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Purchase Order Radiologist in Canada Toronto –Free Word Template Download with AI

Radiologist Professional Services — Canada Toronto PO No.: TOR-RAD-2025-04872

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

Buyer (Purchasing Entity)

Northlake Medical Centre

2847 Yonge Street, Suite 1200

Toronto, Ontario M4P 2A7

Canada

Tel: (416) 555-0192

Email: [email protected]

HST Reg. No.: 123456789RT0001

Vendor (Service Provider)

Dr. Elena Vasquez, MD, FRCPC

Certified Radiologist — Independent Practice

1450 Bloor Street West, Unit 305

Toronto, Ontario M6M 1S4

Canada

Tel: (416) 555-0347

Email: [email protected]

College of Physicians & Surgeons of Ontario Reg. No.: 4829173

This Purchase Order authorizes the engagement of the above-named Radiologist to provide diagnostic imaging interpretation and related professional services at the Northlake Medical Centre facility in Canada Toronto, in accordance with the scope of work outlined below.

# Description of Radiologist Service Quantity Unit Unit Price (CAD) Extended Price (CAD)
1 CT Scan Interpretation — Abdominal & Pelvic Series (Radiologist reading and written report) 120 Scans $185.00 $22,200.00
2 MRI Interpretation — Brain & Spine (Radiologist reading, contrast-enhanced protocol) 85 Scans $245.00 $20,825.00
3 Mammography & Breast Ultrasound Interpretation (Radiologist reading, BI-RADS reporting) 200 Studies $135.00 $27,000.00
4 Urgent / Stat Radiologist Consultation — Emergency Department Coverage (per shift, 12-hour block) 48 Shifts $650.00 $31,200.00
5 Interventional Radiology Procedure Supervision & Reporting (e.g., biopsies, drain placements) 30 Procedures $420.00 $12,600.00
6 Quality Assurance & Peer Review Participation (Radiologist-led, monthly) 12 Months $1,200.00 $14,400.00
7 Continuing Medical Education & Certification Maintenance (Radiologist professional development) 1 Annual $3,500.00 $3,500.00
Subtotal (CAD) $131,725.00
HST (13% — Canada Toronto jurisdiction) $17,124.25
Grand Total (CAD) $148,849.25

Terms & Conditions of This Purchase Order

  1. Scope of Engagement: This Purchase Order constitutes a binding agreement between Northlake Medical Centre (hereinafter "the Buyer") and Dr. Elena Vasquez, a licensed Radiologist registered with the College of Physicians and Surgeons of Ontario (hereinafter "the Radiologist"), for the provision of diagnostic radiology interpretation, interventional radiology supervision, and related professional services at the Buyer's facility located in Canada Toronto.
  2. Service Period: The Radiologist shall render all services described in the line items above for a period of twelve (12) months commencing July 1, 2025, and concluding June 30, 2026, unless terminated earlier in accordance with Clause 8.
  3. Payment Terms: Invoices submitted by the Radiologist shall be paid within thirty (30) calendar days of receipt of a valid invoice. All payments shall be made in Canadian Dollars (CAD) via electronic funds transfer (EFT) to the account designated by the Radiologist. Late payments shall accrue interest at the rate of 1.5% per month as permitted under the Ontario Interest Act.
  4. Compliance & Licensure: The Radiologist warrants that she holds an active, unrestricted license to practise medicine in the province of Ontario, Canada, and that all radiology interpretations shall be performed in full compliance with the standards set forth by the College of Physicians and Surgeons of Ontario, the Canadian Association of Radiologists (CAR), and applicable federal and provincial health regulations governing the Canada Toronto metropolitan area.
  5. Confidentiality & Patient Privacy: The Radiologist shall adhere strictly to the Personal Information Protection and Electronic Documents Act (PIPEDA) and the Ontario Health Information Act, 2004 (HIA) in handling all patient imaging data, reports, and clinical information. No patient-identifiable information shall be disclosed to any third party without written consent or as otherwise required by law.
  6. Insurance & Indemnification: The Radiologist shall maintain, at her own expense, a minimum of $5,000,000 in professional liability (malpractice) insurance coverage throughout the term of this Purchase Order. A certificate of insurance naming Northlake Medical Centre as an additional insured shall be provided prior to the commencement of services.
  7. Quality Assurance: The Radiologist shall participate in monthly peer-review sessions and annual quality assurance audits as outlined in Line Item 6. All radiology reports shall be generated within the turnaround times specified in the attached Service Level Agreement (SLA) — 24 hours for routine studies and 4 hours for urgent/stat requests.
  8. Termination: Either party may terminate this Purchase Order with sixty (60) days' written notice. The Buyer may terminate immediately for material breach, loss of medical licensure, or failure to maintain required insurance. Upon termination, the Radiologist shall be compensated for all services rendered up to the effective date of termination.
  9. Governing Law & Jurisdiction: This Purchase Order shall be governed by and construed in accordance with the laws of the Province of Ontario and the federal laws of Canada applicable therein. Any disputes arising hereunder shall be subject to the exclusive jurisdiction of the courts of Canada Toronto (Ontario).
  10. Entire Agreement: This Purchase Order, together with any attached exhibits, the SLA, and the Radiologist's standard terms of engagement, constitutes the entire agreement between the parties and supersedes all prior negotiations, representations, or agreements relating to the subject matter hereof.

Authorized by (Buyer):

Michael Chen, Director of Procurement
Northlake Medical Centre
Date: ______________________

Accepted by (Radiologist / Vendor):

Dr. Elena Vasquez, MD, FRCPC
Licensed Radiologist — Ontario, Canada
Date: ______________________

This Purchase Order (TOR-RAD-2025-04872) was issued by Northlake Medical Centre, Toronto, Ontario, Canada. All services are to be performed within the Canada Toronto metropolitan area. This document is confidential and intended solely for the named parties. Unauthorized reproduction or distribution is prohibited. © 2025 Northlake Medical Centre. All rights reserved.

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