Health history, Complete head-to-toe physical, breast exam, pelvic exam, and pap smear. May also include laboratory testing and wellness counseling.

Counseling on NFP, hormonal birth control, barrier devices, and the normal menstrual cycle.  One visit for educational purposes, and a second visit for initiation of preferred method.

Consists of problem related visits such as STD testing, bacterial vaginosis, yeast infections, etc.

Initial risk assessment, labor and delivery in the home setting. Providing the mother with individualized education, counseling, and prenatal care along with labor and delivery services while minimizing invasive interventions. Postpartum care is also included with one visit to the office and a few visits at home.

Newborn exam, metabolic screening, hearing screening and normal newborn care for the first 30 days of life.

Hormone replacement therapy, breast exam, pelvic exam, mammogram referral, Dexa scan referral, laboratory work up and other concerns.

Management of strep throats, sinus infection, common cold, flu, ear infections and many more

Laboratory work and counseling on diabetes and high cholesterol. High blood pressure management, dietary and nutritional counseling including weight loss management.

As a certified lactation counselor, I also help with breast feeding counseling/problem management.

Also provide Sneak Peak blood draw services to find out gender as early as 9 weeks.

Providing limited obstetrical ultrasounds in the first trimester to determine single or multiple pregnancies while assessing for intrauterine pregnancy.


The fee for home birth midwifery services is $5,000. This includes prenatal care, 24 hour call throughout pregnancy, attendance of birth by me and an assistant, postpartum care and newborn visit. At first initial prenatal visit a down payment of $500 will be collected for care which in non-refundable and then a payment plan set up to be paid in full by 36 weeks. Lab work, ultrasounds, and primary care visits are not included in fee and would be billed separately.

It is important to me that women have access to midwifery care, so if there are financial hardships I will do everything in my power to make prices reasonable for your family. Please let me know at our initial consultation visit and we will discuss.

Financial Assistance

I am interested in making home birth and a midwife available to all families and I will make a reasonable attempt to serve families who need financial assistance. Please address at consult visit.


Most insurance companies that have maternity cover nurse-midwives and home birth services. I will help you determine what your insurance will pay and will bill them for you. An estimate of your portion that insurance does not pay will be collected at 36 week visit. Insurance would also help to pay for labs, ultrasounds, or other needed primary care services during your pregnancy.


A travel fee is incurred for births outside the Casper, Wyoming area. A one-time fee will be incurred, payable by 36 weeks. This fee is one-time mileage from my office to your house multiplied by $5. Insurance does not pay for this fee.