Resource centre · Forms

Counselling supervision: client presentation form

For counsellors in supervision with Tredela. Present one client case per form, before your supervision session.

Fill in online

All fields are required unless marked optional.

Presenter and session

Your name (presenter)

Your email

Session date

Session number

The case

Do not write the client’s name, phone number or anything else that identifies them. Use initials or your own case code.

1.Identifying data, appearance and demeanour of the client
2.Presenting problem
3.Short summary of the session
4.Important history or environmental factors (e.g. SUD, multicultural issues)
5.Assessment or problem conceptualisation (diagnosis)
6.Plan of action and goals for therapy (treatment plan)
7.Intervention strategies
8.Concerns or problems surrounding this case (ethical concerns, relationship issues, etc.) (optional)

Sign

Type your full name to sign

Your supervisor signs when they review the form.

I confirm this presentation is accurate, that I have left out anything that identifies the client, and that I am sharing it for clinical supervision only.

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