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Purchase Order Psychologist in Japan Tokyo –Free Word Template Download with AI

PO No. JP-TKY-2025-04872

Psychological Services Procurement — Tokyo, Japan

Date of Issue: June 12, 2025  |  Valid Until: September 12, 2025

Company Name: Sakura Wellness Group K.K.

Address: 14-2-8 Shibuya, Shibuya-ku, Tokyo 150-0002, Japan

Registration No.: 4010401087654

Contact Person: Mr. Kenji Tanaka, Procurement Director

Email: [email protected]

Phone: +81-3-5421-8890

Department: Employee Health & Wellbeing Division

Cost Center: CC-7742-TKY

Budget Reference: FY2025-Q3-PSYCH-0091

Approved By: Dr. Yuki Morimoto, Chief Human Resources Officer

Practice Name: Tokyo Mind & Body Psychological Clinic

Lead Psychologist: Dr. Haruto Sato, Ph.D. in Clinical Psychology

Licensure No.: JP-PSY-2019-44821 (Ministry of Health, Labour and Welfare, Japan)

Address: 5F, Marunouchi Building, 2-7-1 Nihonbashi, Chuo-ku, Tokyo 103-0027, Japan

Phone: +81-3-6263-4455

Specialization: Occupational Psychology, Cognitive Behavioral Therapy, Stress Management

Team Size: 6 licensed psychologists, 2 clinical assistants

Years in Operation: 11 years (established 2014, Tokyo, Japan)

Bank Details: Mizuho Bank, Chuo Branch, Acct: 104-2288-901

This Purchase Order is issued by Sakura Wellness Group K.K. to procure comprehensive psychological services delivered by a licensed Psychologist and their clinical team at the Tokyo Mind & Body Psychological Clinic, located in the Chuo-ku district of Tokyo, Japan. The services are intended to support the mental health, emotional wellbeing, and occupational performance of Sakura Wellness Group employees based in the Tokyo metropolitan area. The Psychologist engaged under this Purchase Order shall provide individual counseling sessions, group therapeutic workshops, corporate stress assessments, and ongoing psychological consultation in accordance with the professional standards established by the Japanese Association of Clinical Psychology and the National Board of Examiners in Psychology, Japan.

No. Service Description Qty Unit (JPY) Amount (JPY) Service Period
01 Individual Psychological Counseling Sessions (60 min) — Dr. Haruto Sato, Lead Psychologist, Tokyo Mind & Body Clinic, Chuo-ku, Tokyo, Japan 120 18,000 2,160,000 Jul 2025 – Sep 2025
02 Group CBT Workshop for Corporate Teams (3 hrs, max 12 participants) — Delivered by Psychologist team at Tokyo office 16 95,000 1,520,000 Jul 2025 – Sep 2025
03 Occupational Stress Risk Assessment & Psychological Wellbeing Audit for 350 employees, Tokyo headquarters 1 480,000 480,000 Jul 2025
04 Monthly Psychological Consultation & Reporting to HR Director (90 min) — Tokyo, Japan 3 55,000 165,000 Jul–Sep 2025
05 Emergency Psychological First Aid & Crisis Intervention (on-call, Tokyo metropolitan area) 1 120,000 120,000 Jul 2025 – Sep 2025
06 Psychologist-Developed Digital Wellbeing Program License (employee portal, Tokyo-based access) 350 2,500 875,000 Jul 2025 – Sep 2025
Subtotal 5,320,000
Consumption Tax (10% — Japan) 532,000
TOTAL AMOUNT DUE (JPY) 5,852,000
  1. Service Location: All in-person psychological services under this Purchase Order shall be conducted at the Tokyo Mind & Body Psychological Clinic, 5F Marunouchi Building, Chuo-ku, Tokyo, Japan, or at the Sakura Wellness Group headquarters in Shibuya-ku, Tokyo, Japan, as mutually agreed in writing.
  2. Professional Standards: The Psychologist and all clinical staff shall adhere to the Ethical Code of the Japanese Association of Clinical Psychology, the National Board of Examiners in Psychology (Japan), and all applicable regulations of the Ministry of Health, Labour and Welfare, Japan.
  3. Confidentiality: All psychological records, session notes, and assessment data pertaining to Sakura Wellness Group employees shall be treated as strictly confidential in compliance with the Act on the Protection of Personal Information (APPI) of Japan. No individual psychological data shall be disclosed to the purchasing entity without written consent of the employee, except where required by Japanese law.
  4. Payment Terms: Payment shall be made within 30 days of receipt of a valid invoice from the Psychologist's practice. Payment shall be via bank transfer to Mizuho Bank, Chuo Branch, Tokyo, Japan, as specified in Section 2. Late payments shall incur interest at 1.5% per month as per Japanese commercial practice.
  5. Service Delivery Schedule: The Psychologist shall confirm the detailed session schedule within 10 business days of this Purchase Order's acceptance. Any rescheduling must be communicated at least 48 hours in advance.
  6. Termination: Either party may terminate this Purchase Order with 30 days' written notice. In the event of early termination, the Psychologist shall be compensated for services rendered up to the termination date, and no further charges shall apply.
  7. Dispute Resolution: Any disputes arising from this Purchase Order shall be resolved through mediation in Tokyo, Japan, in accordance with the rules of the Tokyo Commercial Arbitration Association. The governing law shall be the laws of Japan.
  8. Insurance: The Psychologist and the Tokyo Mind & Body Psychological Clinic shall maintain professional liability insurance with a minimum coverage of JPY 100,000,000 per claim, valid throughout the service period in Tokyo, Japan.
  9. Compliance: The Psychologist warrants that all services are delivered in full compliance with the Medical Care Act of Japan and any applicable local ordinances of the Tokyo Metropolitan Government.

This Purchase Order becomes effective upon written acceptance by the Psychologist / Tokyo Mind & Body Psychological Clinic. By signing below, both parties acknowledge and agree to all terms, conditions, and service specifications outlined in this document. The Psychologist confirms availability to deliver all services listed in Section 4 within the Tokyo, Japan service area during the stated service period.

For Sakura Wellness Group K.K. (Buyer)

Mr. Kenji Tanaka

Procurement Director

Date: _______________

For Tokyo Mind & Body Psychological Clinic (Psychologist / Vendor)

Dr. Haruto Sato, Ph.D.

Lead Psychologist & Clinic Director

Date: _______________

Purchase Order No. JP-TKY-2025-04872  |  Sakura Wellness Group K.K.  |  Shibuya-ku, Tokyo, Japan

This document is a formal procurement instrument. Unauthorized reproduction or distribution is prohibited under Japanese copyright law.

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