Florida Supervision Agreement Generator — Free

Before you use this: a supervision agreement is a professional contract. This generator produces a thorough starting point built from the Board's rules and the ACES Best Practices in Clinical Supervision — it is not legal advice, and it has not been reviewed by your attorney or your malpractice carrier. Read every clause, edit what doesn't match how you actually practice, and have it reviewed before you rely on it.

The parties

Appears in the header and the signature block.

Qualified supervisor

Supervisor license #

Supervisor phone / email

Registered intern

Intern registration #

Intern phone / email

Practice setting

Agreement start date

Logistics

The Board sets floors, not schedules. State what you'll actually do — a schedule you keep is worth more than an ambitious one you don't.

Supervision frequency

Session length

Format

Modality

Where supervision takes place (optional)

Supervision fee (optional)

Payment terms (optional)

Safety and coverage

The clause most agreements are missing, and the one that matters at 9pm on a Friday.

How the intern reaches you urgently

Backup coverage when you're unavailable

Clauses to include

All are on by default. Turn off anything that doesn't fit your setting — but read what you're removing.

Sections

Additional terms (optional — appended verbatim)

Saved on this device only. Your entries persist in this browser so you can come back and adjust. Clearing your browsing data or switching devices loses them.

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Florida licensure updates, and what I build next

Where your address goes. You’ll be added to the Mentality Today newsletter and announcement list. Mentality Today is the billing and credentialing company I co-founded — these free tools come out of that work, and that’s who sends the email. Expect Florida licensure and supervision updates, new guides and tools, practice-building material, and occasional news about what MT is building.

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Email address

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What this is built from

So you can check the reasoning rather than trust it.

Florida Board supervision rules — the format ratios, alternation, 50% in-person minimum, two-week frequency, and the 25-intern cap. See the Qualified Supervisor Information Sheet.
Rule 64B4-2.0025, F.A.C. — the requirement that both parties maintain a current supervision log (DH-MQA 5078).
s. 491.005(4)(c), F.S. — a licensed mental health professional must be on the premises when an intern provides clinical services in a private practice setting.
ACES Best Practices in Clinical Supervision (2011) — the field standard for what a supervision agreement should address: scope, evaluation, due process, emergency procedures, and termination.

Not legal advice. This is a drafting aid produced by a third-party tool, not a Board form and not a document reviewed by counsel. Rules change and settings differ. Verify current requirements with the Board and have your agreement reviewed by an attorney familiar with Florida mental health practice.

Supervision agreement generator

The parties

Logistics

Safety and coverage

Clauses to include

What this is built from

Where to go next