About this resource
A brief record makes supervision more useful over time. This template records the agenda, de-identified case discussions, learning and reflections, agreed actions, a short wellbeing check and items to follow up next time.
Purpose
To keep a concise, consistent record of supervision discussions and agreed actions.
Who it is for
Primary profession: Allied health and multidisciplinary teams. Also relevant for social workers, counsellors and therapists, psychologists.
Client or participant group: Allied health practitioners and their supervisors.
Practice setting: Individual or group supervision.
Suggested uses
- Recording individual supervision
- Group supervision
- Student supervision
- Tracking actions between sessions
Instructions for practitioners
- Agree who completes the record.
- De-identify case information.
- Store according to your organisation's record-keeping policy.
- Review actions at the next session.
Accessibility considerations
Editable HTML source available for adaptation.
Scope and limitations
A template. Check professional body and employer requirements for supervision records.
Research basis
Clinical supervision and structured reflection support learning, safe practice and professional development.
- Gibbs, G. (1988). Learning by doing: A guide to teaching and learning methods. Further Education Unit, Oxford Polytechnic. https://thoughtsmostlyaboutlearning.files.wordpress.com/2015/12/learning-by-doing-graham-gibbs.pdf
- Milne, D. (2007). An empirical definition of clinical supervision. British Journal of Clinical Psychology, 46(4), 437–447. https://doi.org/10.1348/014466507x197415
What is included
A 2-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).
Originality
Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced.
