Clinical Hours - Total (Clock Hours) Signature (Ind....

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Page: __ of __ Dates ________ to ________ Practicum Clinical Hours Name ____________________________________________ Semester/Year ____________________ Begin/End Time Date Activity Supervisor's Ind. Group Client Non-
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Unformatted text preview: Total (Clock Hours) Signature (Ind. counseling, group, supervision, staffings, testing, clerical tasks, research, etc.) Supv. (#hrs) Supv. (#hrs) Contact (#hrs) Client Contact (#hrs) Clinical Hours...
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