New Client Form
Happy Kiddos Behavioral Services Corp. Application
INSTRUCTIONS: Answer each question accurately and completely.
To better serve you. Please upload the following documents for more information.
(We need uploaded the following)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
Upload File
Upload supported file (Max 15MB)
The information contained in your submission is confidential and intended solely for the use of the company (“Happy Kiddos Behavioral Services, Corp.”) The submission may contain individually identifiable information that must remain confidential and is protected by state and federal law.
Thank you for your submission - your new client services request has been submitted properly, please allow 1-2 weeks for our team to review the case and we'll contact you as soon as possible.