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

Northwest Diagnostic Imaging Centre Inc.

2847 West Broadway, Suite 410, Vancouver, British Columbia, Canada V5Z 1E8

Phone: (604) 555-0192  |  Email: [email protected]  |  GST/HST No.: 123456789RT0001

Purchase Order No.: PO-2025-0487
Date of Issue: June 12, 2025
Valid Until: July 12, 2025
Payment Terms: Net 30 Days
Currency: Canadian Dollars (CAD)
Delivery Location: Vancouver, BC, Canada
Requested By: Dr. Margaret Chen, Chief Medical Officer
Department: Radiology & Diagnostic Imaging
Priority: Standard
VENDOR / SERVICE PROVIDER INFORMATION
Field Details
Provider Name Dr. James A. Whitfield, MD, FRCPC – Board-Certified Radiologist
Practice Address 1200 Robson Street, Floor 7, Vancouver, British Columbia, Canada V6E 1E2
College Registration British Columbia College of Physicians and Surgeons (BCCPS) – License No. BC-48291
Specialty Diagnostic Radiology, Interventional Radiology, and Advanced Imaging (MRI, CT, Ultrasound, Mammography)
Contact Phone: (604) 555-0347  |  Email: [email protected]
Business Number 987654321BC0001 (Registered in Canada – Province of British Columbia)
LINE ITEMS – SERVICES AND DELIVERABLES
# Description of Service Qty / Hours Unit Rate (CAD) Extended Amount (CAD) Schedule / Period
1 On-site Radiologist consultation and image interpretation services for MRI, CT, and X-ray modalities at the Northwest Diagnostic Imaging Centre facility in Vancouver, BC 160 hrs $285.00 $45,600.00 July 1 – September 30, 2025
2 Emergency and after-hours Radiologist coverage for urgent imaging reads (24/7 on-call rotation, minimum 4 shifts per month) 16 shifts $1,200.00 $19,200.00 July 1 – September 30, 2025
3 Supervision and quality assurance review of all diagnostic imaging reports; monthly peer-review sessions with the Vancouver radiology team 3 sessions $2,500.00 $7,500.00 Monthly (Aug, Sep, Oct 2025)
4 Interventional Radiology procedures (biopsies, drainages, angioplasties) – per-procedure fee, estimated volume 25 procedures $1,850.00 $46,250.00 July 1 – September 30, 2025
5 Tele-radiology remote reading services for satellite clinics in the Greater Vancouver Regional District (GVRD) 80 hrs $220.00 $17,600.00 July 1 – September 30, 2025
6 Continuing medical education and professional development allowance (BCCPS CME credits, conference attendance in Canada) 1 allocation $3,000.00 $3,000.00 Annual (2025)
Subtotal (CAD) $139,150.00
GST (5% – British Columbia) $6,957.50
TOTAL AMOUNT DUE (CAD) $146,107.50
TERMS AND CONDITIONS
  1. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Province of British Columbia and the federal laws of Canada applicable therein. Any disputes arising from this Purchase Order shall be resolved through arbitration in Vancouver, British Columbia, in accordance with the BC Arbitration Act.
  2. Scope of Services: The Radiologist named herein shall provide all diagnostic imaging interpretation, clinical consultation, and interventional procedures as outlined in the line items above. All services shall be rendered in compliance with the standards set by the Canadian Association of Radiologists (CAR) and the British Columbia College of Physicians and Surgeons (BCCPS).
  3. Payment Schedule: Invoices shall be submitted monthly by the 5th business day following the end of each calendar month. Payment is due within thirty (30) calendar days of invoice receipt. Late payments shall accrue interest at the rate prescribed under the British Columbia Interest Act.
  4. Confidentiality and Patient Privacy: The Radiologist shall comply fully with the Personal Information Protection Act (PIPA) of British Columbia and the federal Privacy Act of Canada. All patient imaging data and reports shall be handled in strict accordance with the facility's data protection protocols and the Canadian Medical Association's ethical guidelines.
  5. Insurance and Liability: The Radiologist shall maintain professional liability insurance (medical malpractice) with a minimum coverage of $5,000,000 per occurrence, issued by a Canadian insurance carrier, for the duration of this Purchase Order. Certificates of insurance shall be provided prior to the commencement of services.
  6. Performance Standards: All imaging reports shall be completed within the turnaround times established by the Canadian Association of Radiologists' guidelines (routine: 24 hours; urgent: 4 hours; emergency: 1 hour). Failure to meet these standards for more than two (2) consecutive weeks may result in a service credit of 5% of the affected line item.
  7. Termination: Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of termination, the Radiologist shall complete all pending imaging reads and provide a full handover of patient records to the facility's designated replacement physician within fourteen (14) days.
  8. Compliance with Canadian Regulations: All services shall comply with the Health Professions Act (BC), the Radiation Safety Act (BC), and applicable federal regulations administered by Health Canada. The Radiologist shall maintain all required licenses, certifications, and BCCPS registration in good standing throughout the term of this Purchase Order.
  9. Work Location: Primary services shall be performed at the Northwest Diagnostic Imaging Centre facility located in Vancouver, British Columbia, Canada. Tele-radiology services (Line Item 5) may be performed remotely from any location within Canada, provided that all data transmission complies with Canadian cybersecurity and health information standards.
  10. Amendments: No modification to this Purchase Order shall be valid unless made in writing and signed by both parties. Any changes to scope, rates, or schedule must be documented as a formal Purchase Order amendment.
APPROVAL AND AUTHORIZATION

Prepared By (Buyer):

Northwest Diagnostic Imaging Centre Inc.

Dr. Margaret Chen
Chief Medical Officer
Date: ______________________

Accepted By (Vendor / Radiologist):

Dr. James A. Whitfield, MD, FRCPC

Dr. James A. Whitfield
Board-Certified Radiologist
Date: ______________________

This Purchase Order (PO-2025-0487) is issued by Northwest Diagnostic Imaging Centre Inc., a corporation registered in the Province of British Columbia, Canada. All services are to be performed in Vancouver, British Columbia, Canada. This document is valid only when signed by both parties. For questions regarding this Purchase Order, contact the Procurement Department at [email protected] or (604) 555-0192.

© 2025 Northwest Diagnostic Imaging Centre Inc. All rights reserved. | Document Ref: PO-2025-0487 | Page 1 of 1

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