3909 National Drive, Suite 100
Burtonsville, MD 20866
Last Updated: August, 28, 2026
This version supersedes all prior versions. By continuing services with Turntable Counseling, clients agree to the policies stated below.
Turntable Counseling provides clinical psychotherapy services in accordance with applicable federal and state laws, including HIPAA.
Your privacy rights, clinical care, and treatment decisions are governed by your treating clinician and, where applicable, supervising and billing provider(s) at the time of intake, consistent with licensure requirements, payer rules, and Turntable Counseling’s clinical policies.
Administrative or operational matters—such as billing systems, internal management, or organizational structure—do not alter:
All PHI and clinical documentation are accessed only by individuals directly involved in your treatment, supervision, or authorized billing functions, as permitted by law.
Any administrative updates are handled in a manner that maintains compliance with HIPAA and does not affect your relationship with your clinician or the care you receive.
Your appointment time is reserved specifically for you. Turntable Counseling maintains a 24-hour cancellation policy. All cancellations and rescheduling requests should be made at least 24 hours before the scheduled appointment.
Appointments cancelled with less than 24 hours’ notice, as well as missed appointments or no-shows, may be subject to the following fees:
Late cancellation and no-show fees are separate, non-covered charges and are not submitted to insurance.
Cancellation and no-show fees will not be assessed or collected where prohibited by applicable law, the client’s benefit plan, or Turntable Counseling’s agreement with the applicable payer.
Appointment reminders are provided as a courtesy. Failure to receive an appointment reminder does not eliminate the client’s responsibility to attend the scheduled appointment or cancel within the required timeframe.
Standard individual sessions last approximately 53 minutes unless a different session length has been arranged in advance.
All clients are required to maintain a current and valid payment method on file.
The client’s estimated financial responsibility will generally be processed using the payment method on file during the evening prior to the scheduled session. Processing times may vary based on administrative or payment-processing circumstances.
Estimated financial responsibility may include anticipated session fees, copayments, coinsurance, deductible amounts, or other anticipated client-responsibility amounts based on the insurance and benefit information available to Turntable Counseling at the time of processing.
Insurance eligibility and benefit information are not guarantees of coverage or payment. Following insurance claim processing, the client’s account will be reconciled according to the Explanation of Benefits (EOB) or other final determination issued by the payer. Any remaining client responsibility or credit will be reflected on the client’s account.
When a scheduled service does not occur because of a late cancellation or no-show, no insurance claim will be submitted for the unrendered service. Instead, when permitted, the applicable late cancellation/no-show fee will be assessed as a separate, non-covered charge.
If an advance payment was processed for the anticipated session, the amount already collected may be applied toward the applicable late cancellation/no-show fee, to the extent permitted by applicable law, the client’s benefit plan, and Turntable Counseling’s agreement with the applicable payer.
If the amount already collected is less than the applicable cancellation/no-show fee, the remaining balance will be the client’s responsibility and will be charged to the authorized payment method on file in accordance with the client’s signed payment authorization.
If the amount already collected exceeds the applicable cancellation/no-show fee, the excess will remain as a credit on the client’s account. The credit may be applied toward a future applicable balance or refunded upon request.
If the client discontinues services before the credit is used, the remaining credit will be refunded within 7–10 business days.
If a scheduled appointment cannot occur because of clinician illness, emergency, scheduling error, or another cancellation initiated by Turntable Counseling or the clinician, the client will not be assessed a cancellation fee.
If an advance payment has already been processed, the payment will remain as a credit on the client’s account and will be applied toward the client’s next applicable session balance unless the client requests a refund.
If the client requests a refund, or if services are discontinued before the credit can be applied, any remaining credit will be refunded within 7–10 business days.
If the client’s payment method is declined when advance payment is processed, the client will have until two (2) hours prior to the scheduled appointment to update the payment method and/or resolve the outstanding balance.
If payment has not been resolved at least two hours before the scheduled appointment, Turntable Counseling reserves the right to cancel the appointment due to non-payment, subject to applicable law, payer requirements, and clinical circumstances.
Clients with unresolved outstanding balances will be unable to schedule additional appointments until the balance has been resolved or an approved payment arrangement has been established.
