COVID-19 Policies

Beginning March 12th 2022, Washington state will no longer require masks in most indoor public settings; masks are still required in congregate and healthcare settings which includes our office. Off the Grid Midwifery, in accordance with the Washington State Department of Health policies to promote public health and safety during the ongoing pandemic, requests both staff and clients continue to wear appropriate face masks which cover the nose and mouth while in the clinic. Everyone's safety is our first priority and masking has been shown to limit the transmission of COVID-19, the flu, and other illnesses. 

To protect all of our patients and the OTG staff, we ask that if you have a known exposure or are symptomatic for COVID-19 or other illness, please call to reschedule your appointment or have your appointment changed to a telehealth visit. If you come down with COVID-19 or illness and you have recently had an appointment with Off the Grid Midwifery prior to that diagnosis, please notify us immediately.  Prompt notification will allow us the necessary time to alert the other families who were potentially exposed and avoid further exposure to others.

If you or anyone in your household is currently ill with a cold or otherwise, please call to reschedule your appointment or have your appointment changed to a telehealth visit.

Click here for current Tacoma-Pierce County Health Department: Safe Practices

What about vaccination?

Off the Grid Midwifery in accordance with the Washington State Department of Health, American College of Obstetrics and Gynecology, American College of Nurse Midwives, American Society for Reproductive Medicine, Society of Maternal-Fetal Medicine and the CDC recommend COVID-19 vaccination for all eligible individuals, including pregnant people.


The risks and adverse outcomes associated with COVID-19 are heightened in pregnancy even in otherwise healthy individuals. Vaccination is a safe and effective way to reduce the short-term and long-term health risks associated with COVID-19 infection. Pregnant individuals who are vaccinated should get their booster dose as soon as they are eligible to do so. Vaccination does not negatively impact your pregnancy, fertility, health or well-being.


Please read the Joint Statement Regarding COVID-19 vaccination and boosters in pregnancy by clicking here or schedule an appointment to discuss your questions about vaccination recommendations. 

Where do I get the vaccine?

​Vaccination is available free of charge to all Washington state residents ages 5 and up. Most vaccination sites require an appointment, some offer walk-in spots.

Where do I get tested if exposed to COVID-19?

You should be tested for COVID-19 at 5 days after exposure or if you are symptomatic. See the Department of Health’s Testing FAQ or call the WA State COVID-19 Information Hotline.

Free COVID-19 PCR Testing sites:


Rapid tests are available to be sent to your home free of charge or can be purchased locally and online- if purchasing, save the receipt to submit to your insurance company for reimbursement.


A positive rapid test is considered a positive result. A negative rapid test for a person who is showing symptoms should be followed up by a PCR test at a county testing site, you could test negative if the specimen was collected too early in your infection.

What is the difference between isolation & quarantine?

Isolation and quarantine are key strategies to reduce the spread of COVID-19, per the CDC and Washington State Department of Health. If you test positive for COVID-19, have symptoms, or are identified as a close contact of someone who has COVID-19, public health will ask you to isolate or quarantine as appropriate. For the most up to date guidance on isolation and quarantine please click here.

Quarantine describes when someone who has been exposed to COVID-19 stays home and away from others for the recommended period of time in case they were infected and are contagious. Quarantine becomes isolation if the person later tests positive for COVID-19 or develops symptoms.

Please note that if you are positive for COVID-19, you cannot give birth at The Birthing Inn. Some families are choosing to reduce their risk of exposure by staying home/quarantining in the last weeks leading up to their due date.

When do I need to isolate or quarantine?

If you are exposed to COVID-19, the CDC recommends quarantine (stay home) for 5 days, get tested for COVID-19 on day 5 after exposure, and wear a well-fitting mask around others for a total of 10 days after the exposure.


Individuals who have received their booster shot do not need to quarantine following an exposure, but should get tested for COVID-19 on day 5 after exposure and wear a well-fitting mask for 10 days after the exposure.  


If symptoms occur, individuals should immediately quarantine until a negative test confirms symptoms are not attributable to COVID-19. If your test is negative, follow these steps. If you have COVID-like symptoms but have not been able to get a test or are waiting for test results, please call to cancel your midwife appointment or have it changed to a virtual appointment. Testing sites take 1-3 days to send out results so please schedule your appointments accordingly.

If you test positive, you should isolate yourself at home and follow these stepsIf you have a positive test, please call to reschedule your appointment or have your appointment changed to a telehealth visit. If you have a positive result after a recent appointment with Off the Grid Midwifery, please notify us immediately. Prompt notification will allow us the necessary time to alert the other clients who were potentially exposed and avoid further exposure to others. 

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clinic location & numbers

6002 Westgate Boulevard, Suite 274, Tacoma, WA 98406

Office: (253) 509-2960 Fax: (306) 400-2735

Office manager & voicemail: (360) 633-9146

Secure e-Fax: (306) 400-2735 (Yes, the 306 area code is correct)

clinic hours

Monday: generally 11 am to 5 pm

Wednesday & Thursday: 10am - 5pm

Rescheduling and special accommodations made for babies' needs and yours

Virtual appointments available

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