Supervisor Request Form

At The Therapy Corner Counseling & Consulting, PLLC, we are dedicated to supporting the ongoing professional development of licensed and license-eligible mental health clinicians. Our lead LPC, Brittany Lewis, offers structured, individualized supervision to help clinicians strengthen their clinical skills, enhance ethical decision-making, and build confidence in delivering high-quality mental health services.

Purpose of Supervision:
This supervision program is designed to:

Provide guidance and feedback on clinical cases and therapeutic interventions.
Support professional growth and skill development in mental health practice.
Ensure adherence to ethical standards, state regulations, and best practices.
Address challenges in clinical practice, including case conceptualization, treatment planning, and therapeutic techniques.
Foster self-reflection, professional accountability, and confidence as a practicing clinician.

Who This Form is For:
This form is intended for mental health professionals seeking supervision from Britney Lewis, LPC, including:

Licensed Professional Counselors (LPCs)
Licensed Clinical Social Workers (LCSWs)
Marriage and Family Therapists (LMFTs)
Other license-eligible clinicians seeking guidance and supervision

How Supervision is Structured:
Supervision is individualized to meet the clinician’s unique professional goals and clinical needs. Sessions may focus on case consultation, skill development, ethical practice, or professional growth areas identified by the supervisee.

Next Steps:
Please complete this form to provide information about your background, clinical experience, and supervision goals. This information will help us tailor the supervision to your professional needs and ensure a productive and meaningful supervisory relationship.

We look forward to supporting your development as a competent, confident, and compassionate mental health clinician.