Off the Grid is ordering dopplers and wrist B/P cuffs for distribution to those who foresee a need to stay home with the kids (or just stay home) for some of those closely grouped appointments in the midst of pregnancy. Once the excitement of the first heartbeat, the first exam, the first everything, has worn off, of course ;-).

If you click on the link below Kay's picture just out of curiosity, you may find her on line. Or not. She'll be dinged by text, but make an appt--to be sure.

We're all practicing social distancing. Even if you need labs drawn, Stacey can probably put in an order for LabCorp in this building or closer to your home, letting us convert almost any visit virtual:

You’re ill & hope Kay can help...

The little one is ill & shouldn’t leave home...

Trouble with nursing

Stay home & meet online for the 2-3 week postpartum check-in

Recurrence of that “usual” bladder infection or vaginal discomfort

Or ask how we're making pregnancy visit

This appointment is where you tell us what you're hoping for, and we (gently) discuss the things we can't skip--like some tests required during pregnancy. But we always try to give you options. Please know we can't accept VBAC ladies who've had more than one C/S. We've loosened our late transfer policy for those low risk families who want to distance themselves from the hospital and schedule birth at TBI instead.

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible & co-insurance isn't covered by your plan. Other costs incurred can be from lab and ultrasound.

If you're not sure about your insurance fitting with OTG's contracts, have a look at our FAQ page for a list.

We can't order labs, medications, or an ultrasound until you are established with our practice. If you've been part of our practice in the past, we still need to do this Establisment of Care visit, but can waive the Meet & Greet.

We can't order labs, medications, or an ultrasound until you are established with our practice. If you've been part of our practice in the past, we still need to do this Establisment of Care visit, but can waive the Meet & Greet.

You may have to pay cash ($75.00) for the appointment if your insurance doesn't jive with OTG. Other fees may apply if you need a procedure or medications/supplies are used from OTG stock.

If you or a little one is ill, we’re happy to provide video health appointments via a secure platform that can’t show private concerns (or pictures) to the world. Kay & Stacey appreciate your thoughtful concern for others’ health and want to keep you healthy, too. Some appointments absolutely need to be done in person, but we can reschedule those. Many, however, can be converted to the video platform. We can help you decide, if needed. If you have insurance, it’s covered!

Your midwife or counselor or naturopath told you Kay could call in an appropriate prescription if you have a comprehensive videohealth appointment with her. If you or your provider uploads your insurance, driver's license and labs to me, I can likely bill insurance. If not, the cost is $40.00 via credit/debit card at start of service.

My midwife wants me to have some kind of evaluation that might include an exam or a prescription.
If you take my insurance, I will pay any necessary co-pay and be billed as a client new to Off the Grid.

Kay (Kathryn) Jackson, CNM, ARNP, is a midwife and nurse practitioner with over 25 years' experience in women's health. She is able to write the prescription you've discussed with your own midwife, but in order to do so needs basic information for safety reasons. Sometimes this is a simple matter of authorizing your midwife to call in a prescription, but sometimes Kay will need to talk to you directly. If so, please accept a call from 253-509-2960 or 36-633-9146.

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible co-insurance isn't covered by your plan.

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible/co-insurance isn't covered by your plan.

If a procedure other than an exam is required, other costs may be incurred due to use of the office's supplies and medications.