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Supervision Appointment Checklist
Supervision Appointment Checklist
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BT/RBT/Supervisee
(Required)
First
Last
Your Email
(Required)
Supervisor:
(Required)
First
Last
Client
(Required)
First
Last
Date of Session
(Required)
MM slash DD slash YYYY
Checklist
Prepare documents (e.g., TPRA, data sheet, stimuli, etc.)
Completed
Check-in caregivers (e.g., greeting, follow-up from previous question, etc.)
Completed
No
Notes
Check-in BT/RBT/Supervisee (e.g., greeting, follow-up from previous question, confirm scheduled monthly meeting with collaboration coach, check upcoming time off/cancellations/schedule changes & remind to email schedule@positiveaspiredlearning.com and cc the Clinical Supervisor, review policies and procedures, etc.)
Completed
Follow-up on action items from last appointment
Completed
Review prior session notes (e.g., objective language, verified, length, etc.) and provide feedback
Completed
No
Notes
Client data review
Graph review/update
Progress targets
Master targets
Maintenance
Take inter-observer agreement for behavior data/Treatment Integrity data
Completed
Notes
TPRA Conducted (Store TPRA document in client miscellaneous folder)
Yes
No
Click here to view our TPRA Form
Feedback provided (e.g., in the moment feedback on previous trained content)
Completed
Notes
Therapist training conducted during session (e.g., introduced toilet training protocol)
Completed
Notes from therapy training
Check materials (e.g., data sheets, stimuli, all materials within bins, bins have locks, any new materials needed).
Completed
Notes
For BT/RBT on PIP: Review employee performance improvement plan
Yes. Reviewed all applicable areas
No. Did not review PIP components
N/A
Other
Action Items for BCBA
Add
Remove
Optional: Assessment and/or Modifications (e.g., Probe or baseline, preference, error correction, behavior, troubleshoot stalled progress)
Completed
Follow-up summary email to supervisee after appointment
Yes
No (If no new information trained on or reviewed that needs to be documented)
Email of Supervisee
Note to Supervisee
Add
Remove
Summary of session for session notes
Additional notes
Name
This field is for validation purposes and should be left unchanged.
