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.


  1. Find an appropriate supervisor with a minimum of 2 years of practice since obtaining their independent license.  The clinical supervisor must be in the same discipline as 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. 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
  4. Required supporting documentation includes:
    • Evidence that the proposed clinical supervisor is in compliance with the educational requirements in A.A.C. R4-6-214; and
    • Signed supervision agreement (see Sample supervision agreementNOTE: 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.
  5. 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.