Clinical Documents

Clinical Documents

Below you will find a range of clinical forms and assessment tools used by EMDR Brisbane. These documents include intake questionnaires, screening measures and consent forms that may be provided to you as part of your treatment, or that referring practitioners may find useful. Each document can be viewed or downloaded as a PDF.

• ACE Score Questionnaire Adverse Childhood Experiences (ACE) screening questionnaire
• Confidentiality Form Outlines how your information is kept confidential during treatment
• DASS-21 Depression, Anxiety and Stress Scale (21-item version)
• DES-II Dissociative Experiences Scale, second revision
• IES-R Impact of Event Scale – Revised
• Release of Information Form Consent form for releasing or requesting client information

If you have any questions about these documents or need assistance completing them, please don't hesitate to contact our clinic.