3909 National Drive, Suite 100
Burtonsville, MD 20866
Last Updated: September 1, 2025
This version supersedes all prior versions. By continuing services with Turntable Counseling, clients agree to the policies stated below.
Privacy Protections, Brand Identity, and Clinical Oversight
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:
•the confidentiality of your protected health information (PHI),
•your right to privacy,
•or your continuity of care.
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.
Appointments, Attendance, and Cancellations
Your appointment time is reserved exclusively for you. For this reason, we ask that all cancellations or rescheduling requests be made at least 24 hours in advance. Appointments canceled with less than 24 hours’ notice, or appointments missed entirely, result in a $200 cancellation fee, which is not covered by insurance.
To maintain privacy and the therapeutic environment, all sessions—whether in person or via telehealth—must occur in a quiet, private location free from distractions. If the environment is not clinically appropriate, your clinician may end the session. In such cases, the appointment will be counted as a late cancellation and the cancellation fee will apply.
For all clients, a current and valid payment method must remain on file. By beginning services, you authorize Turntable Counseling to process charges for session fees, cancellation fees, returned payment fees, and any additional applicable charges. If a valid charge is disputed, a separate processing fee may be added.
Appointment reminders sent by the system are a courtesy. Even if a reminder is not received, the responsibility to attend or cancel appointments on time still rests with the client.
Standard individual sessions last approximately 53 minutes, unless a different length has been arranged in advance.
Insurance coverage varies by plan. If your insurance denies payment for any reason—including deductible, inactive policy, or billing errors—you will be responsible for the full cost of the session at the standard rate.
Returned checks or rejected payments incur an administrative fee. Outstanding balances are subject to collection services.
FEE SCHEDULE AND STRUCTURE FEE SCHEDULE (Effective 10/1/2025)
Psychotherapy & Evaluation
90791 Diagnostic Evaluation (60 min): $275
90837 Individual Psychotherapy (55 min): $250
90834 Individual Psychotherapy (45 min): $200
90839 Psychotherapy for Crisis (50 min): $350
90840 Crisis Add-On (each 30 min): $250
Family & Group Therapy
90846 Family Therapy (without patient): $275
90847 Family Therapy (with patient): $275
90853 Group Therapy (50 min): $160 per person
Psychological Testing
96130 Psychological Testing Evaluation (first 50 min): $350
96131 Additional Hour of Evaluation: $300
96136 Test Administration/Scoring (first 30 min): $250
96137 Administration/Scoring (each additional 30 min): $200
Documentation & Forms
Documentation/form preparation (per 30 min): $150
Sliding Scale Policy
Sliding scale rates are a courtesy extended to uninsured and underinsured clients upon request and are not guaranteed. These 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 discounted sliding scale rate applies only to therapy sessions. It does not apply to late cancellations, no-shows, or other fees. If a client receiving a sliding scale rate misses an appointment or cancels with less than 24 hours’ notice, the full $200 cancellation fee will apply.
Court Involvement
Minimum fee: $2,000
Hourly rate beyond 3 hours: $500/hr
Retainer (required): $2,500 (non-refundable)
Subpoena/attorney notice with <2 weeks’ notice: +$250 express feeCase rescheduled with <1 week notice: +$500 additional feeTurntable 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 therapy sessions. Missed sessions or late cancellations are charged at the full cancellation fee.
Telehealth, Telephone Access, Emergency Procedures
You may contact your clinician in the secure client portal for non-urgent matters. Messages are generally returned within one business day. Because voicemail, text, or email is not intended for emergencies, you should call 911, go to the nearest emergency room, or contact the 988 Suicide & Crisis Lifeline if you are experiencing a crisis or safety concern.
I understand that all telehealth sessions must take place while I am physically located within a state where my clinician is licensed to practice. I agree to accurately disclose my physical location at the start of each telehealth session and to notify my clinician in advance if I will be traveling or located outside the State of Maryland.
I acknowledge that providing inaccurate, incomplete, or false information about my physical location during a telehealth session may limit my clinician’s ability to provide safe, legal, and effective care. By signing below, I release my clinical team, consisting of my treating, supervising, and/or billing providers, Turntable Counseling, and all affiliated or authorized Turntable brands and entities from any liability arising from my failure to accurately disclose my physical location or from my participation in a telehealth session outside of an approved jurisdiction.
