Mid Valley Counseling Center, Inc.

Randall Green, PhD.

Randall Green, PhD.

- D Street Office -


Forms

Consent to use or disclose information for Treatment
Authorization for Release of Protected Health Information
Provider Policy on Insurance and Billing Practices
Alternative Contact Information
Notice of Privacy Practices
Adult Information Form
Child / Adolescent Information Form
Contract for Therapy with a Minor
Informed Consent
Intake Form
Intake Letter
FAQ About Therapy for Teens
Amen Adult General Symptom Checklist

Licensed in Oregon and Washington, Dr. Green is one of the founders for this group of independent providers practicing at a common location, Dr. Green provides therapy to adolescents and adults, couples and families. He has significant clinical experience involving the treatment of anxiety, depression, stress-related issues, Posttraumatic Stress Disorder, grief and loss issues, as well as psycho-spiritual concerns. Dr. Green also specializes in forensic evaluations, with an emphasis on the assessment of psychological damages resulting from abuse and other traumatic events that are involved in litigation. He is married and has two adult children. He is a member of the Board of Liberty House, the local child abuse evaluation center. He also has the honoring of serving the public as a public board member of the Oregon State Bar's Board of Bar Examiners, in addition to the State Professional Responsibility Board