diff --git a/src/Form/StaffNoteFormType.php b/src/Form/StaffNoteFormType.php
index ecc67dd..cd7fd6e 100644
--- a/src/Form/StaffNoteFormType.php
+++ b/src/Form/StaffNoteFormType.php
@@ -25,7 +25,6 @@ class StaffNoteFormType extends AbstractType
                 'multiple' => true,
             ])
             ->add('note', TextareaType::class)
-            ->add('recommendations')
         ;
     }
 
diff --git a/src/Form/SupervisorStaffNoteFormType.php b/src/Form/SupervisorStaffNoteFormType.php
new file mode 100644
index 0000000..7a0c7cf
--- /dev/null
+++ b/src/Form/SupervisorStaffNoteFormType.php
@@ -0,0 +1,43 @@
+<?php
+
+namespace App\Form;
+
+use App\Entity\MemberCase;
+use App\Entity\StaffNote;
+use App\Enums\ReferralServiceType;
+use Symfony\Bridge\Doctrine\Form\Type\EntityType;
+use Symfony\Component\Form\AbstractType;
+use Symfony\Component\Form\Extension\Core\Type\EnumType;
+use Symfony\Component\Form\Extension\Core\Type\TextareaType;
+use Symfony\Component\Form\FormBuilderInterface;
+use Symfony\Component\OptionsResolver\OptionsResolver;
+
+class SupervisorStaffNoteFormType extends AbstractType
+{
+    public function buildForm(FormBuilderInterface $builder, array $options): void
+    {
+        $builder
+            ->add('date', null, [
+                'widget' => 'single_text',
+                'disabled' => 'disabled'
+            ])
+            ->add('servicesProvided', EnumType::class, [
+                'class' => ReferralServiceType::class,
+                'expanded' => true,
+                'multiple' => true,
+                'disabled' => 'disabled'
+            ])
+            ->add('note', TextareaType::class, [
+                'disabled' => 'disabled'
+            ])
+            ->add('recommendations')
+        ;
+    }
+
+    public function configureOptions(OptionsResolver $resolver): void
+    {
+        $resolver->setDefaults([
+            'data_class' => StaffNote::class,
+        ]);
+    }
+}