Residential treatment Application

Residential Application

Please be sure to review all of the information in our "Entering the program" section. If your teen meets the required criteria for admission, and you are interested in admitting your teen to the Bobby Benson Center, please complete and return the residential application.

You may mail your completed application to:

Bobby Benson Center
Attn: Intake Coordinator
56-660 Kamehameha Highway
Kahuku, Hawaii 96731

Or you may Fax your completed application to:

Attn: Intake Coordinator

Fax: (808) 293-7196

Any Questions or Concerns Please Contact Our Intake Coordinator By:

Phone: (808) 376-3011

Email: anakashima@bobbybenson.org