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

Professional Speech Therapy Services Procurement

Issued in Santiago, Chile

Purchase Order No.: PO-2025-SG-04872
Date of Issue: June 12, 2025
Valid Until: September 12, 2025
Payment Terms: Net 30 Days
Currency: Chilean Peso (CLP)
Incoterms: N/A (Local Service)

Buyer / Requisitioning Department

Organization: Clínica Integrada del Pacífico SpA

Department: Pediatric & Neurological Rehabilitation

Address: Av. Apoquindo 4520, Piso 7, Las Condes, Santiago, Chile

Contact: María José Fuentes, Procurement Manager

Email: [email protected]

Phone: +56 2 2345 6789

RUT: 76.543.210-K

Supplier / Service Provider

Professional: Lic. Carolina Vega Soto, MSc. Speech-Language Pathology

Business Name: Centro de Logopedia Vega & Asociados

Address: Calle Los Aromos 1287, Of. 304, Providencia, Santiago, Chile

Contact: Carolina Vega Soto

Email: [email protected]

Phone: +56 9 8765 4321

RUT: 18.234.567-8

Download and customize a professional Purchase Order Speech Therapist Chile Santiago Word template. Perfect for business, legal, and personal use. Editable and ready to boost your productivity. OF SERVICES – SPEECH THERAPIST ENGAGEMENT

This Purchase Order is issued by Clínica Integrada del Pacífico SpA to formally authorize and procure the professional services of a licensed Speech Therapist (Logopeda) for the delivery of individualized speech-language therapy programs to pediatric and adult patients at our facility located in Chile Santiago. The engagement is structured under a quarterly service agreement with the possibility of renewal, subject to mutual consent and performance evaluation. The Speech Therapist shall provide evidence-based interventions for patients presenting with articulation disorders, language delays, aphasia, dysphagia, and voice pathology, in accordance with the clinical protocols established by the treating physicians and the regulatory standards set forth by the Superintendencia de Salud de Chile.

LINE ITEMS AND SERVICE SCHEDULE
# Service Description Qty / Sessions Unit Unit Price (CLP) Total (CLP) Period
1 Individual Speech Therapy Session – Pediatric Articulation & Phonological Disorders (45 min) 120 Session 35,000 4,200,000 Jul–Sep 2025
2 Individual Speech Therapy Session – Adult Aphasia & Language Rehabilitation (60 min) 80 Session 45,000 3,600,000 Jul–Sep 2025
3 Group Speech Therapy Workshop – School-Age Language Development (90 min, max 6 patients) 24 Workshop 80,000 1,920,000 Jul–Sep 2025
4 Dysphagia Assessment & Swallowing Therapy Protocol (90 min, includes instrumental evaluation) 30 Assessment 65,000 1,950,000 Jul–Sep 2025
5 Interdisciplinary Case Conference Participation & Clinical Report Writing 12 Month 150,000 1,800,000 Jul–Sep 2025
6 Therapeutic Materials & Augmentative Communication (AAC) Device Setup & Training 1 Lump Sum 1,200,000 1,200,000 Jul 2025
TOTAL PURCHASE ORDER VALUE 14,670,000 —
TERMS AND CONDITIONS
  1. Scope of Service: The Speech Therapist shall render all services listed in this Purchase Order at the Clínica Integrada del Pacífico SpA premises in Santiago, Chile, or at such other location within the Santiago Metropolitan Region as mutually agreed in writing. All clinical interventions must comply with the Chilean Health Ministry (Ministerio de Salud) regulations and the professional code of ethics of the Colegio de Logopedas de Chile.
  2. Service Location: All in-person therapy sessions, assessments, and workshops shall be conducted at the facility address listed above in Chile Santiago, specifically at Av. Apoquindo 4520, Las Condes. Remote teletherapy sessions, if authorized, shall be limited to a maximum of 20% of the total scheduled sessions and must be documented in the patient's electronic health record.
  3. Payment Schedule: Invoices shall be submitted monthly by the 5th business day of the following month. Payment shall be made via electronic bank transfer (transferencia electrónica) within thirty (30) calendar days of invoice receipt. Late payments shall accrue interest at the rate established by the Banco Central de Chile.
  4. Confidentiality & Data Protection: The Speech Therapist shall adhere strictly to Chile's Law 21.719 on the Right to Protection of Personal Data (Ley de Protección de Datos Personales) and all institutional confidentiality policies. Patient records, clinical notes, and assessment results shall be stored exclusively within the clinic's secure electronic system.
  5. Performance & Quality Assurance: The Speech Therapist shall submit a written progress report for each patient on a bi-weekly basis. Quarterly performance reviews shall be conducted by the Clinical Director. Failure to meet the agreed-upon clinical outcomes or attendance thresholds (minimum 95% session completion) may result in partial termination of this Purchase Order with thirty (30) days' written notice.
  6. Insurance & Liability: The service provider shall maintain professional liability insurance (seguro de responsabilidad civil profesional) with a minimum coverage of CLP 50,000,000, valid throughout the service period in Chile Santiago and the surrounding metropolitan area.
  7. Termination: Either party may terminate this Purchase Order with sixty (60) days' written notice. In the event of termination, the provider shall be compensated for all sessions completed up to the effective date of termination.
  8. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Republic of Chile. Any disputes arising hereunder shall be resolved through the competent courts of Santiago, Chile.
  9. Force Majeure: Neither party shall be liable for delays or failures in performance resulting from events beyond reasonable control, including but not limited to natural disasters, public health emergencies, or government-mandated closures affecting operations in Chile Santiago.
AUTHORIZATION AND ACCEPTANCE Prepared by (Buyer):
María José Fuentes
Procurement Manager
Clínica Integrada del Pacífico SpA
Date: _______________
Accepted by (Speech Therapist / Supplier):
Lic. Carolina Vega Soto
Centro de Logopedia Vega & Asociados
Santiago, Chile
Date: _______________

This Purchase Order document is valid only when signed by both parties. Document Reference: PO-2025-SG-04872 | Issued in Santiago, Chile | Page 1 of 1

© 2025 Clínica Integrada del Pacífico SpA – All Rights Reserved. This document is confidential and intended solely for the named parties.

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