Purchase Order Radiologist in Colombia Bogotá –Free Word Template Download with AI
Medical Professional Services – Radiology Department
1. Purchasing Entity (Buyer)Organization
Clínica San Rafael de Bogotá S.A.S.
NIT: 901.234.567-8
Address: Calle 93 No. 15-40, Piso 7
Chapinero, Bogotá D.C., Colombia
Contact Person
Dr. María Fernanda Restrepo
Director of Medical Affairs
Email: [email protected]
Phone: +57 (601) 555 7842
2. Service Provider (Vendor / Radiologist)Professional
Dr. Alejandro Camilo Vargas Mendoza
Specialist in Diagnostic Radiology
Professional License (Régimen de Habilitación): 1234-5678-90
Issued by: Secretaría de Salud de Bogotá D.C.
Professional Address
Carrera 11A No. 85-22, Apto 503
Localidad de Suba, Bogotá D.C., Colombia
Email: [email protected]
Phone: +57 (601) 443 2210
3. Scope of Services – Radiologist EngagementThis Purchase Order authorizes the engagement of the above-named Radiologist to provide specialized diagnostic imaging interpretation services at the Clínica San Rafael de Bogotá facility located in the city of Bogotá, Colombia. The Radiologist shall be responsible for the interpretation of all radiological studies including but not limited to X-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI), ultrasound examinations, and mammography performed at the facility. The Radiologist must comply with all regulations established by the Colombian Ministry of Health and Social Welfare (Ministerio de Salud y Protección Social) and the local health authority of Bogotá D.C.
4. Line Items and Pricing| Item # | Description of Service | Quantity / Hours | Unit Rate (COP) | Subtotal (COP) |
|---|---|---|---|---|
| 01 | Interpretation of X-ray and CT scan studies (per shift, 8 hours) | 120 shifts | 450,000 | 54,000,000 |
| 02 | Interpretation of MRI and advanced imaging studies (per shift, 8 hours) | 60 shifts | 620,000 | 37,200,000 |
| 03 | Ultrasound and mammography interpretation (per shift, 8 hours) | 40 shifts | 380,000 | 15,200,000 |
| 04 | Emergency radiology coverage – on-call service (per month) | 3 months | 2,500,000 | 7,500,000 |
| 05 | Consultation and second-opinion reports for complex cases (per report) | 50 reports | 180,000 | 9,000,000 |
| 06 | Participation in multidisciplinary tumor board meetings (per session) | 12 sessions | 350,000 | 4,200,000 |
| TOTAL AMOUNT (COP) | 127,100,000 | |||
| TOTAL AMOUNT (USD – approximate at 3,950 COP/USD) | $32,177.21 | |||
- Service Location: All services under this Purchase Order shall be rendered at the Clínica San Rafael de Bogotá facility, located in the city of Bogotá, Colombia. The Radiologist is expected to be physically present at the facility during all scheduled shifts.
- Contract Duration: This Purchase Order is valid for a period of three (3) months, commencing on July 1, 2025, and concluding on September 30, 2025. Renewal shall be subject to mutual written agreement and a new Purchase Order issuance.
- Payment Terms: Payment shall be made on a monthly basis within fifteen (15) calendar days following the end of each service month. Payment will be processed via bank transfer to the account designated by the Radiologist. All amounts are subject to applicable Colombian tax withholdings (retención en la fuente) as mandated by the Dirección de Impuestos y Aduanas Nacionales (DIAN).
- Professional Obligations: The Radiologist shall maintain valid professional licensure throughout the contract period, carry professional liability insurance (seguro de responsabilidad civil profesional) with a minimum coverage of COP 500,000,000, and adhere to the clinical protocols and quality standards established by the facility and the Colombian health regulatory framework.
- Confidentiality: The Radiologist shall comply with all data protection obligations under Ley 1581 de 2012 (Colombian Personal Data Protection Law) and maintain strict confidentiality regarding all patient information accessed during the performance of services in Bogotá, Colombia.
- Termination: Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of material breach, termination may be immediate upon written notification. All services rendered up to the termination date shall be compensated in full.
- Governing Law: This Purchase Order shall be governed by and interpreted in accordance with the civil and commercial laws of the Republic of Colombia. Any disputes arising from this agreement shall be resolved in the competent courts of Bogotá D.C., Colombia.
- Force Majeure: Neither party shall be liable for failure to perform obligations due to events beyond reasonable control, including but not limited to natural disasters, public health emergencies declared by the Colombian government, or civil unrest in Bogotá.
By signing below, both parties acknowledge that this Purchase Order constitutes a binding agreement for the provision of Radiologist services in Colombia Bogotá. The Radiologist confirms acceptance of all terms, conditions, and professional obligations outlined herein. The purchasing entity confirms authorization of the expenditure and commitment to timely payment as specified.
For the Purchasing Entity:
Dr. María Fernanda Restrepo
Director of Medical Affairs
Clínica San Rafael de Bogotá S.A.S.
Signature: ___________________________
Date: ___________________________
For the Service Provider (Radiologist):
Dr. Alejandro Camilo Vargas Mendoza
Specialist in Diagnostic Radiology
License: 1234-5678-90
Signature: ___________________________
Date: ___________________________
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