Child-Parent Relationship Therapy Registration
Child-Parent Relationship Therapy (CPRT) is a research-based therapeutic parenting group designed for parents and caregivers of children ages 3 to 10. CPRT teaches parents to use the same skills therapists use to help children (ages 3 - 10) experiencing social, emotional, or behavioral challenges.
PAYMENT & GROUP FEE
To complete your registration and attend this group, please pay the $100 fee ($10 per session) using this link, then return to this page to complete the registration process. Scholarships are available. Questions? Email info@phoenixtx.org.
Phoenix Center Parenting Groups
Phoenix Center provides evidence-based parenting programs. All parenting support at the Phoenix Center is available to all parents, guardians, and caregivers in a child’s life. We utilize evaluations (pre and post survey) so that we can best understand and measure the effectiveness of our programs, and we use research-based parenting programs to help parents/caregivers move toward the changes they wish to see in themselves and their families. The success of this parenting program (CPRT) will depend on your regular attendance and active participation.
PHOENIX CENTER CONSENT, CONFIDENTIALITY, AND POLICIES
Your confidentiality is extremely important to us. We will not disclose any of your information, including your status as a client at the Phoenix Center, to anyone who is not an employee of the Phoenix Center, without your written consent, with exception of the following:
- If there is suspicion of abuse to a child, an individual who is age 65 or older, or an individual with a disability, we are required to report this information to Child Protective Services or Adult Protective Services as mandated by Texas law.
- If an individual wishes to harm themselves, or another individual, we reserve the right to break confidentiality in order to create a Safety Plan and seek help and protection for the individual and others.
- If records are subpoenaed by a court of law, we are required to release these records as detailed in the subpoena.
Please be aware that e-mail and any form of electronic communication is not a secure or confidential means of sending information. Be cautious when disclosing personal information as your message becomes the property of third parties (your server and the recipient's server).
Please read our Notice of Privacy Practices at www.phoenixtx.org/counseling.
Attendance
If you can NOT attend a group date, please contact us at least 24 hours in advance. If you miss more than 2 group sessions, you will not be able to continue in the group (or receive a certificate of completion). However, you will have the option to attend another parenting group in the future, and you can also visit our Walk-In Clinic without an appointment weekly.
Please note that a certificate of completion can only be provided if you attend more than 80% of meeting dates and we recommend attendance on all group dates so you do not miss any content. If you have any questions, please email info@phoenixtx.org.
RECEIPT AND ACKNOWLEDGEMENT NOTICE OF PRIVACY PRACTICES
I understand that if I have any questions regarding the Notice of Privacy Practices, or my privacy rights, I can ask any Phoenix Center Staff member or call (830) 637-7848. Please read our Notice of Privacy Practices at www.phoenixtx.org/counseling or you can request a paper copy at the Phoenix Center.
By electronically signing below, I hereby acknowledge that I have received and have been given an opportunity to read and ask questions about Phoenix Center’s Notice of Privacy Practices in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Sign Here
CONSENT TO TREATMENT
By signing my name below, I hereby consent to mental health treatment (Child-Parent Relationship Therapy) at the Phoenix Center. I understand I may stop treatment and withdraw my consent at any time.
Sign Here