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Purchase Order Psychiatrist in Saudi Arabia Jeddah –Free Word Template Download with AI

Professional Medical Services Procurement – Psychiatrist Consultation & Treatment Package

Issued in Saudi Arabia Jeddah | Kingdom of Saudi Arabia

Purchase Order No.: PO-JED-2025-04872
Date of Issue: 14 June 2025
Valid Until: 14 July 2025
Document Status: APPROVED
Department: Human Resources & Employee Wellness
Reference: HR-WELL-2025-114
1. PARTIES TO THIS PURCHASE ORDER

Purchasing Entity (Buyer)

Company: Al-Rashid Industrial Group Co. Ltd.

Address: King Fahd Road, Al-Salam District, Jeddah 23412, Saudi Arabia

CR No.: 1010456789

VAT No.: 310123456700003

Contact: Mr. Khalid Al-Otaibi, Procurement Manager

Email: [email protected]

Phone: +966 12 654 7890

Service Provider (Seller)

Facility: Jeddah Advanced Mental Health & Psychiatry Center

Address: Prince Sultan Bin Abdulaziz Road, Al-Rawdah District, Jeddah 23533, Saudi Arabia

License No.: MOH-PSY-2024-0087

VAT No.: 310987654300003

Contact: Dr. Sarah Al-Harbi, Chief Psychiatrist

Email: [email protected]

Phone: +966 12 567 3456

2. SCOPE OF SERVICES – PSYCHIATRIST ENGAGEMENT

This Purchase Order is issued by Al-Rashid Industrial Group Co. Ltd. to formally procure the professional services of a licensed Psychiatrist operating at the Jeddah Advanced Mental Health & Psychiatry Center, located in Saudi Arabia Jeddah. The engagement covers a comprehensive employee wellness program that includes initial psychiatric assessments, ongoing therapeutic consultations, medication management, and follow-up sessions for a cohort of 45 employees identified through the company's internal health screening conducted in May 2025. All services shall be rendered in accordance with the regulations set forth by the Saudi Ministry of Health and the Saudi Food and Drug Authority (SFDA) guidelines for psychiatric practice in the Kingdom of Saudi Arabia.

3. LINE ITEMS AND COST BREAKDOWN
Item No. Description of Psychiatrist Service Qty Unit Price (SAR) Total (SAR)
01 Initial Comprehensive Psychiatric Assessment & Diagnostic Evaluation (per employee) 45 1,200.00 54,000.00
02 Monthly Follow-Up Consultation with Licensed Psychiatrist (12-month cycle, per employee) 540 650.00 351,000.00
03 Psychiatric Medication Review & Prescription Management (quarterly, per employee) 180 450.00 81,000.00
04 Group Psychoeducation Workshops facilitated by the Psychiatrist (monthly, 12 sessions) 12 8,500.00 102,000.00
05 Emergency Psychiatric Consultation & Crisis Intervention (on-call, 24/7 availability) 1 25,000.00 25,000.00
06 Confidential Medical Records Management & Annual Psychiatric Report to Employer 1 15,000.00 15,000.00
Subtotal (SAR) 628,000.00
VAT @ 15% (Saudi Arabia Jeddah) 94,200.00
GRAND TOTAL (SAR) 722,200.00
4. TERMS AND CONDITIONS
  1. This Purchase Order is governed by the laws of the Kingdom of Saudi Arabia and shall be interpreted in accordance with the Saudi Civil Transactions Law and applicable healthcare regulations in Saudi Arabia Jeddah.
  2. The Psychiatrist and all supporting clinical staff engaged under this Purchase Order must hold valid, current licenses issued by the Saudi Ministry of Health and must be registered with the Saudi Medical Board. Proof of licensure shall be provided prior to the commencement of services.
  3. All psychiatric services shall be delivered at the Jeddah Advanced Mental Health & Psychiatry Center premises in Saudi Arabia Jeddah, or at such alternative location mutually agreed upon in writing by both parties.
  4. Strict confidentiality shall be maintained in accordance with Saudi data protection regulations. Patient records shall not be disclosed to the Purchasing Entity beyond the scope of the annual summary report specified in Line Item 06.
  5. Payment shall be made in monthly installments of SAR 60,183.33 (inclusive of VAT) via bank transfer to the Service Provider's designated account, due within 30 days of receipt of a valid tax invoice.
  6. The Service Provider warrants that all psychiatric treatments, medications, and therapeutic interventions shall comply with the latest SFDA-approved protocols and evidence-based clinical guidelines.
  7. Either party may terminate this Purchase Order with 60 days' written notice. In the event of early termination, the Purchasing Entity shall be liable for services rendered up to the termination date.
  8. Any disputes arising from this Purchase Order shall be resolved through amicable negotiation first, and failing that, through the competent courts in Jeddah, Saudi Arabia.
  9. This Purchase Order becomes effective upon signature by both authorized representatives and remains valid for a period of twelve (12) months from the date of issue.
5. AUTHORIZED SIGNATURES

For and on behalf of the Purchasing Entity:

Mr. Khalid Al-Otaibi
Procurement Manager
Al-Rashid Industrial Group Co. Ltd.
Date: _______________

For and on behalf of the Service Provider:

Dr. Sarah Al-Harbi
Chief Psychiatrist & Director
Jeddah Advanced Mental Health & Psychiatry Center
Date: _______________

This Purchase Order document was prepared and issued in Saudi Arabia Jeddah. All references to the Psychiatrist services herein are subject to the professional standards and regulatory oversight of the Saudi Ministry of Health. This document constitutes a binding commercial agreement between the parties named above upon execution. PO-JED-2025-04872 | Page 1 of 1

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