Contact us.telltheworldwellness@gmail.com(888) 891-85675600 Gender RdCanal Winchester, OH 43110 Name * First Name Last Name Email * Phone * (###) ### #### Insurance What insurance or EAP program will you be using? Enter "self-pay" if you are not using insurance. Service Type Service Type Individual Adult Therapy Couples Therapy Child Therapy Nutrition Consult Transformational Prayer Location Preference Do you prefer in person or virtual appointments? In Person Virtual Date of Birth Enter date of birth of the patient/person receiving services MM DD YYYY Message Thank you!