- Description
Supervisee Details Form
Collects basic information from new supervisees, including professional accreditations and alternative contact person in case of professional concerns
Price: £15
Who is it for?
• For face to face supervisors
• For online supervisors
When is this completed?
This is completed by the supervisee when they first book a session with you.
What does it contain?
Headings include:
- Personal details
- Consent to communications e.g. appointment reminders, answer phone messages etc
- Professional accreditations and qualifications
- Current employment
- Alternative contact person in case of professional concerns
- Next of kin/emergency contact details
- How did you find me? Tracking referral sources
- Service evaluation: consent for collecting anonymised data for service evaluation and audit purposes
What format does the document come in?
- Microsoft Word Template: Editable and unbranded so you can add your own branding
- PDF Template* in Five Colourways (Teal, Orange, Charcoal, Lime, Navy): Editable and unbranded so you can add your own branding
- Online Psychology and Counselling PDF: Non-editable fully branded example.
* Please note the PDF templates are partially editable. You can insert your logo and company name and fields are available for clients to insert their information. However, as they are PDFs certain formatting features are fixed. You can however fully edit the Word documents which contain identical content.
Dr Alesia Moulton-Perkins
Online Psychology and Counselling Limited.
Registered company in England and Wales (Companies House 10940785)
Registered office address: Online Psychology and Counselling Ltd, 71-75 Shelton Street, London, WC2H 9JQ
