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Purchase Order Radiologist in Chile Santiago –Free Word Template Download with AI

Professional Medical Services – Radiology Department

Issued in Santiago, Chile | Republic of Chile

Purchase Order No.: PO-2025-CHL-04872
Date of Issue: 14 June 2025
Valid Until: 14 September 2025
Priority: Standard
Department: Radiology & Diagnostic Imaging
Location: Santiago, Chile
Entity: Clínica Metropolitana de Santiago SpA RUT: 76.543.210-8
Address: Av. Providencia 1250, Piso 4, Providencia, Santiago, Chile Phone: +56 2 2345 6789
Email: [email protected] Contact: Dra. Carolina Fuentes, Procurement Manager
Professional: Dr. Ricardo Mendoza Soto, M.D., FRCR RUT: 12.345.678-9
Specialty: Radiologist – Diagnostic Imaging & Interventional Radiology License No.: SEREMI Salud RM-2019-4471
Address: Calle Los Aromos 890, Of. 302, Las Condes, Santiago, Chile Phone: +56 9 8765 4321
Email: [email protected] Professional Registry: Colegio Médico de Chile, Reg. 45.678

This Purchase Order authorizes the engagement of the above-named Radiologist to provide comprehensive diagnostic imaging services at the Clínica Metropolitana de Santiago facility located in Santiago, Chile. The Radiologist shall perform, interpret, and report all radiological examinations in accordance with the clinical protocols established by the institution and in full compliance with the regulations set forth by the Superintendencia de Salud de Chile and the SEREMI de Salud de la Región Metropolitana.

Item # Description of Service Frequency / Volume Unit Price (CLP) Monthly Total (CLP)
01 Consultation and interpretation of X-ray examinations (chest, abdominal, skeletal, and other standard radiographic studies) performed at the Santiago facility Up to 350 studies/month 18.500 6.475.000
02 Interpretation and reporting of Computed Tomography (CT) scans, including multi-slice and contrast-enhanced protocols Up to 120 studies/month 42.000 5.040.000
03 Interpretation and reporting of Magnetic Resonance Imaging (MRI) studies, including neuro, musculoskeletal, and abdominal protocols Up to 80 studies/month 55.000 4.400.000
04 Ultrasound examinations (abdominal, obstetric, vascular, and small parts) performed and reported by the Radiologist Up to 200 studies/month 28.000 5.600.000
05 Interventional radiology procedures (biopsies, drainages, angioplasties) performed under fluoroscopic guidance Up to 25 procedures/month 185.000 4.625.000
06 On-call coverage and emergency radiological consultations (24/7 rotation, 2 shifts per month) 2 shifts/month 95.000 190.000
07 Participation in multidisciplinary tumor board meetings and clinical case conferences at the Santiago center 4 sessions/month 35.000 140.000
TOTAL MONTHLY AMOUNT (CLP): 26.470.000
IVA 19% (CLP): 5.029.300
GRAND TOTAL MONTHLY (CLP): 31.499.300

This Purchase Order covers a service period of twelve (12) consecutive months, commencing on 1 July 2025 and concluding on 30 June 2026. The contract may be renewed for successive twelve-month periods upon mutual written agreement between the Buyer and the Radiologist, subject to performance evaluation and compliance with all applicable Chilean labor and medical practice regulations. Any renewal must be formalized through a supplementary Purchase Order issued by the Clínica Metropolitana de Santiago no later than thirty (30) days prior to the expiration of the current term.

  • Payment shall be made on a monthly basis, due within fifteen (15) calendar days following the end of each service month, via electronic bank transfer (transferencia electrónica) to the account designated by the Radiologist.
  • All amounts are expressed in Chilean Pesos (CLP) and are subject to the applicable 19% IVA (Impuesto al Valor Agregado) as mandated by the Servicio de Impuestos Internos de Chile.
  • The Radiologist shall issue a formal Factura Electrónica (electronic invoice) compliant with the DI-TEC 2019 standard of the SII for each monthly billing cycle.
  • Late payments shall accrue interest at the rate established by the Banco Central de Chile for overdue commercial obligations.
  • Any additional services beyond the volumes specified in Section 4 shall require prior written authorization through a Purchase Order amendment.
  • The Radiologist warrants that he holds a valid, unrestricted medical license issued by the SEREMI de Salud de la Región Metropolitana and maintains active registration with the Colegio Médico de Chile throughout the duration of this Purchase Order.
  • The Radiologist shall maintain professional liability insurance (seguro de responsabilidad civil profesional) with a minimum coverage of CLP 500.000.000 per claim, as required by Chilean medical practice regulations.
  • All patient data and medical records shall be handled in strict accordance with Chilean Law No. 19.628 on the Protection of Private Life and the regulations of the Superintendencia de Salud regarding patient confidentiality and data protection.
  • The Radiologist shall comply with all radiation safety protocols established by the Comisión Chilena de Energía Nuclear (CCEN) and the internal biosafety policies of the Clínica Metropolitana de Santiago.
  • Either party may terminate this Purchase Order with a written notice of sixty (60) days, except in cases of material breach, in which case termination may be immediate upon written notice.
  • This Purchase Order shall be governed by and interpreted in accordance with the laws of the Republic of Chile. Any disputes arising hereunder shall be resolved by the competent courts of Santiago, Chile, or by arbitration before the Cámara de Comercio de Santiago, at the election of the aggrieved party.
  • The Radiologist shall dedicate a minimum of forty (40) hours per week to the services described herein, with a schedule to be coordinated with the Radiology Department Head at the Santiago facility.

By signing below, both parties acknowledge that they have read, understood, and agree to all terms and conditions set forth in this Purchase Order for the engagement of the Radiologist at the Clínica Metropolitana de Santiago, Chile Santiago. This document constitutes a binding agreement for the provision of professional radiological services as described herein.

For the Buyer:
Dra. Carolina Fuentes
Procurement Manager
Clínica Metropolitana de Santiago SpA
Santiago, Chile
Date: _______________
For the Service Provider (Radiologist):
Dr. Ricardo Mendoza Soto, M.D., FRCR
Radiologist
Santiago, Chile
Date: _______________

PO-2025-CHL-04872  |  Purchase Order – Radiologist Professional Services  |  Clínica Metropolitana de Santiago SpA  |  Santiago, Chile

This Purchase Order is a controlled document. Unauthorized reproduction or distribution is prohibited. Document reference: CM-PROC-2025-04872-RAD.

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