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Elizabeth Perri, PsyD, CST - AASECT Supervision Request
This form is for clinicians seeking a primary or secondary supervisor for AASECT certification. I respond to inquiries within two business days.
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* Indicates required question
Name:
*
First and Last Name:
Your answer
Pronouns:
*
Your answer
Email:
*
Your answer
Phone Number:
*
Your answer
Practice Website:
Your answer
Credentials:
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PsyD / PhD
LMFT
LCSW
LCPC
Other:
Required
In what state or province are you licensed?
*
Your answer
How did you find me?
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Google Search
University of Michigan Sexual Health Program- Supervisor Directory
Instagram
Facebook
Other:
Do you currently have access to sex therapy clients/patients for case consultation?
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Yes
No
Are you a member of the American Association of Sexuality Educators, Counselors, and Therapists (AASECT)?
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Yes
No
Are you currently under sex therapy supervision with another AASECT supervisor?
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Yes
No
If so, who is your supervisor?
Your answer
What type of supervision are you looking for?
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Individual
Group
Both
Are you currently enrolled in a sex therapy certification or degree program?
*
Yes
No
If so, which program or school?
Your answer
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