Completion of EMDR Therapy Training

Submission of documentation of 10 hours of EMDR Therapy Consultation

Name *

First

Last

Email *

License Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Part 1 Start Date *

Part 2 Start Date *

I confirm that I have completed the necessary EMDRIA Learner Assessment in my Part 2 training portal *

I confirm that I have read the required reading to complete this course (as listed in Required and Recommended Reading and Resources) *

Date/Hours of Consultation *

Example: 12/08/2023 2 hours of group consultation with EMDRIA Approved Consultant Tammy Moore

Please upload verification of 10 hours of EMDR Consultation *

Click or drag files to this area to upload. You can upload up to 10 files.

Verification of 10 hours of EMDR Consultation