Kansas City Missouri TRN Volunteer Survey
The mass shooting at the Chief's Super Bowl parade on 02-14-2024 has devastated this great city.  Your interest volunteering your valuable skill as a mental health provider is remarkable!  To help organize our efforts, please complete the form below.  Some content is required by EMDIRA.  If you are not EMDR trained, just choose the appropriate response. We still need your help and support!

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Name *
Phone number *
Email address *
Business/Practice address *
What states are you licensed in? *
Required
What level of licensure do you hold? *
Required
Do you currently hold malpractice insurance at the $1 Million / $3 Million level? *
What types of direct service do you provide? *
Required
Languages spoken other than English
Are you EMDR Part 1 and 2 trained?  If so, what protocols are you familiar with? *
Required
Are you interested in providing in office and/or virtual, individual or family, pro bono sessions to those impacted by the mass shooting at the Chief's Super Bowl parade?
Please check the box(es) of the subcultures where you have experience providing service.
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