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Exhibit 10

INDEPENDENT CONTRACTOR AGREEMENT

     In consideration of the premises, covenants and agreements contained herein, and as a condition of being retained as an independent contractor by Spheris Holding III, Inc. its current and future subsidiaries and affiliates (the “Company”), and your receipt of Confidential Information while associated with the Company, you understand and agree with the Company as follows:

     1.  Engagement . Company hereby engages you to render, as an independent contractor, the services described on Exhibit A hereto and such other professional and consulting services as may be agreed to by the Company and you from time to time. You hereby accept the engagement to provide such services to the Company on the terms and conditions set forth herein.

     2.  Company Information . You recognize that during the course of your relationship with the Company, you will have access to certain confidential or proprietary information regarding the Company, its affiliates, its commercial partners, its clients and/or its customers, including, but not limited to, technical and non-technical data, products and software (in object and source code formats), designs, code, lists of actual or potential customers, business or financial data, trade secrets and other information that is valuable to the Company or not generally known to the public or to competitors of the Company (collectively, “Confidential Information”). “Confidential Information” may also include any individually identifiable health information, including without limitation, patient medical records. As a medical transcription service provider, the Company requires all of its consultants, independent contractors and employees to protect and maintain the privacy and confidentiality of all data recorded, transcribed, printed or electronically transmitted or stored. You agree that you will adhere to the strictest of confidentiality requirements for all medical and personal information available to you in the performance of your services. At all times during the term of your relationship with the Company and thereafter, you agree that you will not disclose, reproduce, distribute or otherwise communicate to any third party any Confidential Information except as may be required in the ordinary course of performing your duties as an independent contractor. You agree not to use any Confidential Information of the Company to design, develop, provide or market any software or service that would compete with any software or service of the Company.

     3.  Return of Company Materials . During the term of your relationship with the Company, you will not make, use or permit to be used any notes, memoranda, reports, lists, records, specifications, software programs, data, documentation or other materials other than for the benefit of the Company. If your relationship with the Company is terminated for any reason, you agree that all above materials will be and remain exclusive property of the Company. You will deliver all such materials to the Company in the event your relationship with the Company is terminated for any reason or a


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