Group Supervision Agreement Sample Contracts

3 Group Supervision Agreement) Old Dominion University, Graduate Counseling Program 1
Group Supervision Agreement • February 16th, 2016

Student Name: UIN: Level (Circle One):Practicum OR Internship Check One: On Campus Distance Learning Semester and Year: ODU email: Site/Site Supervisor: Group Supervisor/Instructor:

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Group Supervision Agreement
Group Supervision Agreement • April 21st, 2023

Clinical group supervision is a space for Master’s level Social Workers to explore and grow their clinical experience through case presentation and consultation, while learning from other group member's experiences. The supervisees will come to group sessions prepared with cases for discussion. Brief case presentations will be deidentified to ensure HIPAA compliance.

Example Formal Agreement / Ground Rules for Group Supervision Both supervisor and supervisee(s) agree to:
Group Supervision Agreement • March 13th, 2021

Reflect on issues that affect the clinical practice of the supervisee(s) in order to develop personally and professionally; ultimately contributing towards improving patient care.

2b. Group Supervision Agreement COUN 669, 667, 668, 868, & 869
Group Supervision Agreement • November 29th, 2018

Student Name: UIN: ODU Email: Select course: Select track: Practicum School Counseling 1st semester Internship Mental Health 2nd semester Internship Doctoral Instructor/University Supervisor: Site Name:

Group Supervision Agreement
Group Supervision Agreement • July 27th, 2022

Confidentiality between both supervisor and supervisees will be strictly maintained in order that it will not be breached outside of the session unless otherwise agreed by both parties. Confidentiality clause: All issues discussed will be in confidence, unless there is anything disclosed that affects the well-being of the supervisee or is detrimental to the patients, professional practice, the team or the organisation.

GROUP SUPERVISION AGREEMENT
Group Supervision Agreement • April 29th, 2018
2b. Group Supervision Agreement COUN 669, 667, 668, 868, & 869
Group Supervision Agreement • October 12th, 2022

Student Name: UIN: ODU Email: Select course: Select track: Practicum School Counseling 1st semester Internship Mental Health 2nd semester Internship Doctoral Instructor/University Supervisor: Site Name:

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