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Purchase Order Psychologist in South Africa Johannesburg –Free Word Template Download with AI

Professional Psychologist Services – South Africa Johannesburg

Document Reference: PO-JHB-PSY-2025-0487

Issuing Organisation

Savanna Corporate Wellness Group (Pty) Ltd
142 Rivonia Road, Sandton
Johannesburg, 2196
South Africa
VAT No: 4930128765
Reg No: 2019/487210/07

Service Provider (Psychologist)

Dr. Thandiwe Mokoena, MSc (Clinical Psychology)
Mokoena Psychological Practice
88 Nelson Mandela Drive, Rosebank
Johannesburg, 2196
South Africa
HPCSA Reg No: HPCSA/PSY/2018/04521
VAT No: 5012345678

Purchase Order Number: PO-JHB-PSY-2025-0487
Date of Issue: 14 June 2025
Required Delivery / Commencement Date: 01 July 2025
Contract Duration: 12 months (01 July 2025 – 30 June 2026)
Place of Service: Savanna Corporate Wellness Group Offices, Sandton, Johannesburg, South Africa
Payment Terms: Net 30 days from receipt of valid tax invoice
Bank Details: Standard Bank, Acc No: 0123456789, Branch: Sandton, Johannesburg
Line Items – Psychologist Services Engaged
Ref Description of Psychologist Services Qty Unit Unit Rate (ZAR) Amount (ZAR)
01 Monthly on-site clinical Psychologist consultation sessions for employee wellness programme at the Sandton, Johannesburg office. Includes individual counselling, stress management, and mental health assessments for up to 200 employees. 12 Months 45,000.00 540,000.00
02 Quarterly group Psychologist-led workshops on workplace mental health, burnout prevention, and emotional resilience. Delivered at the Johannesburg premises. Maximum 40 participants per session. 4 Sessions 12,500.00 50,000.00
03 Psychologist-compiled annual mental health risk assessment report for the organisation, compliant with the Occupational Health and Safety Act (Act 85 of 1993) as applicable in South Africa Johannesburg regulatory environment. 1 Report 28,000.00 28,000.00
04 Emergency Psychologist crisis intervention support (on-call basis) for critical workplace incidents. Includes up to 8 hours of direct intervention per quarter and follow-up documentation. 4 Quarters 8,500.00 34,000.00
05 Psychologist supervision and case management for employees referred to external specialist services within the Johannesburg metropolitan area. Includes coordination, progress tracking, and monthly summary reports to HR. 12 Months 6,200.00 74,400.00
Subtotal (ZAR): 726,400.00
VAT @ 15% (ZAR): 108,960.00
Grand Total (ZAR): 835,360.00
Terms and Conditions
  1. This Purchase Order constitutes a formal engagement of the named Psychologist, Dr. Thandiwe Mokoena, to provide professional psychological services to Savanna Corporate Wellness Group (Pty) Ltd at its registered offices in Johannesburg, South Africa. The Psychologist shall operate in full compliance with the Health Professions Council of South Africa (HPCSA) code of conduct and all applicable South African legislation.
  2. All services described in this Purchase Order shall be rendered at the client's premises located in Sandton, Johannesburg, South Africa, unless otherwise agreed in writing by both parties. The Psychologist is expected to be physically present at the Johannesburg site for a minimum of four (4) full working days per month.
  3. The Psychologist shall maintain strict confidentiality in accordance with the Protection of Personal Information Act (POPIA) of South Africa. All client records, session notes, and assessment reports generated in the course of this engagement shall be stored securely and shall not be disclosed to any third party without written consent from the employee concerned, except where required by South African law.
  4. Payment shall be made within thirty (30) calendar days of receipt of a valid tax invoice from the Psychologist. Invoices must be submitted to the Finance Department at Savanna Corporate Wellness Group, Sandton, Johannesburg, and must include the Psychologist's HPCSA registration number, VAT registration number, and a detailed breakdown of services rendered during the billing period.
  5. The Psychologist shall provide a written monthly activity report to the Human Resources Director by the fifth (5th) business day of the following month. This report shall summarise the number of sessions conducted, general trends in employee mental health (in anonymised form), and any recommendations for organisational wellness improvements within the Johannesburg workplace.
  6. This Purchase Order may be terminated by either party with thirty (30) days' written notice. In the event of termination, the Psychologist shall be compensated for all services rendered up to the effective date of termination, and all outstanding invoices shall be settled in full.
  7. The Psychologist shall carry professional indemnity insurance with a minimum cover of R2,000,000 (Two Million Rand) for the duration of this Purchase Order. A certificate of insurance shall be provided to the client prior to the commencement date of 01 July 2025.
  8. All disputes arising from this Purchase Order shall be resolved in accordance with the laws of the Republic of South Africa, and the courts of jurisdiction shall be those of the Gauteng Division, Johannesburg, South Africa.
  9. The Psychologist acknowledges that this Purchase Order is subject to the client's internal procurement policies and that any amendments to the scope of services must be documented in a written addendum signed by both parties.
Authorisation and Acceptance

For and on behalf of Savanna Corporate Wellness Group (Pty) Ltd:

Name: Mr. James van der Merwe
Title: Chief Financial Officer
Date: _________________________
Signature: _________________________

For and on behalf of the Psychologist (Service Provider):

Name: Dr. Thandiwe Mokoena
Title: Registered Clinical Psychologist, HPCSA
Date: _________________________
Signature: _________________________

This Purchase Order was issued in Johannesburg, South Africa. All references to the Psychologist in this document pertain to a registered professional psychologist as defined by the Health Professions Act 56 of 1974 (South Africa). This document is valid only when signed by both parties. For queries, contact the Procurement Department at [email protected] or call +27 (0)11 447 8200, Sandton, Johannesburg, South Africa.

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