Telephone Access and Emergency Procedures
You may contact your clinician in the secure client portal for non-urgent matters. Messages are generally returned within one business day. Because voicemail, text, or email is not intended for emergencies, you should call 911, go to the nearest emergency room, or contact the 988 Suicide & Crisis Lifeline if you are experiencing a crisis or safety concern.
Social Media and Professional Boundaries
To protect your confidentiality and to maintain the integrity of the therapeutic relationship, clinicians cannot accept friend requests or engage with clients through social media platforms. This includes following client accounts, responding to direct messages, or engaging with posts. These boundaries are standard in psychotherapy and are intended to preserve your privacy.
Electronic Communication
Email and text messaging may be used only for brief, administrative purposes such as scheduling, rescheduling, or confirming appointments. These communication methods are not secure and should not be used for clinical discussions, urgent matters, or emergencies. Your clinician may not respond immediately, and confidentiality cannot be guaranteed when using electronic communication. Please utilize the secure client portal to ensure the protection of sensitive information.
Maryland-based Telehealth Services
Telehealth is offered in accordance with Maryland licensing laws, COMAR regulations, and all applicable privacy standards. Telehealth sessions require that you be physically located within the State of Maryland, unless your clinician holds licensure in the state where you are temporarily located. You must accurately report your location at the beginning of each session and notify your clinician in advance if you will be traveling or outside Maryland.
Because telehealth limits the clinician’s ability to observe nonverbal cues, environment, and physical presentation, telehealth may not be suitable for all clients or all clinical needs. You may withdraw consent for telehealth at any time, and your clinician may recommend in-person sessions if clinically necessary.
Services for Minors
Parents or legal guardians may be legally entitled to certain information about a minor’s treatment. Building a therapeutic relationship with any client, particularly a minor, is essential. And such, your clinician will discuss confidentiality limits with you and your family at the beginning of treatment so as not to break the therapeutic rapport-building process. When a parent or guardian places a payment method on file, they accept full responsibility for the cost of all services and outstanding charges incurred by the minor.
Termination of Services
Ending therapy is a meaningful process. Treatment may conclude when therapeutic goals have been met, when therapy is no longer clinically appropriate, or if participation becomes inconsistent. If you have not attended an appointment for three consecutive weeks without prior arrangement, services may be considered discontinued for clinical and ethical reasons. Outstanding balances or repeated missed appointments may also result in the termination of services. Referrals to other clinicians or services will be provided as needed.
Turntable Counseling is committed to protecting your personal health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA), applicable Maryland law, and professional ethical standards. Your data is used only for purposes related to treatment, payment, and healthcare operations, unless you provide specific written authorization for additional disclosures as required by law.
You have the right to request access to your records, request amendments, and receive an accounting of disclosures in accordance with HIPAA and Maryland law. Reasonable fees may apply for record preparation or copying, as permitted by law.
To ensure ongoing compliance with legal, ethical, 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 practice website at www.turntablecounseling.com or upon request.
Clients will be notified of material changes to policies when required by law. Continued participation in services following notice of such updates constitutes acknowledgment of the revised policies, except where explicit written consent is required.
Administrative changes—including updates to organizational structure, billing arrangements, service delivery systems, or brand authorization—do not alter:
your clinical rights,
your privacy protections,
your HIPAA rights, or
your therapeutic relationship with your clinician.
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.
I CONFIRM RESIDENCE IN THE STATE OF MARYLAND
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, billing, communication, telehealth, confidentiality, and treatment procedures are managed. I understand that Turntable Counseling may update these policies as needed to remain legally and ethically compliant and that the most current version will always be available at www.turntablecounseling.com. I acknowledge that it is my responsibility to review these updates and that continuing to participate in services means I agree to the most current version. I also understand that telehealth sessions require me to be physically located in Maryland unless my clinician is licensed in the state where I am located, and I agree to accurately report my location for all remote sessions. By signing, I agree to abide by these policies and to receive services under these terms.