Forms and Clinic Policies

Applications

• UBC Practicum Approval (a.k.a. Blue Form)
• UBC Internship Approval (a.k.a. Yellow Form)

Practicum Guidelines

• Practicum Guidelines

Practicum Contract

• Template
• Sample 1
• Sample 2
• Sample 3

Evaluations

• Student Evaluation
• Supervisor Evaluation

Handbooks

• Practicum and Internship Policies and Procedures
• UBC Psychology Clinic Policies and Procedures Manual (Students)

Documentation

• Adult Intake Form (UBC Psychology Clinic)
• Consent Form for Face-to-Face and Online Services (UBC Psychology Clinic)
• Consent to Release and Receive Information (UBC Psychology Clinic)
• Clinic Assessment Form (UBC Psychology Clinic)
• Sample Assessment Report (UBC Psychology Clinic)
• Progress Note Template (UBC Psychology Clinic)
• Termination Summary Form (UBC Psychology Clinic)
• Sample Termination Report (UBC Psychology Clinic)
• File Audit Form (UBC Psychology Clinic)

Supervision Resources

• Supervision Note
• Sample Supervision Philosophy Statement
• Leeds Alliance in Supervision Scale
  • Unpublished dissertation (Nigel Wainwright, 2010)

Clinic Library

• Clinic Library Policy
• Clinic Library Holdings