If appointments cannot proceed because of an unresolved payment obligation, Turntable Counseling will hold the client’s regularly scheduled recurring appointment time for a maximum of two (2) weeks.
If the balance remains unresolved after two weeks, Turntable Counseling may release the recurring appointment time to another client.
Release of a recurring appointment time due to an unresolved balance does not, by itself, constitute termination of services. However, Turntable Counseling cannot guarantee that the same clinician, appointment day, time, or frequency will remain available once the recurring appointment has been released.
Exceptions necessary to address urgent clinical or safety concerns will be handled in accordance with applicable clinical, ethical, legal, and payer requirements.
Insurance coverage for couples and family-based services varies by health plan and by the nature of the service actually being provided.
Traditional couples counseling is counseling in which the relationship itself is the primary focus of treatment, rather than treatment of an identified client’s behavioral health condition.
Traditional couples counseling is generally not covered by health insurance and is offered on a self-pay basis unless a client’s specific plan provides otherwise.
Insurance will not be billed for traditional couples counseling merely because one or both members of the couple have behavioral health diagnoses or insurance coverage.
Clients interested in using insurance for any couples- or family-based service should understand that coverage depends upon the nature of the service provided, medical necessity, the identified client, the applicable benefit plan, and payer requirements.
Insurance plans may provide coverage for family psychotherapy when the service is clinically appropriate and medically necessary as part of the treatment of an identified client’s behavioral health condition.
A spouse, partner, parent, child, or other appropriate family member may participate in family psychotherapy when their involvement is clinically relevant to the identified client’s treatment.
Family psychotherapy differs from traditional couples counseling because the service is directed toward the treatment needs, symptoms, functioning, or treatment goals of an identified client rather than treatment of the relationship itself as the primary clinical focus.
When clinically appropriate, family psychotherapy may be provided and submitted to insurance in accordance with applicable coding, documentation, medical-necessity, benefit-plan, and payer requirements.
Family psychotherapy submitted to insurance must satisfy all applicable CPT coding and time requirements, in addition to medical-necessity, documentation, benefit-plan, and payer requirements.
Meeting applicable coding or time requirements alone does not establish medical necessity, insurance coverage, or entitlement to reimbursement.
Coverage and reimbursement additionally depend upon the clinical circumstances, documentation, diagnosis, treatment plan, the client’s benefits, and the requirements of the applicable payer.
In some circumstances, more than one member of a couple or family may independently be an established client of Turntable Counseling.
When more than one family member is an established client, separate family psychotherapy services may be provided when each service is independently clinically appropriate and medically necessary.
Each separately provided service must satisfy applicable requirements, including:
The medical necessity supporting family psychotherapy for one identified client does not automatically establish medical necessity for another family member.
Services will not be divided, scheduled, documented, coded, or billed as separate family psychotherapy services solely for the purpose of obtaining insurance coverage for what is otherwise traditional couples counseling.
The clinician determines the appropriate service based upon the clinical needs of the identified client or clients and the treatment actually provided.
Each independently provided family psychotherapy service is documented and billed according to the identified client for whom that service was provided.
Each service may result in a separate copayment, coinsurance, deductible, or other client-responsibility amount, depending upon the identified client’s individual insurance benefits and the payer’s adjudication of the claim.
Separate family psychotherapy services occurring on the same date are subject to the applicable payer’s requirements regarding same-day services, multiple services, medical necessity, coding, documentation, and reimbursement. Insurance coverage or payment is not guaranteed.
The fact that the same spouse, partner, or family member participates in more than one family psychotherapy service does not, by itself, establish that the services are either separately reimbursable or duplicative. Each service must independently satisfy applicable clinical, coding, documentation, medical-necessity, benefit-plan, and payer requirements.
Turntable Counseling will bill only for the services actually provided and documented.
Self-pay options may be available when:
The availability of a self-pay option does not change the clinical or documentation requirements applicable to the service actually provided.
Turntable Counseling submits insurance claims for covered services when applicable.
Verification of insurance eligibility or benefits does not guarantee coverage or payment.
Insurance plans may deny or partially cover services, apply charges toward a deductible, require copayments or coinsurance, or otherwise determine that the client has financial responsibility for some or all of a service.
