Hair Analysis Forms

Client Form | Hair Analysis 

It's never been easier! Simply fill your client forms out online - no printed or emailed information is necessary. Click here for step by step instructions on how to send in the form. Mac users should see  this support page if they have problems submitting their forms.


You must fill out the membership form to join the Applied Mineral Balancing Institute. Membership grants you access to an all new, upcoming software application that will enable you to track your own hair analysis results and progress. 

Membership Form

You may submit the Initial General Information Sheet or Retest Information Sheet to provide more in depth information regarding symptoms and specific health needs. Practitioner Eileen Durfee will use this information to better customize recommendations. Hair Analysis programs will be developed by Practitioner Eileen Durfee until the launch of the new software. 

Initial General Information Sheet

Retest Information Sheet

Initial Pet Information

Retest Pet Information