New Client Info

Contact Shanna Jackson at 404-934-9957 to discuss interest in joining a group. Leave a message, including your name, phone number, and best times to reach you within usual business hours. Your call will be returned as soon as possible. If necessary, she will assist you in finding additional referrals that meet your needs. If you are joining a group, please download the New Client Information, Informed Consent, Symptom Checklist, and Social Media Policy forms. You can save time if you fill them out at home and bring them with you to your first session. If you are unable to fill out the forms in advance, we suggest you arrive at least 15 – 20 minutes prior to your initial session so you can complete them.

For other services, please directly contact the practitioner you wish to see. Practitioners’ contact information are listed on their individual pages, under Who We Are.

Files for downloading Links
New Client Information Form Download
Informed Consent for Therapy Download
Telehealth Informed Consent Download
Authorization to Release Information Download
Social Media Policy Download
Symptom Checklist Download

About Insurance for CircleSpace Groups

  • You will be provided with a monthly superbill receipt if you choose to file a claim with your insurance company. Although CircleSpace does not bill for insurance, many insurance companies will reimburse you for out-of-network services.
  • If you have one, you may also opt to use your Health Care Reimbursement or Flex Spending Account. The first step is to check with your insurance company and ask the following:
    1. Are out of network providers covered? If yes, is the type of license my therapist has eligible for coverage under my plan? (Some plans only cover certain licenses. Ask if it covers a Licensed Professional Counselor (LPC) or a Licensed Clinical Psychologist (PhD).
    2. What is my deductible, and is there a separate deductible for mental health services?
    3. Is there an annual maximum limit on coverage? Make a decision about whether you want insurance to cover your expenses. Some people do not mind having a mental health diagnosis on record with their insurance, while others prefer to keep their therapy private. We encourage you to discuss the pros and cons with your therapist if you are unsure. You should be aware that if you plan to file claims, you must be given an appropriate mental health diagnosis by your therapist. If you decide to file insurance, you will pay your therapist at each session or monthly, will be given a receipt for the sessions, and can then file for reimbursement from your insurance. Many clients choose to submit all their claims at the end of each month, but how often you file is up to you. Most insurance companies have a limit as to how much time elapses before a claim is filed, so you should check with your company to find out what that time limit may be.