Supervisee: Supervisor: Date: Check all Topics Discussed: Duties & Comprehensive skills Cases & Assessment Information & expectations evaluation referral
Professionalism Process recording High Risk issues Evaluation issues
Judgment Decision making Progress notes Termination Communication Problem solving Goals & objectives Diversity issues skills School topics & Initiative Treatment planning Mezzo practice deadlines issues Attitude Flexibility Crisis intervention Macro practice issues Time management Self-awareness Practice/intervention Ethical issues skills Learning plan Accountability Specific EBP Other: techniques Comments:
Supervisee Strengths:
Challenges:
Tasks to be completed by the next supervision session or date specified: