Clinical supervision agreement template
A clinical supervision agreement sets out how a supervisor and a practitioner or trainee will work together: the format, fees, confidentiality, records and how either side can end it. Counsellors, therapists and other practitioners complete one when supervision starts, and again when the arrangement changes.
Made by DocuWeave. Use at your own discretion.
What changes each time
24 values. Everything else is your wording, kept exactly.
The supervisor
- Name, qualifications and contact
- Professional body and membership number
The supervisee
- Name, qualifications and contact
- Professional body and membership number
- Training course, provider and placement
- Start date
Arrangements
- Format
- Group size
- Where
- Professional body requirement
Sessions and fees
- Session block
- Number of sessions
- Length
- Fee per session
- Total for the block
- When fees are paid
- Hours' notice to cancel without charge
Ethics and reporting
- Ethical framework
- Body or course that may ask for a report
Records, review and ending
- Years session notes are kept
- Months between reviews
- Weeks' notice to end
- Cancellation address or email
- Signatories and dates
The rules it usually needs
Written in plain English when the template is set up.
- Only when…
“Include training course and placement details for trainees.”
A line names the course, provider and placement organisation.
- One of several wordings
“Supervision is individual or in a group.”
The format row shows which, with the group limit.
- One of several wordings
“Supervision takes place at an address or online.”
The location row shows which.
- Once for each item
“Add a row for each session block.”
The fees table lists each block with dates, number of sessions, length, fee and total.
- One of several wordings
“Fees are paid before each session, monthly in advance or on invoice.”
The payment line shows which.
- Only when…
“Include group confidentiality wording in group supervision.”
Members of the group agree to the same confidentiality.
- Only when…
“Include the 14-day right to cancel if the supervisee is a trainee not yet in paid practice, paying personally, and the agreement is made online, by email or phone, or away from the supervisor's premises.”
A cancellation section and the model cancellation form are added.
Questions people ask
What is a supervision agreement?
It is a written agreement between a supervisor and a practitioner or trainee, setting out how supervision works: the format, fees, what is confidential and what is not, and how the arrangement can be reviewed or ended.
Is supervision confidential?
The agreement says what is said is confidential between the supervisor and supervisee. It also sets limits, for example where a client or someone else may be at serious risk of harm.
Can it be used for group supervision?
Yes. There is a group format with a limit on numbers, and the agreement says group members agree to the same confidentiality.
Does it cover trainees?
Yes. An optional line records the training course and placement, and an optional section gives a 14-day right to cancel for trainees paying personally.
Who keeps the records?
The supervisor keeps brief session notes with no client-identifying details for the number of years stated. The supervisee can see the notes about them.
Use this template
It opens in DocuWeave as a template you can check, change and publish. Nothing is used until you do.