We are glad you are here

Welcome to Think Happy Live Healthy, a psychological therapy and wellness company located in Falls Church, VA. We are glad you are here. We are seeing clients both in-person at our Falls Church location and via telehealth if you live in Virginia. If you are interested in therapy, testing, or psychiatry services please fill out the form below or if you have any questions, feel free to email: info@thinkhappylivehealthy.com.

If you are over the age of 18, you must fill out the this intake form yourself. We will not accept an intake request from anyone other than the client.

ONLY ONE INTAKE FORM PER CLIENT!

Therapy & Testing

If you are interested in therapy or testing services please complete this intake form.

Therapy/Testing Appointment

Psychiatry

If you are interested in medication management/ psychiatry services, please complete this form.

Psychiatry Appointment

Visit Us

Request a Therapy/Testing Appointment

Client Full Name

Name of person completing this form

Your relationship to client

Client Gender

Client Date of Birth

Client's Age

Cell Phone #

Current City & State You Reside

Email Address

Please be as detailed as possible and describe why you are seeking therapy.

What's your weekday availability for ongoing therapy sessions? Plese NOTE: Most of our session are available during weekday morning and/or early afternoon hours. Please consider this when providing your availability as we have an extensive waiting list for late afternoons and evening appointments.

Who referred you?

Todays Date

Thanks for submitting! Please be on the lookout for an email from info@thinkhappylivehealthy.com within 24 hours. Please feel free to follow up with an email.

Therapy Contact Form

Request a Psychiatry Appointment

Client Full Name

Name of person completing this form

Your relationship to client

Client Gender

Client Date of Birth

Client's Age

Cell Phone #

Current City & State You Reside

Email Address

Please be as detailed as possible and describe why you are seeking psychiatric services

Are you a current THLH client?

Yes

On waitlist

If not, are you currently/or plan to receive therapy services somewhere else?

Todays Date

Thanks for submitting! Please be on the lookout for an email from info@thinkhappylivehealthy.com within 24 hours. Please feel free to follow up with an email.

Psychiatry Contact Form