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

Psychiatrist Professional Services — United States Miami

Purchase Order Number PO-2025-MIA-PSY-004782 Date of Issue June 12, 2025
Expected Delivery / Service Start July 1, 2025 Payment Terms Net 30 Days from Invoice Date
Currency USD (United States Dollar) Valid Until July 15, 2025

Organization:

Biscayne Bay Behavioral Health Center, LLC

Address:

2100 Biscayne Boulevard, Suite 450, Miami, Florida 33132, United States Miami Metropolitan Area

Tax ID / EIN:

82-4471903

Contact Person:

Dr. Elena Vasquez, Director of Clinical Operations

Phone:

(305) 555-0187

Email:

[email protected]

Department:

Outpatient Mental Health Services

Cost Center:

CC-PSY-2025-003

Budget Reference:

FY2025-OUTPATIENT-PSYCHIATRY

Authorized Approver:

Marcus T. Whitfield, Chief Financial Officer

Provider Name:

Dr. Jonathan R. Caldwell, M.D., Board-Certified Psychiatrist

Practice:

Caldwell Psychiatric Associates, P.A.

Address:

1450 Brickell Avenue, Suite 820, Miami, Florida 33131, United States Miami

NPI Number:

1740829361

Florida Medical License:

ME44821

Specialty:

Adult & Adolescent Psychiatry, Psychopharmacology, Psychotherapy

Phone:

(305) 555-0294

Email:

[email protected]

Bank for ACH Transfer:

Bank of America — Routing: 021000021 — Account: ****7842

This Purchase Order authorizes the engagement of a licensed Psychiatrist to provide comprehensive outpatient psychiatric services at the Biscayne Bay Behavioral Health Center facility located in United States Miami. The Psychiatrist shall deliver clinical evaluations, diagnostic assessments, medication management, and evidence-based psychotherapy sessions in accordance with the standards established by the American Psychiatric Association and the Florida Board of Medicine. All services rendered under this Purchase Order shall be performed within the United States Miami service area, specifically at the buyer's premises or at mutually agreed-upon satellite locations within Miami-Dade County.

# Description of Service Qty / Sessions Unit Rate (USD) Extended Amount (USD) Frequency / Period
1 Initial Comprehensive Psychiatric Evaluation (60-minute session) including diagnostic assessment, medical history review, and treatment plan formulation 120 $275.00 $33,000.00 Monthly, Jul 2025 – Jun 2026
2 Follow-up Psychiatric Consultation (30-minute session) for medication management, symptom monitoring, and treatment plan adjustment 480 $185.00 $88,800.00 Weekly, Jul 2025 – Jun 2026
3 Individual Psychotherapy Session (50-minute session) utilizing CBT, DBT, or psychodynamic modalities as clinically indicated 240 $210.00 $50,400.00 Bi-weekly, Jul 2025 – Jun 2026
4 Psychiatric Consultation for Referring Physicians (30-minute telehealth or in-person) within the United States Miami healthcare network 60 $150.00 $9,000.00 As needed, Jul 2025 – Jun 2026
5 Crisis Intervention & Emergency Psychiatric Assessment (on-call availability, 24/7 coverage within United States Miami) 24 $350.00 $8,400.00 On-call, Jul 2025 – Jun 2026
6 Psychiatric Board Certification Maintenance & Continuing Medical Education (CME) Stipend 1 $2,500.00 $2,500.00 Annual, Jul 2025
7 Electronic Health Record (EHR) Integration & Documentation Support for Psychiatrist services within the facility system 12 $120.00 $1,440.00 Monthly, Jul 2025 – Jun 2026
TOTAL CONTRACT VALUE (USD): $193,540.00 12-Month Term

5.1 This Purchase Order constitutes a binding agreement between Biscayne Bay Behavioral Health Center, LLC (hereinafter "Buyer") and Dr. Jonathan R. Caldwell, M.D. (hereinafter "Psychiatrist Provider") for the provision of psychiatric services in United States Miami. Both parties acknowledge that this Purchase Order supersedes all prior negotiations, representations, or agreements relating to the subject matter herein.

5.2 The Psychiatrist Provider shall maintain all required licenses, certifications, and malpractice insurance (minimum $2,000,000 per occurrence / $5,000,000 aggregate) throughout the term of this Purchase Order. Proof of insurance shall be provided to the Buyer prior to the commencement of services.

5.3 All services shall be rendered in compliance with the Health Insurance Portability and Accountability Act (HIPAA), the Florida Medical Practice Act, and all applicable federal and state regulations governing psychiatric care in the United States Miami jurisdiction.

5.4 The Psychiatrist Provider shall submit itemized invoices on a monthly basis by the 5th business day of the following month. Payment shall be processed via ACH transfer within thirty (30) calendar days of receipt of a valid invoice. Late payments shall accrue interest at a rate of 1.5% per month.

5.5 Either party may terminate this Purchase Order with thirty (30) days written notice. In the event of termination, the Buyer shall compensate the Psychiatrist Provider for all services rendered up to the effective date of termination.

5.6 The Psychiatrist Provider shall maintain complete and accurate clinical documentation for all patient encounters. All records shall be stored in the Buyer's EHR system and retained in accordance with Florida state law (minimum seven years for adult patients, until the minor reaches age 24 for adolescent patients).

5.7 This Purchase Order is governed by the laws of the State of Florida. Any disputes arising under this Purchase Order shall be resolved through binding arbitration in Miami, Florida, in accordance with the rules of the American Arbitration Association.

5.8 The Psychiatrist Provider agrees to a non-compete clause limiting the provision of identical psychiatric services to direct competitors within a 15-mile radius of the United States Miami facility for a period of twelve (12) months following the expiration or termination of this Purchase Order.

By signing below, both parties acknowledge that they have read, understood, and agree to all terms and conditions set forth in this Purchase Order for Psychiatrist services in United States Miami.

For the Buyer:

Biscayne Bay Behavioral Health Center, LLC

Signature: ______________________________

Name: Marcus T. Whitfield

Title: Chief Financial Officer

Date: ______________________________

For the Psychiatrist Provider:

Caldwell Psychiatric Associates, P.A.

Signature: ______________________________

Name: Jonathan R. Caldwell, M.D.

Title: Board-Certified Psychiatrist

Date: ______________________________

This Purchase Order was prepared in accordance with the internal procurement policies of Biscayne Bay Behavioral Health Center, LLC. The Psychiatrist services outlined herein are intended to expand outpatient mental health capacity in the United States Miami community, addressing the growing demand for accessible psychiatric care in Miami-Dade County. All clinical services shall be delivered with the highest standard of patient care, cultural competency, and adherence to evidence-based psychiatric practice guidelines.

This document is valid only when signed by both authorized representatives. Electronic signatures are acceptable and carry the same legal weight as wet-ink signatures under the Florida Electronic Signatures in Transactions and Access (FESTA) Act.

Purchase Order PO-2025-MIA-PSY-004782 | Biscayne Bay Behavioral Health Center, LLC | Miami, Florida, United States

Page 1 of 1 | Confidential — For Internal Use Only | Generated: June 12, 2025

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