Request an Appointment

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Any client 18 years or older needs to complete their intake forms in order for us to accept them. Please only complete one intake form per client. Thank you for choosing Think Happy Live Healthy.

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Request an Appointment

Client Full Name

Name of person completing this form

Your relationship to client

Client's Age

Cell Phone #

Current City & State You Reside

Email Address

Please provide any relevant details regarding why you are currently seeking therapy

Choose which services you are interested in. Required

What is your weekday availability for ongoing therapy sessions? Requests for evening appointments will result in longer wait times. Required

Weekday 9AM-3PM

Weekday 3PM-5PM

Weekday 5PM-8PM

9-5 Weekends (limited)

Today's 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.