New Patient Form Name(Required) First Last Email(Required) Phone(Required)What treatments are you interested in receiving?(Required) Alchemy Acupressure Five Element Consultation Ling-Shu Treatment (such as Ghost Points) Alchemical Life Strategy Coaching Reiki Massage Craniosacral I would prefer to see… No Preference Leta Herman (Alchemy and Acupressure) Jaye McElroy (Alchemical Life Strategy Coaching) Emiliana Patrick (Acupressure, Essential Oils) Ana Bennett (Craniosacral) Do you prefer an in-person treatment or telemedicine?(Required) In-person at our Northampton, Massachusetts clinic A virtual (telemedicine) appointment Any additional details you would like to share about the reason for your visit.How did you hear about us?Please contact me by: Text Phone Call Email EmailThis field is for validation purposes and should be left unchanged. Δ
