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Required fields are in bold.

Password must be at least 8 characters long.

Account Information

Password must be at least 8 characters long.

Contact Information

Course Information

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The following information is required in order to register for EMDRInstruction Training Courses. Once you have completed the form, you will be prompted to make your payment for your courses. Provide the following information as follows:

Account Information Requirements

Email - Provide the email you wish to receive all EMDRInstruction Course Information.

Username - Provide the Account Username you wish to assign to your account.

Password - The password you choose must contain 8 Characters (1 Uppercase Letter & 1 Special Characters).

Contact Information Requirements

First/Last Name - Provide your First & Last Name.

Phone - Please provide a contact phone number, in case we need to reach out to you.

Address Information - Provide your home/business address with the Street Address, City, State, Country & Zip Code.

Referral Information - Please provide how you discover EMDR Instruction. If an individual referred you to EMDR Instruction, please provide the Referrer's Name.

Course Information

Selecting a Course - Select the course you wish to attend near your current location that fits your schedule.

License Number & Type - Please provide your License Number & License Type.

Field of Therapy - Provide what field of therapy you offer your patients.

Course Fees

EMDRInstruction Course: Part 1 $600.00

EMDRInstruction Course: Part 2 $600.00

NOTE: If you have already registered your account with EMDRInstruction and need to make a payment to complete your Course Registration, click here.

Need Support?

If you need assistance, please contact Customer Support by sending an email with your issue to Customer Support or by clicking below.

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