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EMDR Intensive Consultation Request

This form helps determine whether an EMDR intensive is the right fit for your needs.

EMDR intensives are structured, short-term therapy experiences designed for focused trauma processing. If it feels aligned, you’ll be invited to schedule a consultation to discuss next steps.

Email Address (Please double check your email for accuracy so we can follow up with you)

Full Name

State of Residence

California

Georgia

What are you hoping to work on?

What format are you interested in?

5-Day Intensive Week (90 minute sessions)

Full-Day Intensive (6-8 hours)

Not sure yet

Are you ready to begin within the next 30 days?

Yes

Just Exploring