Are you and your partner satisfied with the current state of your relationship? Learn more about our $99 Relationship Checkup.

Clinical Supervision » Clinical Supervision Request Form

Clinical Supervision Request Form

This form is only for clinical supervision requests. If you are interested in employment or a clinical internship at CFR, visit the Careers & Clinical Internships page.

Clinical Supervision Request Form

  • Note that for licensure, 50% of clinical hours must be supervised by a professional who has the license that is sought by the supervisee (LMFT [AAMFT-approved supervisor], LCSW, LPC). For all clinical hours to count towards licensure, one hour/week of supervision is required for every 10 clinical hours/week. To count clinical hours in excess of 10/week, two weekly hours of supervision are required. Please inform CFR of your desired license, and of the number of clinical hours/week for which you desire supervision, so that CFR can work with you to assure that you will be able to count all of your clinical hours towards licensure.
  • MM slash DD slash YYYY
  • Drop files here or
    Max. file size: 50 MB.
    • Please check all that apply.