Purchase Order Psychiatrist in United States Chicago –Free Word Template Download with AI

This Purchase Order shall be settled in accordance with the following terms. Payment for all Psychiatrist services rendered under this Purchase Order shall be made via electronic funds transfer (EFT) to the account designated by Dr. Whitfield. Invoices shall be submitted on a monthly basis, no later than the fifth (5th) business day of the following month. Payment is due within thirty (30) days of the invoice date. Late payments shall accrue interest at a rate of 1.5% per month, in compliance with the Illinois Prompt Payment Act applicable in United States Chicago. All amounts are stated in United States Dollars (USD). No payment shall be released until the Psychiatrist has submitted the corresponding clinical documentation and service verification forms required by Lakefront Behavioral Health Group's compliance department.

1. This Purchase Order constitutes a binding agreement between Lakefront Behavioral Health Group, LLC (hereinafter "the Buyer") and Dr. Marcus A. Whitfield, MD (hereinafter "the Psychiatrist"), for the provision of psychiatric services in the United States Chicago area.
2. The Psychiatrist shall maintain all required professional licenses, malpractice insurance (minimum $2,000,000 per occurrence), and board certifications throughout the duration of this Purchase Order. Failure to maintain such credentials shall constitute grounds for immediate termination.
3. All psychiatric services shall be rendered in strict compliance with the Health Insurance Portability and Accountability Act (HIPAA), the Illinois Mental Health and Developmental Disabilities Confidentiality Act, and all applicable federal and state regulations governing the practice of psychiatry in the United States.
4. The Psychiatrist agrees to maintain patient confidentiality and shall not disclose any protected health information (PHI) related to patients seen under this Purchase Order without written consent, except as required by law or court order in the jurisdiction of United States Chicago.
5. Services shall be performed at the designated United States Chicago practice location or via approved telehealth platforms. The Psychiatrist shall ensure that all in-person services are conducted in a secure, private environment meeting the standards set forth by the Illinois Department of Financial and Professional Regulation.
6. The Buyer reserves the right to audit the Psychiatrist's service records, billing documentation, and clinical notes related to this Purchase Order upon thirty (30) days' written notice.
7. This Purchase Order is valid for a period of twelve (12) months from the date of issue, unless terminated earlier by either party with sixty (60) days' written notice. Termination shall not affect services already rendered or payments already due.
8. Any disputes arising from this Purchase Order shall be resolved through mediation in Cook County, United States Chicago, before proceeding to binding arbitration under the rules of the American Arbitration Association.
9. The Psychiatrist shall not subcontract or delegate any psychiatric services covered under this Purchase Order to any third party without prior written approval from the Buyer's Director of Clinical Operations.
10. This Purchase Order is governed by the laws of the State of Illinois and the federal laws of the United States of America. The exclusive venue for any legal proceedings shall be the Circuit Court of Cook County, United States Chicago.