Clients are responsible for amounts properly determined to be their financial responsibility following insurance processing, subject to applicable law, each client’s benefit plan, and Turntable Counseling’s agreement with the applicable payer.
For separately provided family psychotherapy services, each identified client’s service is independently documented and billed and may result in a separate client-responsibility amount when permitted by the applicable payer.
Clients are responsible for promptly notifying Turntable Counseling of changes to insurance coverage, benefits, payment information, or other information that may affect billing.
By signing Turntable Counseling’s Financial Responsibility & Payment Authorization, clients authorize Turntable Counseling to maintain a payment method on file and process authorized charges, including:
All charges are subject to the client’s signed payment authorization, applicable law, payer requirements, the client’s benefit plan, and Turntable Counseling’s contractual obligations.
To maintain privacy and an appropriate therapeutic environment, all sessions—whether conducted in person or via telehealth—must occur in a setting that is sufficiently private, safe, and free from significant distractions.
If the client’s environment prevents the clinician from appropriately or safely providing the scheduled service, the clinician may discontinue the session.
When the circumstances are within the client’s reasonable control, the appointment may be treated as a late cancellation and the applicable cancellation fee may apply, unless such a fee is prohibited by applicable law, the client’s benefit plan, or payer requirements.
Returned checks or rejected payments may incur an administrative fee when permitted by applicable law and the client’s financial agreement.
Accounts that remain unpaid for more than 60 days may be referred to a collection agency, subject to applicable law, payer requirements, and Turntable Counseling’s policies.
Clients may be responsible for collection-related costs to the extent permitted by applicable law and the terms of their signed financial agreement.
Insurance coverage for family psychotherapy is subject to medical necessity, applicable coding and documentation requirements, the identified client’s benefits, and payer requirements.
Traditional couples counseling, in which the relationship itself is the primary focus of treatment, is generally self-pay unless the client’s specific insurance plan provides otherwise.
When separate family psychotherapy services are provided for different identified clients, each service must independently satisfy applicable clinical, documentation, coding, medical-necessity, time, benefit-plan, and payer requirements.
Same-day services are additionally subject to the applicable payer’s rules and are not guaranteed to be covered or reimbursed.
Sliding-scale rates are a courtesy that may be extended to uninsured or underinsured clients upon request and are not guaranteed.
Reduced rates are not indefinite and may be adjusted with notice. Sliding-scale eligibility may be reviewed and reconsidered every 90 days based on clinical, financial, or operational factors.
The approved sliding-scale rate applies only to eligible therapy services. It does not reduce applicable late cancellation/no-show fees or other administrative charges.
Clients receiving a sliding-scale rate remain subject to the standard late cancellation/no-show policy:
Cancellation and no-show fees will not be assessed or collected where prohibited by applicable law, the client’s benefit plan, or Turntable Counseling’s agreement with the applicable payer.
Turntable Counseling provides a range of therapeutic and assessment services. Fees vary according to service type and duration.
Evaluations, psychotherapy sessions, family sessions, group sessions, testing services, and documentation requests each have established rates that reflect the time, expertise, and preparation involved.
Court-related services require advanced coordination and are billed differently from standard therapy services. A minimum retainer must be paid prior to any court involvement, and additional fees may apply for preparation time, testimony, travel, or rapid scheduling.
When a sliding-scale rate has been approved, that rate applies only to eligible therapy services. Missed appointments and late cancellations remain subject to the applicable standard cancellation/no-show fee.
All telehealth sessions must take place while the client is physically located within a state or jurisdiction where the treating clinician is legally authorized to provide services.
Clients agree to accurately disclose their physical location at the beginning of each telehealth session and to notify their clinician in advance when they know they will be traveling or located outside the jurisdiction in which they ordinarily receive services.
Providing inaccurate, incomplete, or false information about physical location during a telehealth session may limit the clinician’s ability to provide safe, legal, and effective care.
By participating in telehealth services, the client acknowledges responsibility for accurately reporting their physical location and understands that services may not be provided when the client is located in a jurisdiction in which the clinician is not legally authorized to practice.
Telehealth is offered in accordance with applicable licensing laws, regulations, privacy requirements, and professional standards.
Because telehealth may limit the clinician’s ability to observe certain aspects of the client’s environment or physical presentation, telehealth may not be appropriate for every client or clinical circumstance.
