Form Archives

Full Packet (Phase 1 Toolkit)

A toolkit designed to help EMDR therapists gather comprehensive client information and assess readiness for EMDR treatment.

Learning Recap (Phase 1 Toolkit)

Wrap up with a recap of essential concepts and tools to reinforce learning and help you confidently move forward into Phase Two.

Issue-Driven Treatment Plan Worksheet (Phase 1 Toolkit)

Use this form to create an EMDR therapy treatment plan for the issues the client is hoping to address. Also see the video in this toolkit.

BCE Questionnaire (Benevolent Childhood Experiences) (Phase 1 Toolkit)

BCEs are favorable experiences that occur during childhood (0-17 years), such as having social support and security.

ACE Questionnaire (Adverse Childhood Experiences) (Phase 1 Toolkit)

ACEs are potentially traumatic events that occur during childhood (0-17 years), such as witnessing violence or experiencing food insecurity.

History Taking Timeline (Phase 1 Toolkit)

A visual timeline for organizing client history.

EMDR Consultant™ Self-Assessment

This self-assessment is an invitation to explore various consultation skills and track ongoing professional development for EMDR Consultants™.

EMDR Fidelity Rating Scale (EFRS) (EMDR Research Foundation)

The EMDR Fidelity Rating Scale is a tool to evaluate adherence to EMDR therapy’s standard eight-phase treatment approach and three-pronged protocol.

EMDRIA Consultation Packet

The EMDRIA Consultation Packet is for those trained in EMDR therapy and are interested in becoming an EMDR Certified Therapist, EMDR Consultant-in-Training and/or EMDR Consultant.

Example Contract Agreement for Individual Consultation

This example contract is provided to help you draft a written agreement between consultant and consultee for individual consultation.

Example Contract Agreement for Group Consultation

This example contract is provided to help you draft a written agreement between consultant and consultee for group consultation.

Example EMDR Case Presentation Form

This sample form allows a consultee to summarize an EMDR client case they are bringing to their consultant for discussion.

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