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For your convenience, Advent Counseling accepts most major credit cards.  

Insurance & Payments 


We accept some major insurance plans:

Aetna, BCBS, Signa, United Health Care.

Things you should know before using insurance: 


YOUR INSURANCE COMPANY – By using insurance, I am required to give you a mental health disorder diagnosis that goes on your medical record.  I am not required to tell you the diagnosis, but as best practice, it is my policy that we collaborate on this information.  You may have had a previous diagnosis from another treatment provider.  After my assessment, if I clinically determine that you have the same diagnosis, I will use that diagnosis.  If I assess you and clinically determine otherwise, I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis.  Your insurance company will know the times and dates of services provided.  They may request further information to authorize additional services regarding your treatment. 

It is also important to note that some psychiatric diagnoses are not eligible for reimbursement.  This is often true for marriage/couples therapy.  In the event of non-coverage or denial of payment, you will be responsible to pay for such services. Advent Counseling and Training Services Inc. reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to you.

PRE-AUTHORIZATION & REDUCED CONFIDENTIALITY– When visits are authorized, sometimes only a few sessions are granted at a time.  When these sessions are complete, your therapist may need to justify the need for continued service potentially causing a delay in treatment.  Sometimes additional sessions are not authorized, leading to an end of the therapeutic relationship even if you do not feel you have achieved your therapeutic goals.  Your insurance company may request or require additional clinical, confidential information in order to approve or justify a continuation of services.  I cannot assure or guarantee your confidentiality when an insurance company requires this information to authorize continued services.  Even if the therapist justifies the need for ongoing services, your insurance company may decline services regardless if you think you need continued therapy or not.  For these and other reasons, many therapists discuss “the myth of confidentiality” whenever insurance companies become part of the therapeutic process.

POTENTIAL NEGATIVE IMPACTS OF A DIAGNOSIS– Insurance companies require the therapist to give you a mental health diagnosis (i.e., “major depression” or “obsessive-compulsive disorder”) in order to get reimbursed. Psychiatric diagnoses may come back to negatively impact you in the following ways:

1.      Denial of insurance when applying for disability or life insurance;

2.      Company (mis)control of information when claims are processed;

3.      Loss of confidentiality due to the increased number of persons handling claims;

4.      Loss of employment and/or repercussions of a diagnosis in situations that require revealing that you have a mental health disorder diagnosis.  This includes but is not limited to applying for job applications, applying for financial aid, and concealed weapons permits. 

5.      A psychiatric diagnosis can be brought in a court case such as a family law, criminal, etc. 

It is important for you to be an informed consumer, so you can empower yourself in regards to your health and medical record.  At times, having a diagnosis can be helpful such as in the case of a child needing extra services in the school system or a person being able to receive disability. 

Access Our Forms Online:


Go to our Forms page.

We welcome you as our client and appreciate the opportunity to work with you. The following information has been prepared to answer some of the questions you may have regarding your visits to Advent Counseling and Training Services Inc (ACTS) and to help you use our services more effectively. Please read this sheet carefully and keep a copy for future reference.


Jim Ciraky, PhD, LPC is clinically trained and licensed in the state of Georgia as a Professional Counselor and Nationally Board Certified as a Counselor.


Office Hours: Each therapy session is by appointment only and is usually 45 minutes long. In the case of a life-threatening emergency, and if you are unable to reach your therapist, call 911, or Ridgeview Institute at (770) 434-4567, or Peachford Hospital (770) 455-3200.


Payments and Fees: All visits are to be paid in full at the time of service. We do not bill. We welcome cash, check, or credit card. Insured clients are to pay the co-payment and deductible for their primary insurance at each appointment.


The standard fee for a 45-minute therapy session is $195.00. A fee of $35 will he charged to the client for an insufficient check.


Insurance: We will be glad to work with our insurance-paying clients by filing claims for you. However, it is ultimately your responsibility to see that authorizations or referrals are obtained and that the bill is paid.


Utilization of your insurance benefits is likely to necessitate disclosure of clinical information to your insurance company or managed care company.


Cancellations: Except in cases of emergency, please give 48 hours notice if you are unable to keep any appointment; otherwise, the full charge of 195.00 will be made for the time reserved for you. I do not double-book my clients. Consequently, I reserve a complete session time for each client. Charges for appointments which are either late cancellations or fail-to-shows will not be covered by your insurance company. Repeated missed appointments without 48-hour notice may be the basis for termination of services.


Confidentiality: All communications between client and therapist will be held in confidence and will not be revealed unless authorized by you and/or required by law, such as situations of child abuse or threats of physical harm to self or others. Failure to pay may necessitate forwarding information related to your account to a collection agency. We reserve the right to discuss information regarding your counseling/therapy with insurance companies

concerning benefits, coverage, or payments, and with clinical peers and/or supervisors relative to case review. 


Children: We cannot accept responsibility for the supervision of unattended children in the waiting room. If you are bringing your child while you meet with a therapist, please bring another adult with you to supervise your child while you meet with the therapist. 

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