Client Form

Filling out Client Forms

It's simple, just fill out your forms online without printing or emailing information to us. Click here for an instructional tutorial on how to submit a form. Mac users who have trouble submitting their form should refer to this support page


Submit the Membership Form to join the Applied Mineral Balancing Institute. This membership will give you access to an upcoming software application that will let you input your own hair analysis results and track your individual progress. 

Membership Form

Fill out the Initial or Retest Information Sheet Form if you would like to provide more in-depth information regarding your health history and symptoms. This will help us customize the most appropriate program and recommendations for your needs. Hair Analysis programs will be developed by Practitioner Eileen Durfee until the new software launch. 

Initial General Information Sheet

Retest Information Sheet

Initial Pet Information

Retest Pet Information

The following form is for clients interested in receiving herb supplement recommendations.

Client Questionnaire