Dr. Palmer sees patients over 18 in her private practice. For patients under 18, please see the Resources page for clinical resources at Johns Hopkins.

Dr. Palmer does not participate with any insurance plans. She will provide statements for fees paid and, if your insurer requires it, complete the Uniform Treatment Plan (UTP) for you to submit for reimbursement. Dr. Palmer sees patients with Medicare and Medical Assistance at the Johns Hopkins Women's Mood Disorders Center.

Payment is due at the time of service by personal check or credit card. A valid credit card number is required to reserve an initial appointment.

• Initial consultation, 90-120 minute appointment: $350
• 75-80 minute appointment: $290
• 45-50 minute appointment: $210
• 20-25 minute appointment: $140
• One-time consultation, 150-180 minute appointment, with records review and typed report: $550
• Telephone sessions: (scheduled or non-emergent calls requiring more than 10-15 minutes) will be billed at the same rate as office visits.

Dr. Palmer is a solo practitioner and does not employ staff to perform administrative tasks such as billing and calling in refills. In order to minimize interruption of clinical time, it may be necessary for Dr. Palmer to spend a significant amount of time outside of appointments attending to these matters. The fees outlined below are meant to cover time and materials.

• Reprinting receipts, calling in refills and billing for appointment fees not paid at the time of service: $10
• Returned checks (includes bank fees): $25
• Copying and faxing (rates for copying medical records as endorsed by The Maryland Board of Physicians): $0.73 per page, plus postage if mailed. A handling fee of $22.18 will be added for documents sent to a third party.
• Authorizations and paperwork: In many cases, Dr. Palmer prefers to obtain insurance authorizations, write letters and fill out paperwork on your behalf during appointments when you are present to answer questions. However, when it is necessary or preferable to perform these tasks outside of scheduled appointments, the time will be billed at the hourly rate of $210 in 15-minute increments, with a minimum charge of $52.50.

If you arrive late for an appointment, you will be seen for the remaining time and charged for the full session as scheduled. You will be charged for appointments that are missed or cancelled with less than 48 hours (2 business days) notice.

Office visits are required for all new prescriptions. You are responsible for keeping track of remaining refills and scheduling appointments accordingly.

If you experience an emergency, call Dr. Palmer at 410-235-0005. If she is not available to talk with you immediately, especially after hours and on weekends, leave a detailed message and call 911 or go to the nearest emergency room.

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