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Group Supervision Record
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Supervisor Name
Date
Start Time
Total Time
Attendees:
1.
2.
3.
4.
5.
6.
Model of Supervision Used
(Check All That Apply)
:
Model of Supervision Used (Check All That Apply):
Reflective
Directive
Developmental
Competency Based
Others (Specify):
Kindly specify others here
Evidence Based Practices Discussed (Check All That Apply):
Trauma Informed Care
Motivational Interviewing
DBT
Mindfulness
CBT
EMDR
Other (Specify):
Kindly specify others here
Methods Used (Check All That Apply):
Role Play
Case Presentation
Audio/Video Recording
In person Supervision
Electronic
audio
video
Comments:
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