Most departments set their own format; use this to plan the content and check nothing is missing. Every case must be anonymised: no names, no places that identify, no dates of birth. Print with your browser's Print command; the site's menus are left off the paper.

Internship report

Trainee: ____________________ Placement: ____________________ Date: ____________

Placement

Institution, department and setting
Dates and total hours
Who the service is for

Supervision

Supervisor's role and qualification
How often, and in what form

Activities and hours

Assessment, therapy, observation, supervision, other
Hours in each (from your logbook)

Assessments administered

Tests used, with how many times each
What you learned about giving and scoring them

Cases

For each: age, gender, presenting problem, assessment, formulation, intervention, outcome
Anonymised as above

Learning and reflection

What went well
What was hard, and what you did about it
What you will do differently

Ethics

Consent, confidentiality and any dilemma, and how it was handled

Trainee: ______________________________ Date: ______________

Supervisor: ______________________________ Date: ______________

Head of department: ______________________________ Date: ______________

Template from PsychologyOrbit (https://psychologyorbit.com/templates/internship-report). Free to print and adapt. No client names, phone numbers, CNIC or hospital numbers, or dates of birth.