EMDR Basic Trained Raffle - Center for Counseling & Family Relationships

Christmas Gift Raffle

Dr. Rhonda Johnson is gifting 4 FREE one hour EMDR Group Consultations (with 2 participants) to use towards EMDR Certification. Your information must be submitted by December 10th and winners will be notified on December 11th.

Requirements

Participants must have already completed a Basic Training.

Participants must be available to attend consultation on the following Mondays at 4pm. December 14th December 21 December 28 January 4

Participants must be willing to sign a consultation agreement with Dr. Rhonda Johnson. This agreement includes weekly case consultation forms and for a video to be shown in group consultation.

Download EMDR Agreement

Name*
First Last
EMDR Basic Trainer*
When did you complete Basic Training?*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
License*
License Number*
Mark "Yes" I am available on December 14, December 21, December 28, and January 4th at 4pm.*
- Yes

Christmas Gift Raffle

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