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:

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- 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. 

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- FAX: (808)356-1310

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- EMAIL: