GoGPT GoSearch New DOC New XLS New PPT

OffiDocs favicon

Purchase Order Midwife in Belgium Brussels –Free Word Template Download with AI

Formal Procurement Document for Midwife Professional Services — Belgium Brussels Region

Purchase Order Number: PO-2025-BE-0472
Date of Issue: 14 June 2025
Valid Until: 14 September 2025
Issuing Authority: Hôpital Régional de Bruxelles
Department: Maternal & Neonatal Care Unit
Location: Avenue Louise 250, 1050 Brussels, Belgium
1. Purchasing Entity (Buyer)
Field Details
Organization Name Hôpital Régional de Bruxelles (HRB)
Registered Address Avenue Louise 250, 1050 Brussels, Belgium
VAT Number (BE) BE 0456.789.123
Contact Person Dr. Catherine Van den Berghe, Head of Maternal Services
Email / Phone [email protected] / +32 2 512 3456
2. Supplier / Service Provider (Midwife)
Field Details
Professional Name Ms. Sophie Lemaître, Certified Midwife (Sage-Femme)
Professional Registration Belgian Midwife Register No. BE-MW-2019-08842 (Rôle des Sages-Femmes)
Practice Address Rue de la Loi 42, 1000 Brussels, Belgium
VAT / Enterprise Number BE 0712.345.678
Qualifications Bachelor in Midwifery (ULB), Postgraduate Diploma in Perinatal Care (VUB), 12 years clinical experience in Belgium Brussels
Insurance Professional Liability Insurance — AXA Belgium, Policy No. AXA-BE-9921043, Coverage: €1,000,000
3. Description of Services — Midwife Engagement
Item Description Qty Unit Rate (EUR) Amount (EUR)
3.1 Antenatal care consultations (standard protocol, 8 sessions) for assigned patients at the HRB Maternal Unit, Belgium Brussels 8 120.00 960.00
3.2 Intrapartum midwife-led delivery support (on-call availability, 24/7 coverage for the contracted period) 1 4,500.00 4,500.00
3.3 Postnatal follow-up visits (6 sessions per patient cohort, including newborn assessment) 6 110.00 660.00
3.4 Community midwife outreach programme in the Brussels-Capital Region (monthly home visits, 48 patient households) 4 350.00 1,400.00
3.5 Continuing professional development and inter-hospital coordination meetings (quarterly, 4 sessions) 4 200.00 800.00
3.6 Emergency midwife response and on-call standby (contracted 12-month period) 12 280.00 3,360.00
Subtotal 11,680.00
VAT (21% — Belgian standard rate) 2,452.80
Total Purchase Order Value (EUR) 14,132.80
4. Terms and Conditions

4.1 Scope of Engagement: This Purchase Order authorises the engagement of the named Midwife, Ms. Sophie Lemaître, to provide professional midwifery services as described in Section 3. All services shall be rendered in accordance with the professional standards established by the Belgian Federal Government and the Brussels-Capital Region health authority (SPF Santé Publique). The Midwife shall operate within the jurisdiction of Belgium Brussels and comply with all applicable regional and federal regulations governing maternal and neonatal care.

4.2 Duration: This Purchase Order is valid for a period of twelve (12) months from the date of acceptance, commencing on 1 July 2025 and concluding on 30 June 2026, unless terminated earlier in accordance with Clause 4.6.

4.3 Payment Terms: Invoices submitted by the Midwife shall be paid within thirty (30) calendar days of receipt by the HRB Accounts Payable Department. Payment shall be made via bank transfer to the account specified on the Midwife's invoice. All amounts are denominated in Euros (EUR). Late payments shall accrue interest at the rate prescribed by Belgian law (Code de droit économique, Article XII.1).

4.4 Professional Compliance: The Midwife warrants that she holds a valid professional licence issued by the Belgian authorities and that her registration on the Belgian Midwife Register remains in good standing throughout the duration of this Purchase Order. She shall maintain adequate professional liability insurance and provide proof of coverage upon request.

4.5 Data Protection: In accordance with the General Data Protection Regulation (GDPR) and the Belgian Data Protection Act (Loi du 30 juillet 2018), the Midwife shall handle all patient data with the strictest confidentiality. No patient information shall be transferred outside the European Economic Area without explicit written consent from the data subject.

4.6 Termination: Either party may terminate this Purchase Order with a written notice of sixty (60) days. In the event of a breach of professional standards, the HRB reserves the right to terminate this Purchase Order immediately upon written notice, in accordance with Belgian contract law (Code civil, Articles 1184 and 1227).

4.7 Governing Law and Jurisdiction: This Purchase Order shall be governed by and construed in accordance with the laws of Belgium. Any dispute arising from or in connection with this Purchase Order shall be submitted to the exclusive jurisdiction of the competent courts of Brussels, Belgium Brussels.

4.8 Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order if such failure results from circumstances beyond reasonable control, including but not limited to natural disasters, pandemics, or government-mandated closures in the Belgium Brussels region.

5. Acceptance and Signatures

For and on behalf of the Purchasing Entity:

Hôpital Régional de Bruxelles

Name: Dr. Catherine Van den Berghe
Title: Head of Maternal Services
Signature: _________________________
Date: 14 June 2025

For and on behalf of the Midwife / Service Provider:

Ms. Sophie Lemaître, Certified Midwife

Name: Sophie Lemaître
Title: Independent Midwife Practitioner
Signature: _________________________
Date: _________________________

This Purchase Order (PO-2025-BE-0472) is a legally binding procurement document issued by Hôpital Régional de Bruxelles for the engagement of a certified Midwife in the Belgium Brussels region. All references to Belgian law, Belgian VAT regulations, and Brussels-Capital Region health standards are incorporated by reference. This document is valid only when signed by both parties. © 2025 HRB Procurement Department.

⬇️ Download as DOCX Edit online as DOCX

Create your own Word template with our GoGPT AI prompt:

GoGPT
×
Advertisement
❤️Shop, book, or buy here — no cost, helps keep services free.