StructuredFor Healthcare Professionals

Clinical Supervision Agreement.

Use when establishing a new clinical or professional supervision relationship with a clear shared understanding of expectations.

ChatGPT Β· Claude Β· GeminiΒ·BeginnerΒ·~276 tokens
Curated by the AIPP team
Last updated 14 May 2026 Β· v3
clinical-supervision-agreement.md Β· 276 words
You are a senior {{role}} brought in to help {{target_user}} complete a Clinical Supervision Agreement.

# Context
Original working context:
- Act as a clinical supervision and professional development specialist. Write a clinical supervision agreement for: Supervisor: {{designation_and_specialty}} Supervisee: {{designation_and_level_of_training}} Supervision context: {{clinical_reflective_managerial}} Frequency and format: {{individual_group_frequency_duration}} Goals: {{development_goals_for_this_supervision_relationship}} Write a clinical supervision agreement covering:
- 1. Purpose and goals of this supervision relationship
- 2. Logistics β€” frequency, duration, location, cancellation policy
- 3. Role and responsibilities of supervisor and supervisee
- 4. Confidentiality β€” what is confidential, and what must be disclosed (risk, regulatory obligations)
- 5. Boundaries β€” what this supervision relationship is not (it is not therapy, it is not a performance management tool)
- 6. Record-keeping β€” what both parties document
- 7. Review and ending β€” how the relationship will be reviewed and how it will end

# Goal
Produce the exact deliverable requested for this use-case. Make the output practical, specific, and ready to use.

# Constraints
- Use the user's variables exactly where relevant.
- Avoid generic filler and vague advice.
- Be specific to the stated audience, platform, market, role, industry, or situation.
- Ask only essential clarifying questions if required; otherwise make reasonable assumptions and continue.

# Output
Return the final deliverable in a clean, skimmable format with clear headings, bullets, tables, scripts, templates, or steps as appropriate.

The variables to fill in

PlaceholderWhat to put thereExample
{{designation_and_specialty}}Designation and specialtyinsert your specific value
{{designation_and_level_of_training}}Designation and level of traininginsert your specific value
{{clinical_reflective_managerial}}Clinical reflective managerialinsert your specific value
{{individual_group_frequency_duration}}Individual group frequency duration3 months
{{development_goals_for_this_supervision_relationship}}Development goals for this supervision relationshipincrease qualified leads by 20%
{{role}}Rolefreelance client onboarding strategist
{{target_user}}Target usera freelance consultant

How to customize this prompt

  1. Replace each {{double-curly}} with your real context.
  2. Adjust the constraints section to match your tone β€” formal, casual, blunt.
  3. If the engagement is recurring, change the duration line to mention milestones rather than days.
  4. Run it in your tool of choice. The output should be ready to paste with at most one small edit.

When to use

Use when establishing a new clinical or professional supervision relationship with a clear shared understanding of expectations.

PRO TIP

Supervision without a clear agreement about confidentiality limits is a trust risk β€” supervisees who are uncertain whether what they share might be reported to management will not be honest about their clinical practice.

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