Book Your Clinical Supervision
Share your details and availability so Carolin can arrange a supervision time with you.
About you
Your name
*
First Name
Last Name
Email address
*
example@example.com
Mobile number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Where are you currently based?
*
Street Address
Street Address Line 2
Postal / Zip Code
City/town
State/territory
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
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Guyana
Haiti
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
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Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Which best describes you?
*
New graduate occupational therapist
Occupational therapist moving into paediatric practice
Currently working in paediatric occupational therapy and seeking external supervision
Other
Approximately how long have you been practising as an occupational therapist?
*
New graduate / less than 1 year
1–2 years
3–5 years
6–10 years
More than 10 years
If you are moving into paediatrics from another area of OT practice, what area/s have you previously worked in?
Your supervision
What type of supervision are you interested in?
*
Individual supervision — self-funded
Individual supervision — employer-funded
Group supervision
I'm not sure yet
Employer-funded supervision is provided in 60-minute sessions.
What session length would you prefer?
30 minutes
45 minutes
60 minutes
I'm not sure — I'd like Carolin's recommendation.
Group supervision is provided in 60-minute sessions with a maximum of four occupational therapists.
How often are you looking for supervision?
*
Weekly
Fortnightly
Monthly
Occasional / as needed
One-off session
I'm not sure yet
What would you particularly like to work on through supervision?
Clinical reasoning
Assessment selection and interpretation
Intervention planning
Goal setting
Documentation and report writing
Working with parents and families
Working with schools and educators
Multidisciplinary practice
Managing complex cases
Professional boundaries
Confidence in paediatric practice
Transitioning from another OT practice area into paediatrics
General case discussion
Other
Is there anything you'd like Carolin to know about you or what you're hoping to gain from supervision?
Your availability
Which days generally suit you?
Monday
Tuesday
Wednesday
Thursday
Friday
I'm flexible
Which times of day generally suit you?
Morning
Early afternoon
Late afternoon
Evening
Anything else we should know about your availability?
*
I understand this form is an enquiry and that supervision arrangements, including fees and scheduling, will be confirmed directly with Carolin.
Request Supervision
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