Thank you for your interest in EMDR consultation! This form helps me learn about your EMDR experience, professional background, and consultation goals.

Information Form & Next Steps

Complete this form once to get started with EMDR consultation. I’ll review your information and follow up within two business days to discuss next steps. Before participating, you’ll need to review and sign the applicable consultation or group participation agreement.

Please be prepared to provide your EMDR Basic Training completion certificate, if applicable. If you are still completing Basic Training, please provide your training provider and expected completion date.

Once your information has been reviewed and the appropriate agreement is complete, I’ll provide next steps for scheduling individual consultation or signing up for group sessions.

Please do not include identifying client information in your responses.