Consent and Supervision Agreement for the Institute for Relational Well-BeingConsent and Supervision Agreement • October 6th, 2020
This is a contract between (supervisee) and Shawn R Neel MS, LMFT (Supervisor) for the purposes of clinical supervision outside of the confines of the place wherein the supervisee practices. Supervision will take place at 1619 Dayton Avenue in Saint Paul, MN or at 1919 University Avenue in Saint Paul. Supervision at the 1619 Dayton Avenue office is not in any way affiliated with Centered Practice. Centered Practice is void of any responsibility for supervision obtained within their therapy space as the Institute for Relational Well-Being/Shawn R Neel provides rent for the space outside of the duties of his position within Centered Practice. By signing this contract, I recognize and understand that my agreement is with Institute for Relational Well-Being/Shawn R Neel and indemnify and hold harmless Centered Practice from any and all activities provided within their office space.
