Positive Parent Practices -Group Registration
  • Positive Parenting Practices Group

    Registration and Consent Form
  • Positive Parenting Practices Group

    Tuesdays, 6:30pm-8:00pm ET

    6 weeks, February 24th - March 31st 

    (02/24;03/03;03/10;03/17;03/24;03/31)

    Cost: $300 for one participant, $480 for two parents/caregivers in the same home

    Live Virtual Group meeting via Google Meet

    This 6-week virtual psychoeducational group is designed to empower parents and caregivers with the tools they need to feel more confident in everyday parenting. Led by child psychologist, Dr. Emiliya Adelson, the group will provide strategies rooted in attachment, developmental and child psychology, and neuroscience research. Parents will build understanding of their brains and children's brains. Sessions will focus on increasing connection and strengthening your relationship with your child. Participants will build skills in parenting proactively and creating a household environment that helps set up children for success. They will learn to help children navigate big emotions and build emotional regulation, recognize and manage their own parenting triggers and increase self-awareness, self-care, and compassion; understand child behaviors and discipline effectively; and more. This group will be appropriate for parents of children with or without mental health diagnoses. The group will be most appropriate for parents of elementary and middle-school aged children; however, the parenting tools will apply for children of all ages. 

    The live virtual sessions will provide a blend of educational content with shared discussion, experiential exercises and reflection, and opportunties to practice skills. 

    Please contact Dr. Adelson at dr.adelson@atlantachildpsych.com with any questions to help determine if the group is the right fit for you!

     

  • Your Information:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Informed Consent for Psychoeducational Group

    It is important to be clear about the nature of this psychoeducational group experience. Please read the information below carefully and reach out to Dr. Adelson at dr.adelson@atlantachildpsych.com with any questions you may have prior to providing your consent.
  • 1. Purpose
    It is important to be clear about the nature of a psychoeducational group experience. This 6‑week psychoeducational group provides parents/caregivers with information, skills, and peer support related to positive parenting strategies. Topics will include: building understanding of child’s brain development and developmentally appropriate expectations, helping children navigate emotions and build emotional regulation skills, helping parents recognize and manage their own parenting triggers and build skills in self-care, increasing understanding of children’s behaviors, tools for strengthening the parent and child relationship, and strategies for parenting proactively and creating a household environment that helps set up children for success.

    This group is educational, not individualized therapy. It is NOT a replacement for individual therapy or for group therapy. In these psychoeducational group sessions, licensed psychologist, Dr. Emiliya Adelson, will serve as the facilitator and present material to participants. There will also be time for discussion and reflection exercises during group. Dr. Adelson will provide a form for participants to submit questions/comments between sessions. The questions will be discussed at the beginning of the following session. If a group participant requests further individual correspondence, sessions, or consultation beyond the group, Dr. Adelson will discuss this with the participant to determine a plan to best support them.

    If issues arise that are not suitable for this educational experience, you may benefit from formal psychotherapy and you agree to consult with Dr. Adelson and/or another mental health professionals to obtain referral information.       

    2. Eligibility & Participation

    • Participants must be parents/caregivers of the identified child(ren).
    • Attendance at all sessions is recommended. Notify the group leader at dr.adelson@atlantachildpsych.com in advance if you will miss a session.
    • Plan to be available for the 1.5 hour session duration if at all possible;however, some sessions may be shorter depending on participant engagement in discussion. 

    3. Fees, Payment & Registration

    • Total fee for the 6‑week group: $300 per individual or $480 for two parents/caregivers in one family. A non-refundable registration fee of $100 going towards the total group payment is required at the time of registration. The remainder of the entire payment for the group can be paid at the time of registration or in a second payment which will be collected via invoice (through Square) and sent to the participant(s). This payment must be paid prior to 02/18/2026.
    • The group will run as scheduled only if minimum enrollment is met. If minimum enrollment is not met, the group leader will notify registrants by 02/20/2026 and offer a full refund.
    • Please be aware that we are an out-of-network provider for all insurance companies and that this group is a self-pay service. Most insurance companies do not offer any reimbursement for psychoeducation. It is up to you to contact and investigate the degree of reimbursement, if any, offered by your insurance for services received. With your prior notification, you will be provided with receipts for payments made for psychoeducational services received so that you may submit these to a third party, if you so choose.
    • Should a group participant request individual consultation/ support outside of the scope of the group, Dr. Adelson’s therapy/consultation fee of $175 per 45-50 minute session will be applied. Services including telephone calls that exceed 15 minutes in duration and the time spent performing other requested services will be billed at a prorated rate of $175 per hour in 15-minute increments. In compliance with The No Surprises Act, the psychologist will discuss rates with you prior to engaging in services.

