The LPC Supervisor’s Toolkit is designed to get you organized and streamline your supervision practice.
While these forms are complete and ready for your use, feel free to edit them to fit your practice and specific needs. These forms were created with Microsoft Word and Excel and can be edited and saved as you wish.
If you are new to LPC Associate supervision, or a seasoned professional, implementing some or all of the forms in this toolkit will ensure you are completing a thorough interview of prospective supervisees, creating a legitimate and all-encompassing Supervision Contract, maintaining accurate and thorough supervision records and supervisee evaluations, and submitting the correct information to the Texas State Board of Examiners of Professional Counselors.
Also included are tools to initiate discussions of multiculturalism and counseling implications.
Continued formative and summative evaluation of your supervisees is crucial to their development and essential to you maintaining your ethical and legal requirements, thus reducing your liability.
As a gatekeeper to the counseling profession, the use of this toolkit will help you maintain the highest professional standards and ensure your supervision practice is consistently excellent!
You will find the forms in this toolkit invaluable to your practice:
Business Associate Agreement Template
Case Consultation
Clinical Issues Discussion
Consent to Audio/Video Recording
Counselor Competency Evaluation
Counselor Evaluation of Supervisor
Cultural Iceberg
Creating an Intake Assessment
Deciding How to Address Potential Legal or Ethical Violations
Description and Application of forms
Individual Supervision Case Discussion
Informed Consent Template
Informed Consent
Intake
Intake Assessment
Licensed Mental Health Professionals in Texas
Links to Required Forms
LPC Brochure
MECA Map for multicultural exploration
New Supervisee Checklist
Professional Development Plan
Professional Development Plan2
Progress Note
Progress Note2
Prospective Supervisee Interview
Release of Information
Remediation Plan
Risk-Management Review
Supervisee Assessment
Supervision Contract Template
Supervision Contract
Supervision Hours Log
Supervision Log Excel
Supervisory Session Written Record (3 versions- captures all required session data)
Treatment Plan
Initial Treatment Plan
