Supervision Interest
Please respond with requested information below to confirm your interest in individual and/or group supervision.

Because I provide lower-fee supervision, I give priority to people working in public service roles such as community mental health, community health, etc. who cannot obtain supervision--or enough supervision--through their employers.

Individual supervision is $40 to $60 (pay what you can in that range) per clinical hour. Group supervision is $20 to $40 (pay what you can in that range) per clinical hour.
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Email *
Name *
Phone/Text
What is the best way to contact you? (select any that apply) *
Required
In which state are you seeking licensure supervision?
Clear selection
For which profession are you seeking licensure?
Clear selection
Are you seeking individual and/or group supervision?
Clear selection
Approximately how many months do you anticipate needing supervision?
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Please briefly describe your practice setting and client population (i.e., middle school, outpatient community mental health, adult substance abuse treatment program, IOP/PHP with teens, group therapy practice all ages, etc.)
What areas of focus/populations would you like to have in supervision?
What days/times would you be available for individual and/or group supervision? Please choose as many as could conceivably work, as this increases the likelihood of finding matching times.
9-11 am eastern/6-8 am pacific
11 am-1 pm eastern/8-10 am pacific
1-3 pm eastern/10 am-12 pm pacific
3-5 pm eastern/12 pm-2 pm pacific
5-7 pm eastern/2 pm-4 pm pacific (not available Fridays)
Monday
Tuesday
Wednesday
Thursday
Friday
What else do you think might be important to know about what you're looking for in clinical supervision?
What questions do you have for me about supervision?
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