Patient Info

Fairbanks Family Wellness Patient Info

Payment Information

The following is our patient info that you should know before coming in. Patients may be eligible for insurance coverage. We are happy to bill your insurance for you. You are responsible for deductibles, copays, and co-insurance. We are all contracted providers with BCBS. We all take Aetna, Moda and most other health care plans.

Stephanie Gottschalk LAc MAcOM


No Insurance Coverage?

Self pay clients are welcomed to pay at the time of service.
Is there additional patient info you need to know that we haven’t discussed on this page? Please contact us.
Fairbanks Family Wellness Patient Info

Additional Patient Info:

Intake Forms

If you would like to do paperwork before you come in, please print and fill out your forms
and bring them to your next appointment.

Please note that email is not a HIPAA secure interface; we are working on integrating
documentation with our electronic medical record system.

New Patient Info Packet

HIPAA Privacy Policy
Insurance Intake Forms
Acupuncture Intake Form
Dr. Alana Consent Form
Neurofeedback Intake Form
Telemedicine Consent Form

Online Supplement Ordering