Clients may withdraw consent for telehealth at any time, and clinicians may recommend or require in-person services when clinically appropriate.
Clients may contact their clinician through the secure client portal for non-urgent matters. Messages are generally returned within one business day.
Voicemail, text messaging, email, and the client portal are not emergency response services and should not be relied upon for immediate assistance during a crisis or safety emergency.
If you are experiencing an immediate emergency or safety concern, call 911 or go to the nearest emergency department.
To protect client confidentiality and maintain the integrity of the therapeutic relationship, clinicians cannot accept friend requests or engage with clients through personal social media channels.
This includes following client accounts, responding to direct messages for clinical purposes, or engaging with client posts in a manner that could compromise confidentiality or professional boundaries.
These boundaries are intended to preserve client privacy and the therapeutic relationship.
Email and text messaging may be used only for brief administrative purposes, such as scheduling, rescheduling, or confirming appointments.
These communication methods may not provide the same privacy protections as the secure client portal and should not be used for detailed clinical discussions, urgent matters, or emergencies.
Clinicians may not respond immediately, and confidentiality cannot be guaranteed when using unsecured electronic communication. Clients should utilize the secure client portal when communicating sensitive information.
Parents and legal guardians may be legally entitled to certain information regarding a minor’s treatment. At the same time, establishing an effective therapeutic relationship with a minor requires appropriate consideration of privacy, trust, developmental needs, and applicable confidentiality requirements.
The clinician will discuss the limits of confidentiality with the minor and parent or legal guardian at the beginning of treatment and as clinically appropriate.
As part of a minor client’s treatment, the clinician may determine that separate parent, caregiver, and/or family psychotherapy sessions are clinically appropriate or medically necessary. When provided as separate clinical services, these sessions may be separately scheduled, documented, and billed in accordance with the Family Psychotherapy provisions of this policy and applicable insurance requirements. A separately billed service may result in an additional copayment, coinsurance, deductible, or other client-responsibility amount.
When a parent, guardian, or other financially responsible party provides a payment method on file for a minor client, that individual accepts responsibility for amounts properly determined to be their financial responsibility under the signed Financial Responsibility & Payment Authorization, subject to applicable law, insurance requirements, benefit-plan provisions, and Turntable Counseling’s payer agreements.
The financially responsible party is also responsible for maintaining a valid payment method on file and complying with applicable payment and cancellation policies for services scheduled for the minor.
Turntable Counseling is committed to maintaining a high standard of care, operational efficiency, and clinical quality. As part of our administrative and clinical support processes, we may use approved artificial intelligence (AI) tools to assist with certain non-therapeutic functions.
This consent explains how these tools may be used, how they are supervised, and how your confidentiality is protected. Your privacy and your therapeutic relationship remain our highest priorities.
AI tools are used only as administrative and clinical support resources, under the direct oversight of your treating clinician and the Turntable clinical team. These tools do not provide therapy or make independent clinical decisions.
AI may be used for:
All AI-assisted content is reviewed, corrected, and finalized by your licensed clinician.
AI never replaces clinical judgment.
Turntable Counseling does not use AI tools to:
Your clinician remains fully responsible for all treatment decisions.
Turntable Counseling may use Note Taker, a HIPAA-compliant transcription tool within SimplePractice, to create draft progress notes based on session audio.
Note Taker:
Your participation is voluntary. You may revoke this consent at any time by notifying your clinician in writing. Revoking consent will not impact your ability to receive therapy or access services.
By signing below, I confirm the following:
Ending therapy is a meaningful clinical process. Treatment may conclude when therapeutic goals have been met, when therapy is no longer clinically appropriate, when the client chooses to discontinue treatment, or when other circumstances make continued treatment inappropriate or impracticable.
If a client has not attended an appointment for three consecutive weeks without prior arrangement, services may be considered discontinued for clinical and ethical reasons.
Repeated missed appointments, continued nonparticipation, or persistent unresolved financial obligations may also result in termination of services when clinically, ethically, contractually, and legally appropriate.
The release of a recurring appointment time after two weeks of unresolved payment obligations does not, by itself, constitute termination of the therapeutic relationship. It means only that Turntable Counseling will no longer reserve that particular recurring appointment time for the client.
