The Center for Cognitive Education, LLC.

Waco Location: 3201 Franklin Ave, #13

Waco, TX 76710

Email: Web site:

McLennan County Referral Form

10-1-13

DATE OF REFERRAL:______CLIENT NAME: ______

REFERRAL SOURCE NAME/TITLE/CONTACT INFORMATION: ______

The Center for Cognitive Education offers programs/services with non-traditional hours (evenings/weekends). Programs/services listed are also offered in Bell, Williamson, and Travis Counties. For additional information, please refer to our web site, or send an email to .

Client’s, DONOTcall to register for Programs #1- #3, just follow the Orientation schedules listed. You must be on time, have your payment (cash/money order only), and Referral Form. Receipt provided upon payment. If you miss your Orientation date, show up the following week on the same day/time. For Program #4, please follow the specific program email instructions provided.

INSTRUCTIONS for McLennan County: Please mark the number/letter of the program(s) that the client is being referred to. Provide the completed form to the client and advise them to be at the above address on the date/time you specified. If they miss their scheduled Orientation date they are to show up the following week.Email, or fax, the completed form (or applicable information) to the Primary Facilitator - Dow Fogleman, , fax 877-736-8510. Client will be placed on the appropriate program roster. You will be advised of attendance/group facilitator name, along with monthly progress reports. Advise client of program costs.

  1. Cognitive Education Program (CEP) Orientation. Date to Attend: FRIDAY ,Time 12:00pm- 1:00pm. Orientation for all of the following CEP and NIPV programs does include: view of basic cognitive concepts; view of program structure; the client being assigned a weekly class; and purchasing workbook. $20 is required at the Orientation ($15 for orientation and $5 for manual).
  1. _____ Diversion Cognitive Education (Pre Trial Intervention clients ONLY): 10 week program;$15 per

weekly 1 hour class. Please specify type of class: ______Substance Abuse Emphasis;_____ General.

  1. Non Intimate Partner Violence (NIPV) Program Orientation. Date to Attend: FRIDAY ,Time 1:00pm- 2:00pm. ‘Anger management’ program ONLY appropriate for offenses involving violence between strangers, roommates, adult siblings, parent/adult child, in-laws, and neighbors.Offenses involving violence between intimate partners are not appropriate for this program and need to attend BIPP. $20 is required at the Orientation ($15 for orientation and $5 for manual).
  1. _____ 8 weeks/ 12 hours. 1 ½ hour weekly class sessions; $20 per class.

Basic ‘1st time offenders’. No previous history of violence or substance abuse behaviors.

  1. Batterers Intervention and Prevention Program (BIPP) Orientation. FRIDAY , Time 1:00pm- 2:30pm. Cost: $40 required at time of Orientation($20 for orientation and $20 for manual). Orientation for BIPP does involve the client signing program agreement, being assigned to a permanent weekly class, purchasing of program manual, and a program overview. Program Description:BIPP is ONLY appropriate for offenses involving violence within an intimate partner relationship (husband/wife, boyfriend/girlfriend, ex-husband/ex-wife, etc). Focus is placed on taking accountability for the battering behavior with the goal of stopping future acts of violence.Program Length/Cost: 24 weeks (36 hours); 1 ½ hour weekly class; $25 per weekly class. Accredited by TDCJ-CJAD as an approved BIPP provider.
  1. Money Management/Theft Prevention Program:6 hours of class instruction (2 days a week) 6:00pm- 9:00pm each day, with 2 hours of homework assignments. Total 8 hours. Cost: $85. Email Instructions: Subject line titled with Last name, First initial and “MMTP”. Email to include your full name & contact number and send to will be notified when next class isscheduled.