Purchase Order Doctor General Practitioner in United States San Francisco –Free Word Template Download with AI

Vendor / Supplier Information

MedSupply Pacific, Inc.

4200 Industrial Parkway, Building C

Oakland, California 94601

United States

Tel: (510) 555-7742

Vendor Account Number: V-88214

Tax ID (EIN): 94-2210873

Purpose and Scope of This Purchase Order

This Purchase Order is issued by Dr. Margaret L. Chen, a licensed Doctor General Practitioner operating a primary care clinic in the United States San Francisco metropolitan area, to procure essential medical supplies, diagnostic equipment, and office consumables necessary for the continued operation of the practice. As a Doctor General Practitioner serving the diverse patient population of San Francisco, California, the clinic requires a steady and reliable supply of pharmaceutical-grade materials, examination instruments, and administrative resources to maintain the highest standard of patient care in compliance with all California State Board of Medicine regulations and federal healthcare standards.

Line Items

Cost Summary

Delivery Instructions

All items listed in this Purchase Order shall be delivered to the Bay Area Primary Care Associates clinic located at 1847 Market Street, Suite 420, San Francisco, California 94102, United States. Delivery must be made between the hours of 8:00 AM and 4:00 PM Pacific Daylight Time (PDT) on a business day. The receiving contact for this Purchase Order is Dr. Chen's office manager, Mr. David Park, who must be present to inspect and sign for the shipment. The vendor is requested to provide a Bill of Lading and a copy of the corresponding invoice upon delivery. All medical supplies must be within their expiration dates and must arrive in unopened, factory-sealed packaging. Perishable or temperature-sensitive items, if applicable, must be shipped in insulated containers with appropriate cold-chain documentation.

Terms and Conditions

1. This Purchase Order constitutes a binding agreement between the Doctor General Practitioner (Buyer) and MedSupply Pacific, Inc. (Vendor) upon written acceptance by both parties.
2. All goods must comply with the United States Food and Drug Administration (FDA) regulations and California state healthcare supply standards. The Vendor warrants that all items are new, unused, and free from defects.
3. Payment of $5,190.41 USD shall be made via ACH bank transfer within thirty (30) calendar days of the date of invoice receipt, provided all items have been inspected and accepted in satisfactory condition.
4. The Vendor shall bear all risk of loss until the goods are delivered and signed for at the San Francisco, United States delivery address specified herein.
5. In the event of non-conforming or damaged goods, the Buyer reserves the right to reject the affected items and request a full replacement or credit within fourteen (14) business days of delivery.
6. This Purchase Order is governed by the laws of the State of California and the United States of America. Any disputes arising from this Purchase Order shall be resolved in the courts of San Francisco County, California.
7. The Vendor agrees to maintain all patient-related data and clinic information in strict confidence in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and California Confidentiality of Medical Information Act (CMIA).
8. Any modifications to this Purchase Order must be made in writing and signed by both the Doctor General Practitioner and an authorized representative of the Vendor.

Authorization and Signatures

By signing below, the undersigned parties acknowledge and agree to all terms, conditions, and line items specified in this Purchase Order for the Doctor General Practitioner practice in United States San Francisco.