EMDR Consultation Hours Log Template (Free PDF)

A printable consultation-hours log for clinicians working toward EMDRIA Basic Training completion or EMDRIA Certification — date, consultant, format, hours, topics, and consultant attestation.

Free PDF for EMDR clinicians. Get it by email.

What's in the consultation hours log

A single-page printable log for tracking EMDR consultation hours toward EMDRIA Basic Training completion (10 hours required) or EMDRIA Certification (20 hours required, at least 10 individual). Each row captures the date, the consultant's name and EMDRIA number, the format (individual or group), the hours logged, the cases discussed (client initials only), the topics or NC cluster covered, and a consultant initial column.

Totals boxes at the bottom of the log separate individual and group hours, with a cumulative running total. A consultant attestation block at the bottom allows the consultant to sign and date the log for submission with the application.

Who it's for

Clinicians completing EMDRIA-Approved Basic Training who need to document the 10 required hours of consultation, and clinicians working toward EMDRIA Certification who need to document the 20 hours required (with at least 10 individual). Also useful for Consultant-in-Training (CIT) candidates accumulating additional hours under a Consultant-of-Consultants, and for clinicians who simply want a clean paper record of ongoing EMDR consultation for CECs or professional liability documentation.

Why a structured log matters

A common application-submission problem at both the Basic Training and Certification stages is incomplete or unverifiable consultation documentation. Consultants are not always available years later to confirm hours from memory, and informal email chains rarely satisfy the EMDRIA reviewer. A signed, contemporaneous log — kept by the consultee and counter-initialled by the consultant at each session — solves the problem at the point of the session, not retrospectively.

The log also supports the consultee's own reflective practice. Looking back across a year of consultation, the pattern of cases discussed and topics covered makes gaps visible (e.g. "I've never brought a stuck Phase 4 case to consultation") that the consultation conversations themselves can then address.

How to use the log

1. Print or open the PDF at the start of your consultation journey. Fill in the header — your name, licence and state, and your Basic Training completion date.

2. Tick the purpose-of-log box that applies (Basic Training, Certification, CIT, or ongoing CECs). You can run one log per purpose or, if your consultant agrees, one continuous log across stages.

3. After each consultation session, fill in the row. Use client initials only — never full names. The topics column should capture the negative-cognition cluster or the procedural topic (e.g. "stuck Phase 4 / responsibility cluster" or "Phase 1 history-taking with complex case").

4. Have the consultant initial the row at the end of the session — this is the contemporaneous verification that protects you if the log is later questioned.

5. When you're ready to apply, total the columns and have the consultant sign the attestation block. Submit a scan or photo of the signed log with your EMDRIA application.

For the broader picture of what counts toward certification, see the EMDR Certification & Training Requirements guide.

What's inside the PDF

  • Consultee header (name, licence/state, Basic Training completion date)
  • Purpose-of-log selector (Basic Training, Certification, CIT, ongoing CECs)
  • 14-row consultation log with Date, Consultant + EMDRIA #, Format (Ind/Group), Hours, Cases discussed (initials), Topics/cluster, Consultant initials
  • Totals block (individual, group, cumulative, cases)
  • Consultant attestation block with name, EMDRIA Consultant number, signature, and date
  • 2026 EMDRIA reference note (10 hrs for Basic Training, 20 hrs for Certification with ≥10 individual, group consultation ≤8 participants)

Common questions about consultation hours

What counts as a consultation hour? Time spent in discussion of your EMDR cases with an EMDRIA-Approved Consultant (or Consultant-in-Training, with limits). Training-room time, didactic lectures, and CECs do not count as consultation hours — even when delivered by a consultant.

Can all 10 Basic-Training hours be group consultation? Yes, all 10 hours of Basic Training consultation can be group, provided the group has no more than 8 participants. For Certification, at least 10 of the 20 hours must be individual.

Can hours carry over from Basic Training to Certification? No. The 10 hours required to complete Basic Training are separate from the 20 hours required for Certification. Plan accordingly.

What if my consultant is a Consultant-in-Training (CIT)? CIT hours count toward Basic Training and toward Certification with caveats (typically up to half the required hours; verify the current EMDRIA standard at the time of your application). Document the CIT status clearly in the consultant column.

Do tele-consultation hours count? Yes — video consultation has been accepted for several years and remains accepted as of 2026.

Related on the EMDR guide

Frequently asked questions

Is this the official EMDRIA form?

No — EMDRIA does not publish an official log template. This is a clinician-built template that captures the fields EMDRIA reviewers ask for. Verify current standards at emdria.org before submitting.

Can my consultant sign electronically?

Yes — a typed name plus a digital signature image or a clear written signature on a scanned page are both accepted by EMDRIA reviewers.

How many hours do I need?

10 hours of consultation to complete Basic Training. 20 hours of consultation for EMDRIA Certification (at least 10 individual). Additional hours apply for Consultant-in-Training and Approved Consultant pathways.

What if I lose the log?

Email a scan to yourself after every signed page. Consultants typically do not retain copies of consultees' logs — the responsibility for documentation is yours.

References

  1. EMDR International Association (EMDRIA). Definition of EMDR Therapy, Basic Training and Certification standards. emdria.org (verify the current edition).
  2. Leeds, A. M. (2016). A Guide to the Standard EMDR Therapy Protocols for Clinicians, Supervisors, and Consultants (2nd ed.). Springer.

EMDR Assist is clinician software for licensed EMDR therapists: BLS, all eight phases, target planning and session notes in one place. Learn more.