Review Registration Information

Please review the registration information that we have on file.

Please correct any information below so that it is accurate. It is critical that we have a working cell phone and deliverable physical mailing address.

Legal name will be printed on certificates and used for all communication.
Legal name will be printed on certificates and used for all communication.
This field is read-only. To update please contact assist@emdr.com
This is an international phone field. Please select your country flag from the drop-down. The Phone number will not validate without the country selected. This needs to be a cell phone that can receive text messages and will be used during training.
This is an international phone field. Please select your country flag from the drop-down. The Phone number will not validate without the country selected.
Mailing Address to Receive Training Manuals
Are you Licensed?(Required)
If you are a student, or intern please put N/A in this field.
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