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GROUP EMDR APPLICATION & REGISTRATION

Haere mai, welcome!

We’re glad you’re interested in joining our EMDR group. This form helps us make sure the group is the right fit for you and gives us the information we need to support your participation. Everything you share is confidential.

Once you’ve submitted your application, one of the facilitators (Erin or Josette) will be in touch. We’ll arrange a short phone call with you about two weeks before the group begins to answer questions, give you more details, and confirm readiness.

Important: Your place in the group is not secured until you’ve received a confirmation email and your payment for the three sessions has been made.

Some information from this form may be used (anonymously) to help us refine and improve our groups.

Please note:

  • Participants need to have a therapist, HIP, GP, or another health professional they can connect with if extra help is needed between the sessions.

  • Currently, this EMDR Group is not available as adjunct therapy to ACC sensitive claims or other ACC-funded treatment.

  • We welcome participants of all genders and gender identities. If you would prefer a group for female-identifying or non-binary participants only, please let us know — we’re gauging interest for future groups.

Fees & Payment

  • One round of Group EMDR = 3 sessions of 120 minutes

  • Total fee: $495 (inc. GST) for the three sessions

  • Full payment is required two weeks before the group starts to secure your place

  • Spaces are limited

Refund & Withdrawal

  • Withdrawals made within the final week before the group, or after the group has started, are non-refundable (as we can’t refill places at short notice).

  • If, during the first session, we assess that you’d benefit from more stabilisation before continuing, you’ll receive a refund for the remaining sessions ($330 inc, GST). You’re welcome to join a future round when ready.

  • In rare or exceptional circumstances, facilitators may use discretion to offer refunds outside these guidelines.

  • Groups require a minimum number of participants. If this number isn’t reached, we may reschedule or cancel. If rescheduled dates don’t suit you, you can transfer to another group or a full refund will be issued if you prefer that.

  • If unforeseen circumstances require us to cancel a group entirely, full refunds will be issued.

Walking alongside you as you take your next steps toward change.

Application Form

Birthday (18+ only)
Day
Month
Year
Which EMDR Group would you like to join?
13, 20, & 27 February 2026 (9.30am-11.30am). Pāpāmoa - venue TBA.
7, 8, & 14 March 2026 (9.30am-11.30am). The Lakes, Tauranga - venue BloomCo. This group is for work stress and burnout prevention.
20, 21, & 27 June 2026 (9.30am-11.30am). The Lakes, Tauranga - venue BloomCo.
15 & 23 June, 1 July 2026 (6.00pm-8.00pm). Pāpāmoa - venue TBA.
Fee Agreement
Health & Safety Checks - please confirm that you:
Are comfortable with anonymous use of PCL-5 data for research/programme development (not compulsory for attendance)?
Yes
No
By registering, you confirm that you:
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