EMDR Consultation Connection Form
Please fill out the information below to begin the process to register for EMDR Consultation
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Email *
Please provide your name and professional credentials. *
Have you completed the 10 hours of Consultation with your Basic Training? Please provide the date of your Basic Training, and the name of your trainer/consultant. *
If you are interested in EMDR Group Consultation, are you able to make a commitment of 5 consultation blocks? (EMDRIA allows up to 10 consultation groups toward certification). This helps with continuity and trust in the consultation process in groups.
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Please describe your current place of employment, and the typical clients, issues and diagnoses that you work with.  *
Best contact phone number. *
Please provide a brief description regarding your consultation goals. *
A copy of your responses will be emailed to the address you provided.
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