CONTRACT OF
Clinical SUPERVISION
Supervisee:
Address:
Postcode:
Contact number:
Supervisor: Joshua Cole Frances Rogers [Please circle]
Date:
Date to Review Contract:
Objectives (please state 3 aims for yourself within supervision)
1.
2.
3.
Where is supervision held: Telephone
Duration of Session: One Hour
It is agreed by the supervisee that a fee of £25 monthly will be made payable by
cheque to Joshua Cole. 22 Revenue Chambers, St Peters Street, Huddersfield, HD1 1DL
Supervisee Signature:
Supervisors Signature: