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CONFIDENTIAL
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INDEPENDENT CONTRACTOR AGREEMENT

Clinical Supervision Services • Proprietary Back-End Operations & Forms Hub

Supervisory Engagement: This Agreement is for contractors engaged to deliver clinical supervision services under the My Health + Mental Wellbeing proprietary supervision framework (RISE UP + Proctor) and who will use or interface with the Practice’s back-end operations, forms hub, Cliniko configurations, and related systems.

1. PARTIES

This Independent Contractor Agreement ("Agreement") is made on the date of the last signature below ("Commencement Date") between:

My Health + Mental Wellbeing Pty Ltd (ABN 63 662 152 310) of , New South Wales, Australia ("Company", "Practice", "we");

and

("Contractor", "you" / "Supervisor"). Collectively the "Parties".

2. ENGAGEMENT AND INDEPENDENT CONTRACTOR STATUS

2.1 The Company engages the Contractor as an independent contractor to provide the clinical supervision and related professional services described in Schedule 1 ("Services").

2.2 The Contractor is and remains an independent contractor. Nothing in this Agreement creates a relationship of employer and employee, partnership, joint venture or agency.

2.3 The Contractor acknowledges and agrees that:

2.4 The Parties intend this to be a genuine independent contracting arrangement consistent with Australian law.

3. TERM

3.1 This Agreement commences on the Commencement Date and continues until terminated in accordance with clause 11.

3.2 Either Party may terminate this Agreement by giving 30 days' written notice to the other Party (or such shorter period as the Parties agree in writing).

4. SERVICES AND PROFESSIONAL STANDARDS

4.1 The Contractor must perform the Services with due care, skill and diligence, consistent with the standards reasonably expected of a competent clinical supervisor, and in compliance with:

4.2 The Contractor must not subcontract or assign any part of the Services without the prior written consent of the Company.

4.3 Where the Contractor uses Company systems (Cliniko, forms hub, document generators, AI workers or related tools) for logging, notes or administration, such use must comply with Schedule 3.

5. FEES AND PAYMENT

5.1 In consideration for the Services, the Company will pay the Contractor the fees set out in Schedule 2 ("Fees").

5.2 Fees may be structured as a percentage of supervision session fees, a fixed rate per session, or a combination, as agreed and recorded in Schedule 2.

5.3 The Contractor must submit a valid tax invoice (including ABN) at the frequency specified in Schedule 2. Correctly rendered invoices will be paid within 14 days of receipt.

5.4 The Contractor is solely responsible for all expenses incurred in performing the Services unless otherwise agreed in writing in Schedule 2.

6. CONFIDENTIALITY, PRIVACY AND PROPRIETARY SYSTEMS

6.1 The Contractor must comply with the Company's Non-Disclosure Agreement covering Practice Management Systems, Hub Forms, Tools, Automations & Proprietary Processes (or any successor NDA), the terms of which are incorporated by reference into this Agreement.

6.2 Without limiting the NDA, the Contractor must:

6.3 These obligations survive termination of this Agreement indefinitely in respect of personal/health information and for five (5) years in respect of other Confidential Information.

7. INTELLECTUAL PROPERTY

7.1 All intellectual property rights in any materials, documents, reports, tools, content, templates or other works created by the Contractor in the course of performing the Services ("Work Product") vest in and are assigned to the Company upon creation.

7.2 The Contractor assigns to the Company all right, title and interest in the Work Product and waives any moral rights to the extent permitted by law.

7.3 Pre-existing intellectual property of the Contractor that is incorporated into the Work Product remains the property of the Contractor, but the Contractor grants the Company a perpetual, royalty-free, non-exclusive licence to use that pre-existing IP as part of the Work Product.

7.4 The RISE UP + Proctor operationalisation, forms hub assets, Cliniko configurations, supervision agreement templates, service descriptions and related materials remain the proprietary property of the Company.

8. NON-SOLICITATION

8.1 During the term of this Agreement and for a period of six (6) months after termination, the Contractor must not, directly or indirectly:

8.2 The restrictions in this clause are reasonable and necessary to protect the Company's legitimate business interests.

9. INSURANCE AND LIABILITY

9.1 The Contractor must maintain, at its own cost, for the duration of this Agreement and for a reasonable run-off period thereafter:

9.2 The Contractor must provide evidence of current insurance on request and notify the Company immediately of any material change or cancellation.

