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Summary of Supervision Hours Supervised Name: CLINICAL Supervisor Name: LICENSURE REQUIREMENTS CURRENT 50 Hours of Experience per month on averageSTARTING 10/1/2018 85 Hours of Experience per month
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How to fill out summary of supervision hours
How to fill out summary of supervision hours
01
Start by recording the start and end date of the supervision hours.
02
Calculate the total number of hours spent in supervision.
03
Provide a breakdown of the type of supervision received (individual, group, etc.).
04
Include the name and credentials of the supervisor(s) providing the supervision.
05
Document any specific topics or areas covered during the supervision sessions.
06
Summarize any significant feedback or recommendations received from the supervisor(s).
07
Review and proofread the summary to ensure accuracy and completeness.
08
Sign and date the summary to certify its authenticity.
Who needs summary of supervision hours?
01
Summary of supervision hours is required by individuals who are pursuing a professional licensure or certification that requires a certain number of supervised hours.
02
This may include professions such as psychologists, therapists, counselors, social workers, and other healthcare practitioners.
03
Supervision hours are typically required to demonstrate competence and ensure the quality of services provided.
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What is summary of supervision hours?
The summary of supervision hours is a report outlining the total hours of supervision completed by a supervisee.
Who is required to file summary of supervision hours?
Supervisees who are pursuing a professional license that requires supervision hours are typically required to file a summary of supervision hours.
How to fill out summary of supervision hours?
Supervisees must accurately record their supervision hours and submit the completed summary form to the relevant licensing authority.
What is the purpose of summary of supervision hours?
The purpose of the summary of supervision hours is to track and verify the completion of required supervision hours for licensure purposes.
What information must be reported on summary of supervision hours?
Information such as the date, duration, and type of supervision sessions must be included on the summary of supervision hours form.
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