Physiotherapy Board - Physiotherapy Guidelines for Supervision - Form B Supervision practice plan Fo 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the family and first name of the physiotherapist under supervision, along with their registration number if applicable. This information is crucial for identification.
3. In Section 1, provide details about the supervision arrangements. Fill in the names of both the supervisor(s) and the proposed position, including the location where supervised practice will occur.
4. Specify the starting level of supervision and expected progressions based on competency assessments. Use clear examples from the guidelines to illustrate your proposed levels.
5. In Section 2, outline strengths and weaknesses of the physiotherapist under supervision. Identify specific issues that need addressing during supervision and propose measures along with review dates.
6. Complete Section 3 by listing individual learning objectives and planned activities for each goal, ensuring they align with professional behavior, communication, assessment, analysis, intervention, and risk management.
7. Finally, ensure both supervisor and physiotherapist sign off on the plan to confirm agreement on goals and activities outlined.

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