Florida · Supervisors & Interns

Form DH-MQA 5078: Florida's Supervision Log, and the Duties Around It

Last updated August 7, 2026

Florida is the only state we cover with a board-issued supervision log. Oregon tells supervisors what records to keep and Washington tells them almost nothing, but Florida's 491 Board hands both of you an actual form — DH-MQA 5078, the Supervision Log — and writes it into the rules. One rule chapter covers all three intern registrations (RCSWI, RMHCI, RMFTI), so everything on this page applies whether the supervision is clinical social work, mental health counseling, or marriage and family therapy. This is what the log asks for, which duties belong to the supervisor and which to the intern, and the clocks running around it — with rule numbers, so you can check every line.

What form DH-MQA 5078 is

DH-MQA 5078 (version 5/2023) is incorporated by reference in Rule 64B4-2.0025 of the Florida Administrative Code, which makes the form itself part of the rule. It is one page of repeating rows, and each row is one supervision session, recorded in six cells:

• Date — one row per session, which is what makes the log a contemporaneous record rather than a summary;
• Group or Individual — the rule's definitions decide which word you write: "individual" supervision is one qualified supervisor with no more than two interns, "group" is three to six (Rule 64B4-2.002(4)). The same subsection requires each hour of group supervision to alternate with an hour of individual supervision, so this column is also how anyone audits the alternation;
• Duration — the column that has to add up: at least 100 hours of supervision across at least 100 weeks, and at least one hour of supervision every two weeks, for the hours to count (Rule 64B4-2.002(1));
• In Person or Virtual — see the in-person rules below, which are more nuanced than most summaries admit;
• Number of Hours Face-to-Face with Clients — the intern's psychotherapy hours, tracking progress toward the 1,500 face-to-face hours the rule requires;
• Supervisor Signature — one per row. Not one per page: every session row carries its own signature cell.

Seventeen rows fit on a page. A two-year internship supervised on the biweekly floor is fifty-plus sessions, so a real log is several pages — each accumulating signatures as it goes, not in one sitting at the end.

Who keeps it — the rule's answer and the form's answer

This is the point most secondary write-ups blur, so it is worth being exact. Two documents assign the duties, and they assign them to different people.

The rule's duty belongs to the supervisor. Rule 64B4-2.0025(5)(e) requires a qualified supervisor to "Document on Form DH-MQA 5078, (5/2023), Supervision Log … and provide intern access to a copy." The pen is in the supervisor's hand.

The form's instructions add duties for the intern. The log's own text says both parties "shall maintain up-to-date copies of this form," and then:

"The intern shall ensure that, at all times, the intern and supervisor have identical and up-to-date copies of this form."

So the reconciliation duty — making sure the two files never drift apart — sits on the intern. The form also answers the two practical questions everyone asks. Electronic signatures: yes, it "may be signed electronically in accordance with requirements of chapter 668, Part I, Florida Statutes." Remote supervision: if supervision is conducted by electronic media, "the intern shall make the arrangements necessary to obtain the qualified supervisor's signature." An identical pair of logs with a signature on every row is the standard both of you are being held to; which of you does the chasing is, by the form's own terms, the intern.

The in-person rules, stated with their exception

The "In Person or Virtual" column matters because of Rule 64B4-2.002(3): the supervisor and intern "must have in-person face-to-face contact for at least 50% of all of the interactions," with at least one in-person meeting before any electronic supervision. And subsection (4) requires group supervision to be "conducted with all participants present in-person."

Neither sentence is the whole rule, and quoting them without the exception is how supervision arrangements get misjudged in both directions. Subsection (7) — "Notwithstanding subsections (3) and (4)" — lets a qualified supervisor use face-to-face electronic methods, including telephone-only, for all supervisory sessions, if the supervisor determines through their professional judgment that those methods are not detrimental to the intern's clients and are necessary to protect the health, safety, or welfare of the supervisor, the intern, or both. That is a genuine exception with genuine conditions: it runs on the supervisor's documented judgment about detriment and necessity, not on convenience. The log's modality column is where that arrangement becomes visible, so a log that is all "virtual" should have a considered answer behind it.

Before the log: becoming a qualified supervisor on paper

The log assumes a relationship the Board already knows about, and the rule builds that in three layers, all in 64B4-2.0025:

1. Form DH-MQA 5049, the Qualified Supervisor Statement (Revised 3/2025), "must be submitted by all qualified supervisors prior to initiation of any supervision in Florida for registered interns" (subsection (4)). It goes by email to mqa.qualifiedsupervisor@flhealth.gov (or fax), with proof of your supervision training — which must have been completed after licensure — and your years of clinical experience. Once approved, "Qualified Supervisor" is added to your existing license and shows on your flhealthsource.gov verification page.
2. A signed, dated letter to the Board stating you have agreed to supervise the intern ((5)(a); it may be submitted electronically).
3. Confirmation before you start. (5)(b) requires a supervisor not to commence supervision "until the qualified supervisor confirms Board approval, registration status, and receipt of an approval letter from the Board office for each intern under supervision." This is the supervisor-side half of Florida's zero-credit trap: hours supervised before Board approval do not count for the intern, and under the current rule, not-checking is itself a rule violation on your side of the table.

One more gate sits outside the paperwork: Rule 64B4-2.003 disqualifies supervision by the intern's current or former therapist, parents, current or former spouse, siblings, children, current or former employees, anyone sharing the intern's household, or anyone in a current or former romantic, sexual, domestic or familial relationship with the intern. The rule adds one clarification worth knowing in private practice: a supervisor is not an "employee" of the intern merely because the intern pays them for the supervisory hours themselves.

The seven-day clocks

The duties list in Rule 64B4-2.0025(5) runs to eleven items, and four of them carry the same deadline — seven days:

• Violations. Report scope-of-practice, standard-of-care, or law-or-rule violations to the Board within seven days of learning of them ((5)(d)).
• The end of supervision, part one. Notify the Board within seven days of the termination of the supervision relationship, for any reason ((5)(j)). The rule also requires you to terminate the relationship if you are unable to adequately provide supervision ((5)(i)) — and the seven-day notice applies to that case too.
• The end of supervision, part two. Submit the intern's supervision hours to the Board "within seven (7) days after the conclusion of supervision," on a complete and accurate form DH-MQA 1181, the Verification of Clinical Experience ((5)(g)). If you have thought of the 1181 as application-time paperwork the intern worries about, the current rule reads differently: it is your submission, on a one-week clock that starts when the supervision ends — which may be years before the intern applies for anything.
• Board follow-ups. Respond to Board staff requests for additional information, documentation, or corrections to a previously submitted form within seven days of the request ((5)(k)).

Backing all of it: subsection (6) makes failure to comply with any of the qualified supervisor duties a violation of section 456.072(1)(k), Florida Statutes — the general health-professions discipline statute. These are not best practices; they are conditions of keeping your own license clean.

The numbers the log has to support

For the intern's hours to be credited, Rule 64B4-2.002(1) requires all three of:

• at least 100 hours of supervision, in no less than 100 weeks;
• at least 1,500 hours of face-to-face psychotherapy with clients;
• at least one hour of supervision every two weeks.

Note what is not in that list: a supervision-to-client-hours ratio. The widely-repeated "one hour of supervision per 15 hours of psychotherapy" was removed from the rule years ago — sources still citing it are quoting a repealed provision. The binding cadence is the flat biweekly floor.

Two more numbers shape the supervisor's side. A qualified supervisor may supervise no more than 25 registered interns simultaneously (Rule 64B4-2.002(5)) — and each of those relationships carries the full duties list above, including its own log. And supervision must focus on raw data from the intern's face-to-face work — written clinical materials, direct observation, video and audio recordings — made directly available to the supervisor (Rule 64B4-2.002(2)); the log documents that the sessions happened, not what they reviewed, so session notes remain worth keeping alongside it.

Finally, the log does not stop when the totals are met. Rule 64B4-3.008 requires a practicing intern to continue in supervision, under the intern title, until the license (or the Department's letter confirming licensure) is actually in hand — "even if the two (2) year post-masters supervision requirement has been satisfied." The tail between finishing hours and holding the license is still supervised time. The rule sets no cadence for that tail (contrast Rule 64B4-3.008(2), which does set a monthly floor for provisional licensees), so keeping the biweekly rhythm you already have is the safe course rather than a stated requirement.

The whole thing on one page

What this means in practice

Florida's design has one unusual property: the record is shared. In Oregon the supervisor's file and the associate's tracker are separate documents that only meet at reporting time; in Florida the rule and the form conspire to make both of you custodians of one log, reconciled continuously, signed as it grows. That is genuinely protective — neither party can quietly fall a year behind without the other noticing — but only if the reconciliation actually happens. The failure mode is a log that lives in the supervisor's drawer, unsigned since spring, while the intern's spreadsheet says something slightly different.

The habit that prevents it costs five minutes: end each supervision session by filling the row — date, group or individual, duration, in person or virtual, the intern's current face-to-face count — signing it, and making sure the intern's copy matches. The intern's own tracking should carry session dates and modality, not just weekly totals, because the log is a per-session document and reconstructing sessions from weekly sums is exactly the archaeology the form exists to prevent. Do that, and the seven-day exit paperwork — the termination notice and the DH-MQA 1181 totals — is transcription. Skip it, and you are reconstructing two years of Tuesdays inside one week, under a rule that expects the numbers to be complete and accurate.

This guide is informational, not legal advice. Licensure rules change — always verify current requirements with your board before making decisions about your supervision plan, and flag any discrepancies to support@almostlicensed.com so we can fix them.