Join the Workplace Wellbeing Partnership

Join the Workplace Wellbeing Partnership

Complete this business sign-up to request your Workplace Wellbeing Partnership agreement.
Your business
Legal entity name
Trading name (if different)
ABN
Business address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Your plan
Team size
This is your partner fee. Rather than sitting with us, it's given straight back to you each quarter, allocated to the cost of the first sessions your team accrues. Your team is never capped, busy quarters simply bill extra sessions at $350 + GST each, and unused sessions reset (not carried over) each quarter.
Your contacts
Authorised signatory name
Signatory position
Signatory email
example@example.com
The day-to-day programme contact is different from the signatory
Contact name
Contact email
example@example.com
Contact phone
Please enter a valid phone number.Format: (000) 000-0000.
The billing contact is different from the signatory
Billing contact email
example@example.com
Add a second contact person for this account
Second contact name
Second contact email
example@example.com
Second contact phone
Please enter a valid phone number.Format: (000) 000-0000.
Start date
Preferred commencement date

DayMonthYear
Date
Psychsense recommends the first of the coming month, which aligns your session allocation neatly with the quarterly cycle.
Additional arrangements
The key terms
I agree to the partner fee for my plan, as set out in the pricing above, billed monthly.
I understand that the partner fee pre-loads a quarterly allocation of sessions for my team and is given back to us each quarter against the first sessions accrued. Sessions reset each quarter and do not roll over.
I understand that sessions used beyond the quarterly allocation are billed at $350 + GST per session.
I understand that immediate family members of employees may access the programme, drawing from the business's allocation.
I understand that the agreement runs on a rolling term and payment terms are 7 days from invoice.
I understand that usage reporting is anonymised and the business never receives information identifying which employees used the programme or why.
I confirm that I have authority to enter this agreement on behalf of the business named above.
Anything Psychsense should know?
Your message
By submitting, you are applying to join the Workplace Wellbeing Partnership. This form is not a binding contract. Your agreement will arrive by email within one business day for electronic signature, and your programme commences once it is signed by both parties.
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Join the Workplace Wellbeing Partnership

Your business

Your plan

Your contacts

Start date

The key terms

Anything Psychsense should know?