Gestalt Therapy International

A community of dialogue

Programs around the world

Facilitating authentic living & working

Supervisee Intake Form

New supervises must fill out this form.

All information is strictly confidential. We do not, under any circumstances, give your information out to any 3rd party.


Check to indicate agreement to having read and understood the disclosure statement

Yes, I have read, understand and agree to the Informed consent statement, including the cancellation policy.