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EMDR Group Therapy
Enrolment Form
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* Indicates required question
Which Group the client would like to join (
Please note:
Participants should have completed
at least one Part 1
group
before enrolling into a Part 2
group)
*
Part 1: Dates: Monday 29th july -12th Aug 2024
Part 2: Dates: Monday 26th Aug - 9th Sept 2024
Required
Client's Full Name
*
Your answer
Client's email
*
Your answer
Client's Date of Birth
*
MM
/
DD
/
YYYY
Client's Phone
Your answer
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