Download Intake Paperwork

Call Us:  (585) 787-1960

Intake paperwork for appointments with Mirabai Marquardt  may be completed at time of service.

New clients who have scheduled an appointment for Energetic Health Assessments (EAV) testing with Nancy McCullough Stabins need to complete intake paperwork and bring it with them to their scheduled appointment.  

Download and print the intake paperwork by clicking here.

Note:  Intake paperwork must also be updated every 18 months for appointments with Nancy McCullough Stabins.