I have read and understand the information provided within this Informed Consent Form. I understand that I will have an opportunity to discuss the terms of this consent with my clinician at the start of my counseling session. I acknowledge and agree to present all of my questions to my clinician, if any, and to not proceed with my counseling session until all of my questions have been answered to my satisfaction. I understand that by continuing my participation in the counseling session I am asserting my understanding and agreement to the information provided in this consent form.
I have read and understand the possible outcomes of EMDR as listed above and understand I can end EMDR treatment at any time. I hereby agree to participate in EMDR treatment and agree that I assume any risks involved with such treatment.
I hereby give my informed consent to participate in the use of EMDR counseling services under the terms described herein with Wellness Grove.