FITT Clinician Interest Form

Welcome to Frontline Intensive Trauma Treatment (FITT)! Thank you for your interest in joining us as a clinician!

FITT addresses the critical mental health needs of law enforcement professionals and first responders through innovative methods. Research highlights the pervasive trauma in these roles and the challenges in accessing treatment. FITT aims to overcome these barriers by providing confidential, privately funded intensive EMDR therapy tailored to each individual's needs.

With FITT, first responders receive thorough preparation, flexible scheduling, and personalized aftercare, ensuring safety and efficacy.

Join us in revolutionizing mental healthcare for frontline heroes by completing the survey below!

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What is your name (First, Last)?
If you have a preferred name, please list that in quotation marks.
 *
What is your phone number? *
What is your email address?
What is the name of your practice/the practice where you work?
Which of the following best describes your employment status as a clinician? *
Required
In which state(s) are you licensed to work as a clinician? *
Required
In what municipality(ies) do you provide in-person services at an existing office space?
What license(s) do you hold? *
Required
Do you have experience working with law enforcement officers? *
Have you taken a cultural competency training to work with law enforcement or first responders? *
If yes, what law enforcement/cultural competency trainings(s) have you taken? What resources help you to build cultural competency? 
What, if any, lived experience have you had as a first responder? *
Required
Relevant clinical and related competencies *
Required
What is your EMDR Training Status? *
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