Cynthia J. Haakana, Ph.D., L.P., LLC.

Hours of Operation: Mon - Fri 8:00am - 8:00pm

Intake Forms

Please print and complete the following four forms prior to your first appointment.

Information Forms

The following documents are in relation to your information and how it is protected.


The following documents are for assessing depression and anxiety.

Patient Health Questionnaire (screening for depression)

Generalized Anxiety Disorder (GAD) Questionnaire