Accredited Practitioner

Application Form

Application Form

Step 1 - Your Details

First Name*

Surname*

Email Address*

Used for all correspondence

Mobile / Phone*

Address Line 1*

Address Line 2*

Apartment, suite, etc.

City / Town*

County*

Postcode / Eircode*

Country*

Province / Region*

Step 2 - Professional Backgrounds

Qualifications*

List relevant professional qualifications

Core Profession*

Primary professional discipline

Accrediting Body*

The professional body you are registered with

Step 3 - Clinical Supervisor

Your EMDR Europe Accredited Clinical Supervisor or Consultant must support this application. They will be asked to complete the competency checklist (Section IV) before your application is reviewed.

Name of EMDR Europe Accredited Clinical Supervisor / Consultant supporting this application*

EMDR Europe Clinical Supervisor / Consultant's email address*

Once you have filled in your supervisor's details above, send them a secure link to complete their part of this form.

Step 4 - Accreditation Criteria

Practitioner tick-box confirmations and numeric data

All checkboxes must be confirmed before the form can proceed.

I am a member of EMDR All-Ireland Association.

I have enclosed copies of certificates confirming completion of EMDR Basic Training (Parts 1, 2 and 3).

I have enclosed copies of my current licence / verification / registration as a mental health professional recognised by EMDR All-Ireland Association.

I have completed a minimum of two years' experience post original mental health qualification.

My EMDR Clinical Supervisor has directly witnessed my EMDR work either on video or In Vivo.

I have enclosed a reference of recommendation from an Approved EMDR Clinical Supervisor (Section IV).

I have enclosed a second reference in support of my application from a colleague/manager/peer (Section V).

I am aware that my EMDR Europe Accreditation Certificate is for 5 years duration, after which reaccreditation is required.

Numeric Criteria

Years of EMDR experience (post Basic Training)*

Minimum 1 year

Number of EMDR sessions conducted*

Minimum 50

Number of clients treated with EMDR*

Minimum 25

Hours of EMDR Clinical Supervision*

Minimum 20 hours (10 from Basic Training)

Step 5 - Clinical Case Log (Section III)

Applicant fills in the table or uploads a completed file.

Option A - Fill in table (repeating rows, no limit)

Client #	Presenting Problem	Date First Seen	No. of Sessions	Setting

Session and client totals are calculated automatically.

Option B - Upload file

Client Log Upload*

PDF, Excel, CSV or Word document

Step 6 - Supervisor Competency Checklist (Section IV)

Parts A-C: EMDR phase competencies - completed by your supervisor via their link

This section is completed by your supervisor using the link sent in Step 3.

Step 7 - Second Reference (Section V)

This reference forms part of the application process for accreditation as an EMDR Europe Practitioner. It must be from a person who can comment upon your professional practice and standing - separate from your EMDR Clinical Supervisor.

I support this application for EMDR Europe Accreditation as an EMDR Europe Practitioner for (name of applicant)*

I know the applicant from the following context*

e.g. colleague, line manager, professional peer

Referee Confirmation - tick to confirm *

I can confirm the applicant's experience in the practice of EMDR, and that the applicant's professional practice is in accordance with the ethical guidelines of their respective professional organisation.

Please print name*

Referee Signature*

Upload an image of your signature (JPG, PNG)

Date*

Step 8 - Declarations

Each declaration has a Yes / No toggle. If any answer is No, an explanation field is required.

I maintain my professional registration and am in good standing with my accrediting body.

I have no criminal record that would prejudice clients or bring EMDR Ireland into disrepute.

I have not been dismissed or refused membership of a professional organisation for misconduct.

I will notify EMDR Ireland of any complaints, disciplinary proceedings, or changes to my professional standing.

I hold adequate professional indemnity insurance for my clinical practice.

I agree to abide by the EMDR Europe Code of Ethics and the rules of EMDR Ireland.

I agree to engage in regular EMDR consultation and continuing professional development (CPD).

Details for any No answers

Only required if a No answer is given above

Step 9 - Documents

Certificate upload slots appear based on the membership level selected.

Professional Registration Certificate*

Current licence/verification/registration as mental health professional

EMDR Training Certificate*

Certificate confirming completion of EMDR Basic Training (Parts 1, 2 and 3)

CPD Certificates and Additional Supporting Documents*

Upload CPD certificates and any other supporting files - multiple uploads allowed

EMDR All-Ireland - Accredited PractitionerGenerated 3 October 2026