Absolutely! We love birth doulas and welcome them to our birth team. They provide essential care to families throughout the pregnancy, birthing, and postpartum periods. We have a list of birth doulas on our website to get you started!

• The first visit for your pregnancy will be 60-90 minutes. The appointment will include a dating ultrasound (if desired or indicated), a physical exam, an extensive review of your health history, time to get to know you and your family, and some education. The rest of your prenatal visits will last 20-30 minutes.
• Annuals typically take about 60 minutes and most other visits such as contraceptive counseling or primary care concerns are 30 minutes.

Partners and children are welcome to come to appointments! We love to involve family members and welcome their questions and participation. 

Absolutely. Certified Nurse-Midwives have full prescriptive authority in the state of Montana.

Yes. When your labor progresses to where you need support, call us, and we will meet you at the hospital. While we love providing hands-on support, we sometimes get pulled away to see other patients or manage clinical concerns. So, if you know that you will want continuous labor support, you may want to consider adding a birth doula to your team. 

Of course. This is your birth, and we will support you with whatever you decide for pain management. We can talk through your options during your prenatal visits, discuss your preferences, and then adapt as your labor progresses. There is no right way to have a baby!

As Certified Nurse-Midwives, we are not surgical providers, which means that we cannot perform cesarean surgeries. If it becomes clear that you will need a belly birth, we will call in one of our physician partners to perform the surgery. We will still provide our regular postpartum care for you.

Absolutely. Just give us a call, and we can plan to transfer your records and get you established with Roots.

Yes, you can. Our scope of practice includes primary care. Feel free to call and make an appointment for general health concerns such as UTIs, sinus infections, depression, etc. If we think you should see a family practice provider or a specialist, we will provide a referral.

We love supporting women through the menopause transition. We can talk through your symptoms and discuss various treatment options. We are happy to prescribe hormonal therapy and often work with the pharmacists at Missoula Pharmacy to tailor treatments to your unique concerns. 

Please reach out for a form request by calling our office during business hours or reaching us through your patient portal account. You may also bring the form to your scheduled office visit.

The best way to get your prescriptions refilled is to make that request through your pharmacy. They will contact us directly with the request, which will allow us to approve the refill quickly. Please remember the following limitations:   

1. It may take up to 72 hours to send the refill information to your pharmacy, and we do not approve refill requests on the weekends or holidays.   
2. We will not refill narcotics or certain mood-altering drugs—including stimulants—without an office visit.   
3. We will only refill medications for problems that we have been managing and only if you have been seeing us for regular office visits.

Yes, we accept most insurances, including Medicaid. We are also happy to work with self-pay clients. If you have questions about billing and insurance coverage, give us a call!