Forms

We are now pleased to provide a secure, encrypted, and HIPAA compliant online forms for your convenience! Simply click on the link below and provide your name and email address. After doing this you will immediately receive an email with a password to login and complete your EMDR Consultation Contract. Once logged in, you complete the contract online or complete it by hand, scan, and email to Mark Odland at mark@bilateralinnovations.com

EMDR Consultation Contract

If you have any questions or would like to set up a consultation session, please call me at (844) 872-8625 or fill out the Contact Form below.

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