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Summary of Supervision Hours Supervised Name: CLINICAL Supervisor Name: LICENSURE REQUIREMENTS CURRENT 50 Hours of Experience per month on average STARTING 10/1/2018 85 Hours of Experience per month
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How to fill out summary of supervision hours

01
Step 1: Start by gathering all the necessary information such as the number of hours supervised, the date range of the supervision, and any relevant supervisory information.
02
Step 2: Begin the summary by providing your name, contact information, and any professional credentials or certifications you may have.
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Step 3: Clearly state the purpose of the summary and provide a brief overview of the supervision hours you completed.
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Step 4: Create a section or subsections to organize the details of each supervision experience. Include the name and credentials of the supervisor, the name of the supervised individual, and the dates and duration of the supervision.
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Step 5: Describe the nature of the supervision, including the scope of practice, goals, objectives, and any specific areas of focus.
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Step 6: Document the specific activities performed during the supervision, such as direct observation, case reviews, consultations, or training sessions.
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Step 7: Summarize the outcomes or achievements resulting from the supervision, such as increased competency, skills development, or successful completion of specific tasks or projects.
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Step 8: Conclude the summary by highlighting any noteworthy feedback received from the supervisor or the supervised individual, and express gratitude for the opportunity.
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Step 9: Review the summary for accuracy, clarity, and completeness. Make any necessary revisions or additions.
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Step 10: Save the summary of supervision hours as a digital file or print it out for submission, depending on the requirements of the relevant institution or organization.

Who needs summary of supervision hours?

01
Individuals pursuing a career that requires supervised experience, such as mental health professionals, counselors, psychologists, social workers, or other related fields.
02
Students or trainees undergoing supervised practicum or internship as part of their professional education or training.
03
Professionals seeking to fulfill licensing or certification requirements that necessitate a certain number of supervised hours.
04
Organizations or institutions that require evidence of supervised experience for credentialing, accreditation, or legal purposes.
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Summary of supervision hours is a document that outlines the total number of hours an individual has spent under supervision in a specific period of time.
Individuals who are under supervision as part of their professional or educational requirements are required to file summary of supervision hours.
Summary of supervision hours can be filled out by providing accurate information about the total number of hours spent under supervision, the dates of supervision, and the name of the supervisor.
The purpose of summary of supervision hours is to track and document the progress of individuals under supervision and ensure that they are meeting the required hours.
Information that must be reported on summary of supervision hours includes the total number of hours spent under supervision, dates of supervision, and the name of the supervisor.
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