Recco S. Richardson Consulting, Inc.
LLPC’s Clinical Supervision Note
Supervisee’s Name: __________________________________________
Subjective: (What progress they reported, the stated needs, realizations commented on, etc.).
Objective: (How they presented, physical and emotional responses, etc.).
Assessment: (What was discussed, symptoms or top that was processed, personal insights, etc.).
Plan: (What are future plans, assignments given, strategies suggested, etc.).
Recco Santee Richardson, Ph.D., LPC Date
Recco S. Richardson Consulting Inc • Licensure Educational Training (LET)
“An Effective Professional Counselor Licensure Supervision Program”