Individual Supervision Log

SUPERVISION LOGS (AND RECORD-KEEPING)

Dear supervisor, To ensure timely payments and accurate record-keeping, please submit the form linked below.

The date of the supervision session is required and must be recorded in Pacific Time. All other questions are optional but can be helpful for your records and in the event of a Board audit. If you choose to complete the optional questions, you will receive a copy for your own records—please be sure to save it.

The questions are based on Title 16 of the California Code of Regulations (CCR) Section 1387.5.