-If you're looking for your telehealth link or contact info for your therapist, please see the Therapy Services tab.
-Records requests: For professional (another provider or legal support) records requests, please fax a release of information and request to our fax number. I will not respond to phone calls or emails about records requests.

Letter Requests — Please Read Carefully

 

Please choose ONE of the following TWO options based on what you need:

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DOCUMENTATION OF HOURS LETTER

👉 Complete this form if you ONLY need documentation of your EMDR consultation hours
(This is NOT a recommendation letter and cannot be used for your certification recommendation letter required by EMDRIA.)

🔗 https://form.jotform.com/251405164974055

 

 

CERTIFICATION / APPROVED CONSULTANT RECOMMENDATION + DOCUMENTATION OF HOURS ONLY LETTER

👉 Complete this form if you need BOTH:

• Documentation of EMDR consultation hours AND

• A primary consultant* / EMDRIA-approved consultant recommendation letter**
  (Required for EMDR certification or Approved Consultant applications.)
  🔗 https://form.jotform.com/232965659696176

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*What Is a Primary Consultant?

A primary consultant is the EMDR consultant who has provided the majority of your required consultation hours and who knows your clinical work, professional development, and readiness for the next level of EMDR practice.

For EMDR certification or Approved Consultant applications, EMDRIA requires that one consultant take responsibility for confirming that you have met consultation requirements and are practicing EMDR ethically, competently, and within scope.
 

Please read the EMDR Certification page for more info on using Sam as your primary consultant
 

**Why Is a Recommendation Letter Required from my Primary Consultant?

A recommendation letter from your primary consultant serves several important purposes:

• Verification of consultation hours
  The primary consultant confirms that you have completed the required number of consultation hours.

• Clinical competency endorsement
  The letter attests that you demonstrate appropriate understanding and application of EMDR therapy, including case conceptualization, pacing, safety, and ethical practice.

• Professional readiness
  EMDRIA requires an experienced consultant to assess whether you are ready to move forward with certification or Approved Consultant status.

• Accountability and integrity of the certification process
  This ensures that certification is based on observed consultation work, not just self-report.

 

Because of this role, not every consultant can or should write a recommendation letter. Only the consultant who has served as your primary consultant and has sufficient knowledge of your work is eligible to provide this endorsement.