Clone of Consent to Confer Form
  • Consent to Supervision & Use of Session Recordings

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  • Purpose of Supervision


    In order to ensure the highest quality of care, your practitioner participates in professional supervision. Supervision is a process where practitioners meet with senior colleagues and teachers and / or peers to receive guidance, support, and
    feedback on their work. The goal is to enhance skills and provide the best possible services to clients.


    Confidentiality


    • Your confidentiality is a top priority.
    • In supervision, your practitioner may discuss aspects of your sessions, but identifying information (such as
    your full name, address, or other personal details) will be removed whenever possible.
    • Supervisors are bound by the same professional standards of confidentiality as your practitioner.


    Use of Recordings


    • At times, practitioners may create video sessions for supervision purposes.
    • Recordings benefit the clients by enhancing the quality of care you receive.
    • These recordings allow supervisors to provide more accurate and constructive feedback.
    • Recordings are optional. You may choose whether or not to give permission for your sessions to be recorded.
    • Recordings will be stored securely, used only for supervision, and deleted after their review.

  • By typing my name and signing this form, I acknowledge that I have read and understood this consent form. I have had the opportunity to ask questions, and all of my questions have been answered to my satisfaction.

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