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 email@example.com
Once Client Intake Form is completed, please submit to KBCS in one of the following ways:
- Go to 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