When termination of services is appropriate, Turntable Counseling will address continuity of care and provide referrals or other transition resources as clinically appropriate and consistent with applicable professional and legal requirements.
Turntable Counseling is committed to protecting personal health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA), applicable Maryland law, and professional ethical standards.
Client information is used only for purposes related to treatment, payment, and healthcare operations unless the client provides specific written authorization for an additional disclosure or disclosure is otherwise permitted or required by law.
Clients have the right to request access to their records, request amendments, and receive an accounting of disclosures in accordance with HIPAA and applicable Maryland law.
Reasonable fees may apply for record preparation or copying when permitted by law.
To ensure ongoing compliance with legal, ethical, payer, and operational requirements, Turntable Counseling reserves the right to update its policies and procedures from time to time.
The most current version of these policies will be made available on the Turntable Counseling website or upon request.
Clients will be notified of material changes to policies when required by law.
Continued participation in services following notice of policy updates constitutes acknowledgment of the revised policies, except where explicit written consent or authorization is required.
Administrative changes—including updates to organizational structure, billing arrangements, service-delivery systems, or brand authorization—do not alter:
All protected health information (PHI), clinical documentation, and treatment decisions remain governed by applicable privacy laws and professional standards regardless of administrative or organizational changes.
By signing below, I confirm that I have received and reviewed the Turntable Counseling Practice Policies & Procedures.
I understand that these policies describe how appointments, attendance, billing, advance payment processing, cancellations and no-shows, couples counseling, family psychotherapy, insurance billing, communication, telehealth, confidentiality, and treatment procedures are managed.
I understand and acknowledge that Turntable Counseling maintains a 24-hour cancellation policy and that applicable late cancellation/no-show fees are:
I understand that late cancellation and no-show fees are separate, non-covered charges that are not submitted to insurance and that such fees will not be assessed or collected where prohibited by applicable law, my benefit plan, or Turntable Counseling’s agreement with the applicable payer.
I understand that traditional couples counseling, in which the relationship itself is the primary focus of treatment, is generally a self-pay service unless my specific insurance plan provides otherwise.
I understand that family psychotherapy may be submitted to insurance when it is clinically appropriate and medically necessary as part of the treatment of an identified client’s behavioral health condition and when applicable documentation, coding, benefit-plan, and payer requirements are satisfied.
I understand that when multiple family members are established clients, separate family psychotherapy services may be provided only when each service is independently clinically appropriate, medically necessary, properly documented, and compliant with applicable coding and payer requirements.
I understand that separate services provided on the same date remain subject to my payer’s requirements for same-day or multiple services and that insurance coverage or reimbursement is not guaranteed.
I understand that clinical services will not be divided, scheduled, documented, coded, or billed as separate family psychotherapy services solely for the purpose of obtaining insurance coverage for otherwise non-covered couples counseling.
I understand that treatment of a minor may include separately scheduled parent, caregiver, and/or family psychotherapy sessions when clinically appropriate or medically necessary. I understand that these may constitute separate clinical services and may be separately documented and billed, resulting in an additional copayment, coinsurance, deductible, or other client-responsibility amount.
I understand that I am required to maintain a valid payment method on file and that my estimated financial responsibility will generally be processed during the evening prior to my scheduled session, in accordance with my signed Financial Responsibility & Payment Authorization.
I understand that for telehealth services, I must accurately disclose my physical location at the time of each session and that services may not be provided if I am located in a jurisdiction in which my clinician is not legally authorized to practice.
I understand that Turntable Counseling may update these policies as needed to remain legally, ethically, contractually, and operationally compliant and that the most current version will be made available through the practice website or upon request.
I acknowledge that continuing to participate in services following notice of an update constitutes acknowledgment of the revised policies, except where additional written consent or authorization is required.
I have read, understand, and agree to the terms described above and to this document in its entirety. I confirm that I voluntarily accept these policies and consent to receiving services under these conditions. I understand that I have the right to ask questions, decline to sign, or discontinue services at any time. By signing below, I acknowledge my agreement to Turntable Counseling’s Practice Policies & Procedures and the other consents and authorizations I have signed, except as otherwise explicitly agreed upon in writing.