New Client?

Complete this Registration Form and a Khan specialist will be in touch with you to discuss services and support for your family. At the end of the form, download a FREE PDF resource on Understanding the Role of Your Clinicians. Please note that we are only accepting FSCD funded families for the Chatter program only, and not for individual services. Please complete the form under Group Programs.

This form may take about 10 minutes to complete. Please take your time.

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Your intake form has been submitted for review.

While you wait you can read Khan’s Guide to Understanding the Role of Our Clinicians which will give you an idea of what each clinician does here at Khan and how we support you.

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Please try submitting the form again and/or contact us at info@KhanCommunicationServices.com.

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Registration Form

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