EMDR Note Template for Clinicians
A complete clinical documentation bundle designed by Sherly Millan, LICSW, for real EMDR sessions.
Track targets across sessions: Memory/Trigger, Negative Cognition (NC), Positive Cognition (PC), Validity of Cognition (VOC), and SUD scores — all in one clean grid.
Capture each session completely: Safe Place, BLS modality and sets, Cognitive Interweave, SUD baseline and close, Installation, and Body Scan.
Watermarked preview — the downloadable PDF is clean and unbranded.
What's Included in the Bundle
- Negative Cognition (NC) and Positive Cognition (PC) per target
- Validity of Cognition (VOC) baseline and end scores
- Subjective Units of Disturbance (SUD) tracked across sets
- BLS modality, speed, and number of sets
- Cognitive Interweave documentation
- Safe Place, Installation phase, and Body Scan
Insurance-Compatible EMDR Documentation
Structured EMDR documentation supports medical necessity for insurance billing. These templates track AIP-model phase progression and SUD/VOC outcomes — the clinical data payers need to justify EMDR treatment.
Compatible with CPT codes 90837, 90834, and 90847.Get the Bundle — $12
Both templates included. Instant PDF delivery to your inbox. Designed by a licensed EMDR therapist.
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