Client Intake Form

Please be sure to speak with our Agency Director or one of our Licensed Behavior Analysts prior to completing and submitting this form. Our staff can be reached at 1-877-KUHNBCS (584-6227) or via email at info@kuhnbcs.com

Once Client Intake Form is completed, please submit to KBCS in one of the following ways:

- Go to https://www.paubox.com/KBCS/upload and upload the form. Please type 'Last Name, First Name - Intake Form' in the message box. Any information sent via this contract form will be encrypted for the security of clients.

- FAX: (808)356-1310

- EMAIL: info@kuhnbcs.com

Click here to download the Client Intake Form

Initial Intake Form

TEAM MEMBER LOGIN

Please be sure to speak with our Agency Director or one of our Licensed Behavior Analysts prior to completing and submitting this form. Our staff can be reached at 1-877-KUHNBCS (584-6227) or via email at info@kuhnbcs.com