Fillable COPE Community Services Inc - copecommunityservices

COPE Community Services, Inc. Verification of Clinical Supervision Skills and Knowledge I, (BHP name), visually observed (BHT name) interacting with another staff member in clinical supervision roleplaying exercises. After observing them, I verify that this BHT has the skills and knowledge to provide clinical supervision. BHT signature: Title/Credential: Date: BHP signature: Title/Credential: Date: COPE Website:...
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