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Purchase Order Dietitian in United States New York City –Free Word Template Download with AI

Dietitian Professional Services — United States New York City

Issuing Organization

Manhattan Health & Wellness Corporation
1250 Broadway, Suite 4820
New York, NY 10001
United States New York City
Phone: (212) 555-0147
Email: [email protected]
Tax ID (EIN): 84-2917365

Vendor / Service Provider

Dr. Elena Vasquez, RD, LDN
Registered Dietitian & Nutrition Consultant
410 Park Avenue South, Floor 12
New York, NY 10016
United States New York City
Phone: (212) 555-0392
Email: [email protected]
NY State License No.: RD-2019-44871

Purchase Order Number: PO-2025-NYC-00847

Date of Issue: June 12, 2025

Required Service Start Date: July 1, 2025

Required Service End Date: December 31, 2025

Payment Terms: Net 30 days from invoice receipt

Service Location: Manhattan Health & Wellness Corporation, 1250 Broadway, New York, NY 10001, United States New York City

Authorized By: Margaret Chen, Director of Procurement

This Purchase Order is issued by Manhattan Health & Wellness Corporation (hereinafter referred to as "the Buyer") to engage the services of Dr. Elena Vasquez, a licensed and registered Dietitian (hereinafter referred to as "the Dietitian" or "the Vendor"), to provide comprehensive nutritional counseling, dietary assessment, and meal planning services to the Buyer's employee wellness program. This Purchase Order governs all terms, conditions, deliverables, and payment obligations associated with the engagement of the Dietitian within the jurisdiction of the United States New York City.

The Dietitian shall provide on-site and virtual nutritional services to approximately 350 employees of the Buyer located at the primary office in the United States New York City. The scope of work includes individual dietary consultations, group nutrition workshops, corporate wellness assessments, and the development of customized meal plans aligned with the Buyer's employee health and wellness objectives.

Item No. Service Description Quantity Unit Unit Price (USD) Total (USD)
001 Individual one-on-one Dietitian consultation sessions (60 minutes each) for employee dietary assessment and personalized nutrition planning 120 Session $185.00 $22,200.00
002 Group nutrition education workshops (90 minutes each) covering topics such as balanced diets, diabetes management, cardiovascular health, and weight management 24 Workshop $650.00 $15,600.00
003 Corporate wellness dietary audit and annual nutrition report for the United States New York City office, including analysis of cafeteria menu options and vending machine nutritional profiles 1 Report $4,800.00 $4,800.00
004 Development of a 12-week customized employee meal plan program with weekly recipe guides, grocery lists, and nutritional breakdowns 1 Program $7,500.00 $7,500.00
005 Monthly on-site presence at the United States New York City office (4 hours per month) for walk-in Dietitian consultations and employee Q&A sessions 6 Month $1,200.00 $7,200.00
006 Emergency dietary intervention and urgent nutrition counseling for employees with acute medical conditions (up to 10 sessions) 10 Session $220.00 $2,200.00
Subtotal $59,500.00
New York City Sales & Services Tax (8.875%) $5,280.63
Purchase Order Grand Total $64,780.63
  1. Acceptance: This Purchase Order shall become a binding agreement upon written acceptance by the Dietitian. The Dietitian must return a signed copy of this Purchase Order within five (5) business days of receipt to confirm acceptance of all terms.
  2. Licensing and Compliance: The Dietitian warrants that she holds a current, valid Registered Dietitian (RD) and Licensed Dietitian Nutritionist (LDN) credential issued by the New York State Education Department, Office of the Professions. All services rendered under this Purchase Order shall comply with the New York State Public Health Law and all applicable regulations within the United States New York City.
  3. Confidentiality: The Dietitian shall maintain strict confidentiality regarding all employee health information, dietary records, and medical data obtained during the course of services. All records shall be handled in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and New York State privacy statutes.
  4. Payment Schedule: Invoices shall be submitted monthly by the Dietitian on or before the last business day of each service month. Payment shall be made via electronic funds transfer (EFT) within thirty (30) calendar days of the Buyer's receipt of a valid invoice. Late payments shall accrue interest at a rate of 1.5% per month.
  5. Performance Standards: The Dietitian shall maintain a minimum attendance rate of 95% for all scheduled on-site sessions at the United States New York City office. Failure to meet this standard without prior written notice and approved rescheduling shall result in a 5% reduction in the corresponding line item payment.
  6. Termination: Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of termination, the Buyer shall pay for all services rendered up to the effective date of termination. The Dietitian shall deliver all completed reports, meal plans, and documentation within ten (10) business days of termination.
  7. Insurance: The Dietitian shall maintain professional liability insurance with a minimum coverage of $1,000,000 per occurrence and $2,000,000 in aggregate, as well as general liability insurance, throughout the duration of this Purchase Order. Certificates of insurance shall be provided to the Buyer prior to the commencement of services.
  8. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the State of New York. Any disputes arising under this Purchase Order shall be resolved through binding arbitration in the United States New York City, in accordance with the rules of the American Arbitration Association.
  9. Independent Contractor Status: The Dietitian is engaged as an independent contractor and not as an employee of the Buyer. The Dietitian is solely responsible for all federal, state, and local tax obligations, including but not limited to self-employment tax, New York State income tax, and New York City resident income tax.
  10. Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order due to events beyond reasonable control, including but not limited to natural disasters, pandemics, government mandates, or civil unrest affecting the United States New York City area.

The Dietitian shall submit a written progress report to the Buyer's Director of Procurement on the last business day of each month. Each report shall include the number of consultations completed, workshop attendance summaries, employee feedback ratings, and any recommendations for program adjustments. A comprehensive final report shall be delivered within fifteen (15) business days of the Purchase Order end date, summarizing all services provided, outcomes achieved, and recommendations for the following fiscal year.

By signing below, the parties acknowledge that they have read, understood, and agree to all terms and conditions set forth in this Purchase Order for the engagement of Dietitian services in the United States New York City.

For the Buyer:
Manhattan Health & Wellness Corporation

Margaret Chen, Director of Procurement

Date: ____________________

For the Vendor / Dietitian:
Dr. Elena Vasquez, RD, LDN

Dr. Elena Vasquez, Registered Dietitian

Date: ____________________

Purchase Order PO-2025-NYC-00847 — Manhattan Health & Wellness Corporation — United States New York City
This document is valid for 60 days from the date of issue. Please reference the Purchase Order number on all correspondence and invoices.
© 2025 Manhattan Health & Wellness Corporation. All rights reserved.

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