SUPERVISION AGREEMENT

NATURE AND PURPOSE OF SUPERVISION

Clinical supervision is a professional and evaluative relationship designed to support the development of clinical skill, ethical practice, professional judgment, and professional identity.

Supervision may include case presentation and discussion, review of clinical documentation, exploration of assessment and treatment planning, ethical and legal considerations, professional development, and other activities relevant to the supervisee’s clinical work.

When supervision is being provided toward Georgia LPC licensure, supervision will be conducted in accordance with applicable requirements of the Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists.

Clinical supervision is distinct from administrative direction. When direction is required by the Georgia Composite Board, the supervisee is responsible for maintaining an appropriate directed work setting and ensuring that the required direction is provided through their employer or administrative chain of command.

RESPONSIBILITIES OF THE SUPERVISEE

As a supervisee, you are responsible for your own professional conduct and clinical practice. You agree to:

• Maintain any license, registration, employment, directed experience, professional liability insurance, and other requirements applicable to your practice.

• Become familiar with and practice in accordance with applicable Georgia law, Board rules, professional ethical standards, and the policies of your employment setting.

• Maintain access to clients through an appropriate work setting when supervision is being obtained toward licensure.

• Come prepared for supervision and provide accurate and sufficient information about your clinical work so that meaningful supervision can occur.

• Bring clinical concerns, ethical questions, risk issues, boundary concerns, and situations in which you feel uncertain or outside your competence to supervision promptly.

• Inform me of significant changes in your employment, clinical responsibilities, licensure status, disciplinary status, or supervision arrangements that may affect our supervisory relationship.

• Maintain your own contemporaneous record of supervision and retain documentation necessary for licensure or credentialing.

• Seek clarification directly from the Georgia Composite Board when an interpretation or determination can only be made by the Board.

That records requirement isn’t just something we’re adding for good practice—the Board expressly requires both of us to maintain the record.

RESPONSIBILITIES OF THE SUPERVISOR

As your clinical supervisor, I will provide supervision intended to support the development of your clinical competence, professional judgment, ethical practice, and professional identity.

My responsibilities include providing clinical teaching and consultation; reviewing cases and clinical decision-making; providing ongoing feedback and evaluation; addressing ethical, legal, professional, and client-welfare concerns as they arise; maintaining required supervision documentation; and completing appropriate supervision verification when warranted by my records and your satisfactory completion of supervision requirements.

At times I may make specific recommendations or directives when I believe they are necessary to protect client welfare, support ethical practice, or address a significant professional concern. Whenever possible, supervision will emphasize clinical reasoning and the development of your own professional judgment rather than simply prescribing what you should do.

SUPERVISION SESSIONS + CASE REVIEW

Supervision may include discussion and review of clinical cases, assessment and treatment planning, clinical documentation, ethical and legal considerations, professional boundaries, therapeutic relationships, risk management, professional development, and other matters relevant to your clinical work.

You agree to come to supervision prepared to discuss your work openly and accurately, including clinical situations that are difficult, uncertain, or concerning. When appropriate, I may request additional information or review relevant clinical documentation for the purpose of supervision.

Client information shared in supervision should be limited to what is reasonably necessary for effective clinical supervision and handled in accordance with applicable confidentiality and privacy requirements.

CONFIDENTIALITY + PRIVACY IN SUPERVISION

Information shared within the supervisory relationship will be treated with professional discretion and in accordance with applicable ethical and legal requirements. Supervision is a professional and evaluative relationship and should not be understood as psychotherapy or as carrying the same expectations of privacy as a psychotherapy relationship.

Information related to supervision may need to be disclosed when required by law, professional ethics, licensing requirements, concerns regarding client welfare or professional conduct, or requests from the Georgia Composite Board or other authorized entity.

I may also seek professional consultation regarding supervision when appropriate. When doing so, I will make reasonable efforts to protect the identities of supervisees and clients except when disclosure is legally or ethically required.

Georgia’s ethics rules specifically require licensees to maintain confidences shared by supervisees, while also imposing obligations on supervisors who become aware of unethical, unprofessional, or harmful conduct.

CLIENT WELFARE + URGENT CLINICAL SITUATIONS

The welfare of clients is the primary consideration in clinical supervision.

You are responsible for following the emergency, crisis, reporting, consultation, and risk-management procedures of your employment or practice setting and for complying with applicable law and professional ethical standards.

If an urgent clinical situation arises between scheduled supervision sessions, you may contact me for consultation when reasonably available. However, clinical supervision with me is not an emergency or on-call service and does not replace the emergency resources, administrative direction, clinical coverage, or crisis procedures provided by your work setting.