9.3 The Contractor is liable for, and indemnifies the Company against, any loss, damage, claim, cost or expense arising from the Contractor's negligence, wilful misconduct, breach of this Agreement, or breach of professional or privacy obligations.

10. INDEMNIFICATION

10.1 The Contractor must indemnify, defend and hold harmless the Company and its officers, employees and agents from and against all claims, losses, damages, costs and expenses (including legal costs on a full indemnity basis) arising out of or in connection with:

10.2 This indemnity is a continuing obligation and survives termination of this Agreement.

11. TERMINATION

11.1 Either Party may terminate this Agreement immediately by written notice if the other Party:

11.2 On termination or expiry the Contractor must:

11.3 Clauses 6, 7, 8, 9, 10 and this clause 11 survive termination.

12. GENERAL

12.1 This Agreement (including the Schedules and any incorporated NDA) constitutes the entire agreement between the Parties and supersedes all prior negotiations and representations.

12.2 No variation is effective unless in writing and signed by both Parties.

12.3 This Agreement is governed by the laws of New South Wales. The Parties submit to the exclusive jurisdiction of the courts of New South Wales.

12.4 If any provision is held invalid or unenforceable, the remaining provisions continue in full force.

12.5 Notices must be in writing and delivered by email or post to the addresses notified by the Parties.

SCHEDULE 1 – SERVICES (Supervisory)

SCHEDULE 2 – FEES

Fees for supervisory services. The preferred model is a fixed rate paid to the Supervisor per delivered session. A percentage split may be used by written agreement. Figures reflect the value of MHMW’s proprietary back-end (RISE UP framework, forms hub, Cliniko governance, compliance infrastructure and operational support).

A. Preferred Model – Fixed Rate (Recommended)

Supervisor receives a fixed fee per session delivered. Practice bills the supervisee / organisation and retains the balance.

Session type Typical client fee Supervisor fixed rate Practice retains (approx.)
Individual 50 min $185 $110 – $120 $65 – $75
Individual 60 min $210 $125 – $135 $75 – $85
Group 90 min (per participant) $95 pp $50 – $55 pp $40 – $45 pp

B. Alternative – Percentage Split

Only by written agreement. Cap of 60% Supervisor when full MHMW back-end is used.

Scenario Supervisor share Practice share
Standard (full back-end use) 55 – 60% 40 – 45%
High-support / new supervisor 50 – 55% 45 – 50%
Experienced / minimal system use up to 65% 35%

C. Specific Agreed Terms for this Engagement

SCHEDULE 3 – SYSTEMS, FORMS HUB & CLINIKO USE

This Schedule governs the Contractor's access to, and use of, the Company's practice management system (Cliniko or successor), forms hub, document generators, AI workers and related proprietary systems.

1. Access & Authorisation – Access is personal, non-shareable, limited to authorised supervisory role. Company may suspend/revoke immediately for misuse or on termination.

2. Documentation & Notes – Supervision notes and logs must be maintained in the manner directed by the Company (including any required use of Cliniko or forms hub templates). Structured notes aligned to RISE UP / Proctor are to be provided back to the supervisee as agreed.

3. Data Handling, Privacy & Security – Treat all system information as Confidential. No download/export/screenshot/storage on personal devices except as strictly necessary and authorised. Report any actual or suspected breach immediately.

4. System Use & Proprietary Assets – Use only in accordance with Company procedures. Do not modify settings, templates, automated workflows, forms hub assets or AI integrations. All such configurations and materials are Confidential Information and proprietary to the Company.

5. End of Engagement – Complete outstanding documentation within 7 days, return/destroy any local copies, confirm in writing that access has ceased and no data retained. Failure is a material breach.

6. Acknowledgement – The Contractor acknowledges they have read and understood this Schedule 3 and agree to comply as a condition of engagement.

EXECUTION

Name:
Position:
Date:
Name:
Position:
Date:
IMPORTANT NOTICE: This is a template document only and does not constitute legal advice. This Agreement (including the Systems Schedule) should be reviewed by a qualified Australian solicitor before use. My Health + Mental Wellbeing Pty Ltd accepts no liability arising from use of this template without appropriate legal review.
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