September 2025 Reflective Supervision

Please report Reflective Supervision that you received in September 2025.

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* 1. Today's Date

MM/DD/YYYY

Date

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* 2. Your Name

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* 3. Site Name

AIHFS

BMIC

HVIC

KBIC

LRBOI

LTBB

LVD

NHBP

Pokagon

Sault Tribe

SCIT

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* 4. Did you receive Individual Reflective Supervision in September 2025?

Yes

No

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* 5. If you did not receive Individual Reflective Supervision this month, please specify the reason.

On leave

Did not have time to attend

Other (please specify)

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* 6. Did you receive Group Reflective Supervision in September 2025?

Yes

No