When immediate action is required to protect a client or another person, you should follow applicable law, professional ethical standards, and the emergency procedures of your work setting rather than waiting for your next supervision session.

EVALUATION + PROFESSIONAL DEVELOPMENT

Clinical supervision includes both support and evaluation.

I will provide ongoing verbal feedback and, when appropriate, written evaluation regarding your clinical development, professional judgment, ethical practice, use of supervision, and areas requiring further growth.

You are encouraged to discuss feedback openly, ask questions, identify areas in which you would like additional development, and raise concerns about the supervision process.

As a clinical supervisor, I also have a responsibility to address significant concerns regarding competence, ethical practice, professional conduct, or client welfare. When concerns arise, I will make reasonable efforts to discuss them directly with you and identify appropriate steps for remediation, additional training, consultation, changes in practice, or other action as appropriate.

When required by law, ethics, licensing requirements, or concerns regarding client welfare, circumstances may require action beyond the supervisory relationship.

That last part is worth keeping. Georgia’s ethics rules specifically identify a supervisor’s responsibility to give a forthright evaluation and appropriate recommendations when aware of unethical, unprofessional, or deleterious conduct by a supervisee.

SUPERVISION RECORDS + DOCUMENTATION

Both supervisor and supervisee are responsible for maintaining a contemporaneous record of supervision.

For each supervision session, records should include the date, duration, type of supervision, and a brief summary of the pertinent supervisory activity. You are responsible for maintaining your own supervision records and retaining documentation required for licensure or credentialing.

I will maintain my own record of supervision and will provide or verify supervision documentation when appropriate and supported by my records.

Supervision records may be provided to the Georgia Composite Board when required or requested in accordance with applicable law and Board rules.

This tracks the Board’s current rule requiring both supervisor and supervisee to maintain contemporaneous records containing the date, duration, type, and brief summary of each supervision session.

VIRTUAL SUPERVISION

Supervision may be conducted virtually when appropriate and permitted by applicable licensing requirements.

When participating in virtual supervision, you agree to make reasonable efforts to participate from a private location and to use technology in a manner that protects confidential information.

If technology fails during a supervision session, we will determine whether to reconnect, continue by another appropriate method, or reschedule as circumstances warrant.

PROFESSIONAL LIABILITY INSURANCE

You are required to maintain professional liability insurance appropriate to your clinical work throughout the supervisory relationship.

You agree to provide documentation of current coverage upon request and to notify me of any lapse or significant change in coverage.

EMPLOYMENT + DIRECTION

When supervision is being obtained toward Georgia LPC licensure, you are responsible for maintaining an appropriate work setting and any required administrative direction separate from the clinical supervision I provide.

Unless we have expressly agreed otherwise in writing, I am your clinical supervisor and not your employer, director, agency administrator, or emergency clinical coverage.

You agree to notify me promptly of significant changes in employment, job responsibilities, work setting, director, access to clients, or other circumstances that may affect whether your experience or supervision meets applicable requirements.

This distinction is particularly important because Georgia defines direction as administrative oversight by an employer or superior and supervision as direct clinical review for training or teaching.

FEES + SCHEDULING

The fee for individual clinical supervision is $175 per 60-minute session, unless another fee has been agreed upon in writing.

Payment is due according to the payment arrangements established at the beginning of supervision.

If you need to cancel or reschedule a supervision session, please provide at least 24 hours’ notice. Sessions cancelled with less than 24 hours’ notice may be charged the full supervision fee except when otherwise agreed due to emergency or exceptional circumstances.

Group supervision fees, educational programs, or other services may have separate fee and cancellation arrangements.

TERMINATION OF SUPERVISION

Either of us may initiate termination of the supervisory relationship.

Whenever reasonably possible, termination will be discussed in advance so that outstanding clinical, professional, documentation, and licensure matters can be addressed and an appropriate transition can occur.

Supervision may also be terminated when circumstances make continued supervision inappropriate, including significant changes in employment or practice setting, failure to meet the responsibilities described in this agreement, unresolved ethical or professional concerns, nonpayment of fees, or circumstances that prevent me from providing appropriate supervision.

When supervision ends, each party remains responsible for maintaining their own supervision records and completing any applicable documentation or notifications.

LICENSURE + CREDENTIALING

Clinical supervision with Jennifer Finch does not guarantee approval for licensure, certification, credentialing, employment, or any other professional designation.

You remain responsible for understanding and satisfying the requirements of the Georgia Composite Board and any other licensing, credentialing, educational, or professional organization applicable to you.

Board rules and licensing requirements may change. Although I will make reasonable efforts to provide accurate guidance within the scope of my role as supervisor, you are ultimately responsible for confirming your individual licensure requirements with the appropriate licensing or credentialing body.