Supervised private practice

Effective January 12, 2019, Board rules related to direct supervision have been modified.  The rule changes to A.A.C. R4-6-211 expand the settings where masters level non-independent licensees may practice under supervision to include a practice they own or manage (with appropriate clinical supervision).  Pursuant to A.A.C. R4-6-306(F), the Board has determined that temporary licensees who have been approved to test, but haven't yet taken and passed the exam are restricted from supervised private practice.

APPLYING FOR SUPERVISED PRIVATE PRACTICE:

  1. Find an appropriate supervisor who has been independently licensed for a minimum of 2 years and is in the same discipline of the supervisee.
  2. Complete the Request for Approval of Clinical Supervisor form which must be initialed and signed by both the supervisor and supervisee.
  3. Additional required supporting documentation:
    • Evidence that the proposed clinical supervisor is in compliance with the educational requirements in A.A.C. R4-6-214.
    • Signed supervision agreement (see Sample supervision agreement)  NOTE: the template is provided as a sample only and contains the information required in Board rule, however additional stipulations may be included as the parties deem appropriate.
  4. Submit the form with supporting documentation to the Board for approval.  The form may be dropped off or mailed to the Board's address, faxed to (602) 364-0890, or sent via email to forms@azbbhe.us.

​APPROVAL:

  1. Upon approval, both parties will be notified and provided due dates for the required reporting.  Supervisor will be responsible for submitting a Verification of Supervision every six months.  The form must be signed by the clinical supervisor and acknowledged by the supervisee.
  2. Please ensure supervisee and supervisor are meeting individually for on hour for every 20 hours of direct client contact provided, to include an onsite meeting every 60 days.
    • The onsite meetings must occur in person at the supervisee's practice.