Supervision or Coaching Agreement

I am pleased to offer you session as an Occupational Therapist & Coach in accordance with the requirements set forth by the Australian Health Practitioner Regulation Agency (AHPRA).

This agreement is designed to outline the terms of our arrangement and ensure that we meet all the necessary obligations for safe, ethical, and effective occupational therapy practice and coaching.

This Agreement (the "Agreement") is made and entered into on today's date by and between Kimberley Gadd and (Supervisee name).

Supervisor Details

Name: Kimberley Gadd

AHPRA number: OCC0002411769

Address: Sydney, 2023, NSW

Scope of Sessions:

As a supervisor, I will be responsible for overseeing your occupational therapy practice over tele-health, and ensuring that it aligns with the professional standards and regulations established by AHPRA. Our supervision will include regular/one-off meetings, case reviews, and ongoing feedback to support your professional growth and development. As your coach, I am not here to replace any medical intervention. I am here to guide you towards achieving your goals


The frequency of our meetings will be determined based on your level of experience and individual needs.

Sessions will be for a duration of 60 minutes but in some circumstances will run over.

Sessions will be held over telehealth or over the phone as required.

Sessions will be scheduled in advance, and may be rescheduled or cancelled as needed by either party with reasonable notice.


Please see pricing on website for each session. This amount can be paid each time a session is booked.

The supervisor reserves the right to charge an additional fee for any documentation, such as reports, as requested by the Supervisee. The cost will be at the discretion of the Supervisor.

If rates change before this agreement has been signed and dated, the prevailing rates will apply.

Refund Policy

  1. Refund Eligibility: Refunds may be requested for any unused sessions within 30 days of the initial purchase. Refund requests must be made in writing.
  2. Refund Amount: Refunds will be issued for the amount paid for the unused sessions, minus any fees associated with processing the refund.
  3. Refund Process: Once a refund request is received, Otmentoring will review the request and issue a refund. Refunds will be issued in the same form of payment as the original purchase.
  4. Cancellation Policy: If the person needs to cancel a scheduled session, they must provide at least 48 hours' notice as this allows us enough time to reschedule or offer the session to another person. Without 48 hours’ notice, a full fee will be charged because it allows us to compensate for the time and resources allocated for your supervision session which could not be reallocated to another person due to short notice.


All parties agree to maintain the confidentiality of all information shared during sessions, in accordance with the relevant laws and regulations in Australia.

"Confidential Information" refers to any information shared during the sessions, including but not limited to client information, personal information about the person, and any other sensitive information that is discussed during the sessions.

Obligations: The supervisor/coach agrees to maintain the confidentiality of all information shared during the sessions and not to disclose any confidential information to any third party without the written consent of the person.

Exceptions: The supervisor may disclose confidential information in the following circumstances:

  • To comply with legal or ethical obligations, such as mandatory reporting laws or ethical codes.
  • To prevent harm to the supervisee or their clients.
  • To defend the supervisor against any legal or ethical claims.


Either party may terminate this Agreement at any time upon written notice to the other party. Upon termination of this Agreement, any outstanding fees for services will be due and payable.

Responsibilities of the OT supervisor are:

  1. Take reasonable steps to ensure that the supervisee is practising safely.
  2. To provide clear direction and constructive feedback, and be clear about how they can be contacted.
  3. To ensure that the supervisee is practising in accordance with the supervised practice plan and work arrangements.
  4. To provide clear direction to the supervisee on their legal responsibilities and the constraints within which they must operate, the ethical principles that apply to the profession, and the expectation that the supervisee will act in accordance with the directions of the supervisor and the requirements of the workplace.
By checking this box, I confirm that I have read, understood, and agree to abide by the terms and conditions outlined above.

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