need 48 hours notice via e-mail (PsychOptions@psychoptions.com) (as this time is being set aside for your session); otherwise we will have to charge you for the designated time and appointment.

5. Other--PreArranged -- Do not use this service unless you've pre-arranged a fee for on-going sessions with PsychOptions™ based on extenuating circumstances/fixed income. (Expect a response within 48--72 hours, except fridays and saturdays.) To pre-arrange a fee (response within 72 hours, except fridays and saturdays) you may contact (click here) PsychOptions™ via e-mail ( please put the words "Adjustment Request" in the Subject line) to request an adjustment and the reason why? If this adjustment is agreed to, then proceed with Other/Prearranged.

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