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Purchase Order Speech Therapist in New Zealand Wellington –Free Word Template Download with AI

Wellington Community Health Services Ltd.

14 Lambton Quay, Te Aro, Wellington 6011, New Zealand Wellington

Phone: +64 4 382 5500 | Email: [email protected] | NZBN: 942904123456789

Purchase Order No.: PO-2025-WTG-0487
Date of Issue: 12 June 2025
Required Service Start: 1 July 2025
Payment Terms: Net 30 Days
Currency: NZD (New Zealand Dollars)
Status: APPROVED
Department: Allied Health Services
Cost Centre: CC-0442-ALLIED
PO Type: Professional Services
Provider Name: ClearVoice Speech Therapy & Communication Centre
Lead Speech Therapist: Dr. Sarah Mitchell, MSc (Speech & Language Pathology), RNZSLP Member
Address: Unit 3, 27 Cuba Street, Te Aro, Wellington 6011, New Zealand Wellington
Phone: +64 4 472 8830
Email: [email protected]
Registration No.: RNZSLP-2019-4472 (Registered with the New Zealand Speech Language Therapists Association)
IRD Number: 123-456-789
Item # Description of Service Qty Unit Unit Rate (NZD) Amount (NZD)
1 Initial Speech Therapist Assessment – Comprehensive evaluation of speech, language, and communication abilities for referred clients in the New Zealand Wellington region. Includes written report and treatment plan. 40 Assessments 285.00 11,400.00
2 Ongoing Speech Therapist Intervention Sessions – Individualised therapy sessions (50 minutes each) delivered by a qualified Speech Therapist at the provider's clinic in New Zealand Wellington or at the client's home address within the Wellington City Council boundary. 320 Sessions 195.00 62,400.00
3 Group Speech Therapist Program – Small group sessions (up to 4 participants) focusing on articulation, fluency, and social communication skills. Delivered weekly at the ClearVoice clinic, Cuba Street, New Zealand Wellington. 60 Group Sessions 450.00 27,000.00
4 Speech Therapist Telehealth Consultations – Remote video-based sessions for clients in rural areas surrounding New Zealand Wellington who are unable to attend in-person appointments. Includes pre-session preparation and post-session documentation. 80 Telehealth Sessions 165.00 13,200.00
5 Progress Review & Reporting – Quarterly progress reports prepared by the Speech Therapist for each active client, including updated treatment goals, parent/caregiver feedback summaries, and recommendations for the next quarter. 12 Reports 150.00 1,800.00
6 Speech Therapist Professional Development & Supervision – Monthly clinical supervision sessions for the Speech Therapist team, ensuring adherence to New Zealand Speech Language Therapists Association practice standards and evidence-based protocols. 12 Months 350.00 4,200.00
Subtotal (NZD) 120,000.00
GST (15%) 18,000.00
TOTAL PURCHASE ORDER VALUE (NZD) 138,000.00
  1. This Purchase Order is issued by Wellington Community Health Services Ltd. and constitutes a binding agreement for the provision of Speech Therapist services as described herein. All services shall be delivered in accordance with the professional standards set by the New Zealand Speech Language Therapists Association and applicable New Zealand health and disability legislation.
  2. The Speech Therapist and all supporting clinical staff engaged by the provider must hold current registration and professional indemnity insurance. Proof of registration shall be provided prior to the commencement of services in New Zealand Wellington.
  3. All Speech Therapist services shall be delivered at the locations specified in this Purchase Order, namely the provider's clinic at 27 Cuba Street, Te Aro, New Zealand Wellington, or at the client's residence within the Wellington City Council boundary. Telehealth sessions shall be conducted via a secure, HIPAA-equivalent compliant platform approved by the purchaser.
  4. Payment shall be made within thirty (30) calendar days of receipt of a valid tax invoice from the Speech Therapist provider. Invoices must reference this Purchase Order number (PO-2025-WTG-0487) and include the provider's IRD number for GST purposes.
  5. The provider shall maintain a minimum of 95% session attendance rate. Cancellations by the Speech Therapist must be communicated no fewer than 24 hours in advance. Sessions cancelled without adequate notice shall not be billed to the purchaser.
  6. Client records, assessment reports, and progress documentation generated by the Speech Therapist shall be maintained in compliance with the New Zealand Privacy Act 2020 and the Health Information Privacy Code 1994. All records shall be retained for a minimum of seven (7) years following the conclusion of the service period.
  7. This Purchase Order covers a service period of twelve (12) months commencing 1 July 2025 and concluding 30 June 2026. Renewal shall be subject to mutual written agreement and satisfactory performance review conducted by the purchaser's Allied Health Services department.
  8. Either party may terminate this Purchase Order with thirty (30) days written notice. In the event of termination, the provider shall complete all in-progress Speech Therapist treatment plans for active clients and deliver final reports within fourteen (14) days of the termination date.
  9. All disputes arising from this Purchase Order shall be resolved in accordance with the New Zealand Disputes Tribunal Act 1945 or, where the amount in dispute exceeds the Tribunal's jurisdiction, in the District Court of New Zealand Wellington.
  10. The provider warrants that all Speech Therapist services will be performed with reasonable skill, care, and diligence, in a manner consistent with the professional standards expected of a registered Speech Therapist practising in New Zealand Wellington.

This Purchase Order for Speech Therapist services in New Zealand Wellington has been reviewed and approved by the undersigned authorised representatives of both parties. By signing below, both parties acknowledge and agree to all terms, conditions, and service specifications outlined in this document.

For and on behalf of Wellington Community Health Services Ltd. (Purchaser)

Name: Margaret Thompson, Director of Allied Health Services

Date: ____________________

Signature: ____________________

For and on behalf of ClearVoice Speech Therapy & Communication Centre (Provider)

Name: Dr. Sarah Mitchell, Lead Speech Therapist & Director

Date: ____________________

Signature: ____________________

Purchase Order PO-2025-WTG-0487 | Wellington Community Health Services Ltd. | 14 Lambton Quay, Te Aro, Wellington 6011, New Zealand Wellington

This document is the property of Wellington Community Health Services Ltd. Unauthorised reproduction or distribution is prohibited. Page 1 of 1.

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