EMDR Intensive Consultation Request

Are you interested in EMDR Intensive Therapy?

Submit a request for a free 20-minute consultation to see if EMDR Intensive Therapy is right for you.  Once your form is submitted, you will be contacted by Christina within 24-48 business hours to schedule your free 20-minute consultation.

Name *

First

Last

Email *

Which access pass would you like to purchase? *

• Bronze - $199.95
• Silver - $299.95
• Gold - $399.95

Which sessions do you plan on attending? *

• Session 1
• Session 2
• Session 3
• Session 4
• Session 5

Will you be staying overnight? *

• Yes
• No

• I would like to receive email updates regarding future conferences

Comments or Questions

Submit