Request More Information
Use this form to contact us if you:

have questions, or if you want more information about our workshops.
want to electronically register for an upcoming workshop. *
want to be on a mailing for future workshops.
would like to find out more about our testing or counseling services,
including biofeedback for ADHD issues.
would like information about school contract work for psychologicals,
behavior planning, IEE's, etc.

If you are registering for a workshop please send the appropriate fee to assure
that your place is held if you electronically register.  Make sure that you identify the
specific program and location (city).  Go to
 'Scheduled Workshops' and click on
the  Downloadable Registration Form to obtain a registration form and to see
dates, locations and prices.

*If  you register for a workshop electronically we must receive your fee seven days
prior to the workshop to hold your place. If it is not received by that date you will
have to pay the full fee!  Register early!
CPC
106 Denton Tap Rd.,
Ste 210-216
Coppell, Texas
75019

972-506-7111
FAX: 972-304-0400
Your Name:
Your E-mail Address:
Your Phone Number:
Comments, Questions
or
Request to Register for a
Workshop:

If you wish to register:
1. State how many   
people are coming.
2. Identify the city.
3. List the names.
4. Send in the registration     
  fee.
5. Make sure you list your
e-mail address