New Client InquiryDearest Potential New Client, Please complete the form below. I will be in touch as soon as possible. Warmly, Elissa Name * First Name Last Name Phone * (###) ### #### Email * What brings you to this work at this time? * Would you like to be: * Somatic +Acupuncture Client Somatic Only Client Have you received acupuncture or somatic therapy before? * How did you hear about my practice? * I understand this form is for scheduling and general information only, and I will avoid sharing personal medical details. Consent Do not consent (please do not press send) Thank you for your message. Your inquiry has been received securely.I’ll reach out within 2–5 business days.