Registration Group Supervision for Mental Health practitioners Name * First Name Last Name Email * Phone (###) ### #### Would you like some further information about the supervision group? If yes, what would you like to know? Free consultation Would you like to speak to me directly before committing to the group? If so I can offer you a free 15 minute phone call. Yes No What are you looking for with group supervision? Have you previously participated in group supervision? If yes, what worked for you? Thank you!