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Purchase Order Psychologist in New Zealand Wellington –Free Word Template Download with AI

Psychologist Professional Services Engagement

New Zealand Wellington

Purchase Order No.: PO-WLG-2025-0487
Date of Issue: 14 June 2025
Required By: 01 August 2025
Payment Terms: Net 30 Days
Currency: NZD (New Zealand Dollars)
Valid Until: 14 July 2025
BUYER INFORMATION
Company Name: Wellington Community Health & Wellbeing Trust ABN / NZBN: 9429041234567
Address: Level 4, 128 Cuba Street, Te Aro, Wellington 6011, New Zealand GST No.: 942-904-123
Contact Person: Ms. Aroha Tane, Procurement Manager Phone: +64 4 472 8830
Email: [email protected] Website: www.wchwt.co.nz
SUPPLIER / SERVICE PROVIDER INFORMATION
Practice Name: Harbourview Psychological Services Ltd NZBN: 9429056789012
Address: 7/23 Lambton Quay, Wellington CBD, Wellington 6011, New Zealand GST No.: 942-905-678
Lead Psychologist: Dr. Sarah Mitchell, MSc (Clinical Psychology), PhD Phone: +64 4 383 2215
Registration: Registered Psychologist, Psychologists Board of New Zealand (Reg. No. PZ-2019-44782) Email: [email protected]
LINE ITEMS – PSYCHOLOGIST SERVICES
No. Description of Psychologist Services Qty Unit Unit Price (NZD) Total (NZD)
1 Clinical Psychologist – Individual therapeutic sessions (50 minutes) for adult clients presenting with anxiety, depression, and stress-related disorders. Delivered in person at the Wellington CBD office or via secure telehealth platform. 120 Sessions $285.00 $34,200.00
2 Psychologist – Group therapy and psychoeducation workshops (2 hours) for community groups in the Wellington region, covering mental health resilience, trauma-informed care, and cognitive behavioural strategies. 16 Workshops $950.00 $15,200.00
3 Psychologist – Psychological assessment and diagnostic evaluation (90 minutes) including administration of standardised psychometric instruments, clinical interview, and written report for referral purposes. 40 Assessments $520.00 $20,800.00
4 Psychologist – Case consultation and supervision for allied health professionals (60 minutes) to support multidisciplinary care coordination within the Wellington community health network. 24 Hours $310.00 $7,440.00
5 Psychologist – Emergency crisis intervention and on-call availability (24/7 coverage) for the Wellington region, including telephone triage, in-person crisis response, and liaison with District Health Board services. 1 Contract $12,000.00 $12,000.00
6 Psychologist – Annual professional development, continuing education, and maintenance of registration with the Psychologists Board of New Zealand, including malpractice insurance coverage. 1 Year $3,500.00 $3,500.00
Subtotal (excl. GST): $93,140.00
GST (15%): $13,971.00
TOTAL (incl. GST): $107,111.00
TERMS AND CONDITIONS
  1. This Purchase Order constitutes a formal request for the engagement of a qualified Psychologist to deliver clinical and community mental health services within the New Zealand Wellington region, specifically within the boundaries of the Wellington City Council and surrounding Hutt Valley areas.
  2. The Psychologist engaged under this Purchase Order must hold current, valid registration with the Psychologists Board of New Zealand and maintain professional indemnity insurance with a minimum coverage of NZD $5,000,000 per claim throughout the duration of this engagement.
  3. All services shall be delivered in accordance with the Health and Disability Commissioner's Code of Health and Disability Services Consumers' Rights (New Zealand, 1996) and the Psychologists Board of New Zealand's Code of Ethics and Practice Standards.
  4. Payment shall be made within thirty (30) calendar days of receipt of a valid tax invoice from the Psychologist or their practice entity. Invoices must reference this Purchase Order number (PO-WLG-2025-0487) and include the supplier's GST registration number.
  5. The Psychologist shall maintain strict confidentiality of all client records in compliance with the New Zealand Privacy Act 2020. All client data shall be stored on secure, encrypted systems hosted within New Zealand and shall not be transferred outside the country without explicit written consent from the Buyer.
  6. Service delivery is expected to commence no later than 01 August 2025 and continue for a period of twelve (12) months, subject to mutual agreement for renewal. The Psychologist shall provide a minimum of four (4) weeks' written notice for any reduction in service availability.
  7. The Buyer reserves the right to audit service delivery records, client outcome measures, and financial records related to this Purchase Order upon fourteen (14) days' written notice, in accordance with New Zealand public procurement and transparency obligations.
  8. Any variation to the scope of Psychologist services, including additional sessions, workshops, or emergency call-outs beyond the quantities specified herein, shall require a written variation order signed by both parties prior to service delivery.
  9. This Purchase Order is governed by the laws of New Zealand. Any disputes arising from this engagement shall be resolved through mediation in Wellington, New Zealand, in accordance with the Disputes Standards Act 2017, before escalation to the District Court of Wellington.
  10. The Psychologist shall comply with all applicable New Zealand employment, health and safety (Health and Safety at Work Act 2015), and anti-discrimination legislation when delivering services to clients in the Wellington community.
APPROVAL AND AUTHORITY

This Purchase Order has been reviewed and authorised in accordance with the Wellington Community Health & Wellbeing Trust's procurement policy and the New Zealand Public Procurement Rules. The total value of this Purchase Order for Psychologist services is within the delegated authority of the Procurement Manager.

Authorised by (Buyer):
Ms. Aroha Tane
Procurement Manager
Wellington Community Health & Wellbeing Trust
Date: _______________
Accepted by (Psychologist / Supplier):
Dr. Sarah Mitchell
Lead Psychologist, Harbourview Psychological Services Ltd
Registered Psychologist, Psychologists Board of New Zealand
Date: _______________

Purchase Order PO-WLG-2025-0487 | Psychologist Services | New Zealand Wellington | Issued: 14 June 2025

This document is the property of Wellington Community Health & Wellbeing Trust. Unauthorised reproduction or distribution is prohibited under New Zealand copyright law.

For queries regarding this Purchase Order, contact: [email protected] | +64 4 472 8830 | Level 4, 128 Cuba Street, Te Aro, Wellington 6011, New Zealand

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