Update Your Provider Profile

Make sure you fill out all of the fields or your profile might not properly update.
If you have any problems submitting your form or need help, reach us at thefuture@ourwell.com.
Profile information
This username is automatically assigned and cannot be changed
Enter your skills separated by commas (e.g., Somatic Healing, Breathwork, Reiki, Group Facilitation, Mindfulness Coaching)
Write a short, professional summary that introduces who you are and what you do.
Tell us about your background, your healing philosophy, and how you serve your clients.
Company information
Address
Contact information
Where should people go to sign up or learn more? (Add full URL or email.)
Select the language(s) you speak
Service offers

You can add maximum 5 packages

Offer one
Describe this service (max 500 characters)
Add another service
Offer two
Describe this service (max 500 characters)
Add another service
Offer three
Describe this service (max 500 characters)
Add another service
Offer four
Describe this service (max 500 characters)
Add another service
Offer five
Describe this service (max 500 characters)
Select all applicable insurance providers
(Please note, by selecting "Yes" you are giving us permission to list your business on our directory. If so, we will use your business url to populate your profile listing and send it to you for approval prior to listing it)*
Recommended size: 200×200px or 1:1 ratio (JPG, JPEG or PNG)
You can upload up to 5 additional photos.
Recommended size: 1600×900px or 16:9 ratio (JPG, JPEG or PNG)
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Our team will review your submission before it goes live.

Once approved, it will appear on our site.If we need any additional information from you in order to approve it, we’ll reach out directly.

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