Clinical Supervision Agreement Form Page 4

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10.
Content of supervision
To be negotiated in confidence between supervisee and supervisor, and should include a list of
the knowledge and skills that the supervisee would like to develop in supervision sessions.
Should be regularly reviewed and renegotiated between the supervisor and supervisee.
Note: refer to supervision policy and accompanying guidelines for guidance when developing supervision
objectives.
Supervisee
name:
signature:
Date:
Supervisor
name:
Signature:
Date:
Line manager agreement:
Line manager
name:
Signature:
Date:
Clinical supervision agreement template, Queensland Centre for Mental Health Learning training resources
Page 4 of 3

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