    4. Cancellation & Refund Policy

    • Participant cancellations: There is no refund for the registration fee. The remainder of the full group fee can be paid at the time of registration or prior to 02/18/2026. A refund of the remainder of the payment (subtracting the payment processing fee) will be provided if cancelled 7 days or more before the group start date. No refund will be provided if cancelled within 7 days of the start date. Refunds may be made on a case-by-case basis in cases of emergency.
    • No‑shows and missed sessions: Participants are encouraged to attend all 6 sessions, if possible. No refund or credit for sessions missed after group start. Materials/handouts may be provided when feasible.
    • Clinician cancellation: If the clinician cancels a session or the 6- week group, participants will be offered a refund for the single session or a full refund if the entire group is cancelled. Make‑up sessions may be scheduled at the clinician’s discretion.

    5. Confidentiality & Group Limits

    • Group members are expected to respect confidentiality of other participants. Do not share identifying information from the group outside of sessions.
    • The clinician will protect personal health information consistent with HIPAA and Georgia law; however, confidentiality cannot be guaranteed in a group setting. While group members are expected to respect the confidentiality of others participants, the other attendees do not serve in the role of licensed psychologist/facilitator and are therefore not guaranteed to maintain the same ethics and laws that the facilitator must work under.
    • Psychologist exceptions to confidentiality: duty to report suspected child abuse or neglect, elder abuse, intent to harm self or others, or other disclosures required by law. If such concerns arise, appropriate steps will be taken, which may include contacting emergency services, child protective services, or the authorities.

    6. Telehealth/Virtual Session Information

    • Sessions will be conducted via Google Meet. Use a private, secure location with a stable internet connection. Use headphones to increase privacy when possible.
    • Risks of telehealth include potential technical failures and privacy breaches beyond the clinician’s control. The clinician will use secure, HIPAA‑compliant platforms.
    • If a session is interrupted or technical difficulties prevent continuation, the clinician will attempt to re‑establish the connection or may reschedule; no refund will be provided for technical issues caused by participant equipment or internet.

    7. Records & Documentation

    • The clinician will maintain individual records related to informed consent, intake data, attendance, and notes. Requests for records must follow standard practice procedures. Your communications with me will become part of a clinical record of treatment, and it is referred to as Protected Health Information (PHI). Your PHI will be kept in a file stored in a locked cabinet or kept electronically on an encrypted drive or HIPAA-compliant electronic storage service.

    8. Group Conduct & Expectations

    • Be respectful of others; no hate speech, bullying, or harassment.
    • Turn off/silence phones and minimize distractions.
    • Do not record sessions unless all group members and the clinician provide consent. Unauthorized recording is prohibited.
    • If a group member repeatedly violates rules, the clinician reserves the right to remove them from the group.

    9. Safety, Emergencies, and Crisis Response

    • This group is not designed for crisis management. If you are thinking about harming yourself or another person, or if you believe you are in crisis, call 911 or go to the nearest emergency department immediately.
    • Provide local emergency contact name and phone number in the event of a crisis situation that occurs during session.
  • Format: (000) 000-0000.
  • Consent to Participate in Positive Parenting Practices Group

    By signing below, I acknowledge and agree to the following:
    • I have read and understand this registration and consent form and have had the opportunity to ask questions and received satisfactory answers.
    • I consent to participate in the 6‑week parent psychoeducational group described above. I understand the educational nature of the group and the limits of confidentiality.
    • I agree to abide by the group rules and the attendance/cancellation policy.
    • I authorize the group leader to contact emergency services if there is concern for my safety or the safety of others.
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            Registration Fee (One parent participant)

            Registration fee that secures group slot for one parent and goes towards total cost of group. Remainder of payment will be emailed via Square invoice to be paid by 02/18/2026.

            $100.00
              
            Registration Fee (Two parent participants in one family)

            Registration fee that secures group slot for two parents in the same family and goes toward total cost of group. Remainder of payment will be emailed via  Square invoice to be paid by 02/18/2026.

            $160.00
              
            6-Week Group Payment (One parent participant)

            Secures group slot for one parent and covers full group payment.

            $300.00
              
            6-Week Group Payment (Two parent participants in one family)

            Secures group slots for two parents in one family and covers full group payment for both parents. 

            $480.00
              
            Total
            $0.00

            Payment Methods

            creditcard
            After submitting the form, you will be redirected to Apple Pay to complete the payment.
            After submitting the form, you will be redirected to Google Pay to complete the payment.
            After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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