Clinical Supervision Agreement Form Page 2

4. Structure of supervision

Frequency:

Duration:

Location:

What resources do we require for effective supervision (e.g. time, space, absence of

interruptions)?

What preparation will be required prior to each session?

How will agendas for each session be set?

Availability between sessions:

Is supervisee currently receiving other supervision?

If yes, how will different forms of supervision be integrated?

5. Evaluating supervision

What is the preferred process for evaluating supervision?

When will the supervision agreement be reviewed?

6. Limits to confidentiality

How will difficulties in supervision be dealt with?

What if the supervision relationship completely breaks down?

Clinical supervision agreement template, Queensland Centre for Mental Health Learning training resources

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Parent category: Business