Contact Us

We look forward to welcoming you to Winings Wellness. Our office provides a comfortable, private setting designed to help you feel at ease from the moment you arrive.

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Physical Location:

10752 Deerwood Park Blvd, Suite 100

Jacksonville, FL 32256

email: info@winingswellness.com

phone: 904-800-4775 (call or text)

fax: 866-235-4410

Not sure where to start?

Complete our Interest Form below and a member of our team will follow up with you to guide you through the next steps.

Interest Form

Interest form for potential new patients.

Step 1 of 2

Patient Name(Required)

First Last

Parent or Legal Guardian Name, if patient is under the age of 18

First Last

Parent or Legal Guardians Date of Birth, if patient is under the age of 18

Patient’s Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Preferred Contact(Required)

Phone

Text

Insurance(Required)

Upload Front of Insurance Card

Max. file size: 2 GB.

Upload Back of Insurance Card

Max. file size: 2 GB.

Primary Insured’s Full Name (as appears on insurance card)

Primary Insured’s Birthdate

Relationship to Patient

Ready to Get Started?

Call or Text

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Interest Form

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