LPC- Ssupervision Log - Texas Department of State Health ...
|Supervision Hours Log- Site: ________________________ (To be completed and signed each week) |
|Date |Direct Supervision |Direct Clinical |Indirect Hours |Total Experience Hours |Supervision Session Content |LPC-S Initials |LPC–Intern Initials|
|(MM/DD-DD/YY) |Hours |Hours | |Earned | | | |
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|Cumulative Hours | |
|Intern Signature | Date: / /20__ |
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