At Crow & Ember, I offer thoughtful, whole-person care rooted in the belief that true wellness means tending to the body, mind, and spirit together. This intake form is a first step toward understanding your unique story—your health history, daily rhythms, and what balance looks like for you.

Your responses will help me craft recommendations that are aligned with your life and your goals. Please take your time and answer each question as fully and honestly as you feel comfortable. Everything you share will remain confidential and is deeply valued.

I’m honoured to walk alongside you on this journey, and I look forward to supporting your next chapter in health and vitality.

Delanie