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CONSULTATION SIGN-OFF FORM

To Be Completed After Attending Weekend 2 of the Basic Training

EMDR Institute
PO Box 750 Watsonville CA 95077
Phone: 831-761-1040 / Fax: 831-761-1204 / Email: inst@emdr.com

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February 16, 2022 12:17 pm PDT

Post WK2 Hours Uploaded by EMDR Institute - registration@emdr.com IP 68.8.205.99

February 16, 2022 12:21 pm PDT

Drew HendricksTEST - drew.hendricks@gmail.com.com added by Drew Hendricks - drew.hendricks@nimbletoad.com as a CC'd Recipient Ip: 68.8.204.160

February 16, 2022 12:30 pm PDT

Drew HendricksTEST - drew.hendricks@gmail.com added by Drew Hendricks - drew.hendricks@nimbletoad.com as a CC'd Recipient Ip: 68.8.204.160

February 16, 2022 12:30 pm PDT

Dave Test - drew@barrelsahead.com added by Drew Hendricks - drew.hendricks@nimbletoad.com as a CC'd Recipient Ip: 68.8.204.160

October 18, 2022 2:50 pm PDT

EMDR Office - inst@emdr.com added by EMDR Institute - registration@emdr.com as a CC'd Recipient Ip: 68.8.204.160

March 14, 2023 11:18 am PDT

EMDR Office - inst@emdr.com added by EMDR Institute - registration@emdr.com as a CC'd Recipient Ip: 68.8.205.99

April 5, 2023 4:42 pm PDT

EMDR Office - inst@emdr.com added by EMDR Institute - registration@emdr.com as a CC'd Recipient Ip: 68.8.205.99