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Purchase Order Speech Therapist in Peru Lima –Free Word Template Download with AI

Professional Services Procurement Document

PO-2025-LIM-00472

Issued in Peru Lima, Republic of Peru

Buyer / Requisitioning Entity

Clínica de Rehabilitación Neurológica del Pacífico S.A.C.

Av. Javier Prado Este 1245, San Isidro

Peru Lima, 15081, Peru

RUC: 20587431290

Contact: [email protected]

Phone: +51 1 445-7823

Supplier / Service Provider

Dr. María Elena Quispe Huamán, M.S. CCC-SLP

Independent Speech Therapist

Calle Los Álamos 892, Miraflores

Peru Lima, 15074, Peru

Professional License: CIP-2019-04521

Contact: [email protected]

Phone: +51 987-654-321

Purchase Order Number: PO-2025-LIM-00472

Date of Issue: June 12, 2025

Required Service Start Date: July 1, 2025

Service Location: Peru Lima – San Isidro District

Payment Terms: Net 30 days from invoice

Currency: Peruvian Sol (PEN / S/)

Valid Until: June 30, 2025

Department: Neurological Rehabilitation

This Purchase Order is issued by Clínica de Rehabilitación Neurológica del Pacífico S.A.C., a licensed healthcare institution operating in Peru Lima, to formally engage the services of a qualified Speech Therapist for the provision of specialized speech-language pathology services to patients with neurological conditions. The Speech Therapist shall deliver evidence-based interventions, assessments, and therapeutic programs in accordance with the clinical protocols established by the institution and in compliance with the regulatory standards set forth by the Ministry of Health of Peru (MINSA) and the Peruvian College of Speech-Language Pathologists.

# Service Description Frequency Duration Unit Rate (S/) Total (S/)
1 Individual Speech Therapy Sessions – Articulation and Phonological Disorders (adult and pediatric patients) 5 sessions/week 50 min each 180.00 36,000.00
2 Speech Therapy Group Sessions – Aphasia Rehabilitation for Post-Stroke Patients 3 sessions/week 90 min each 320.00 43,200.00
3 Comprehensive Speech-Language Assessment and Diagnostic Evaluation As needed (est. 20/month) 120 min each 450.00 108,000.00
4 Swallowing Disorder (Dysphagia) Therapy and Instrumental Evaluation (FEES) 4 sessions/week 60 min each 250.00 48,000.00
5 Interdisciplinary Case Conference Participation and Clinical Documentation 2 sessions/week 60 min each 150.00 24,000.00
6 Family Education Workshops – Speech Therapy Home Program Guidance 1 session/week 120 min each 300.00 14,400.00
TOTAL ANNUAL CONTRACT VALUE (12 months) S/ 273,600.00

The Speech Therapist engaged under this Purchase Order shall fulfill the following obligations within the operational premises of the clinic located in Peru Lima:

  • Hold a valid professional license issued by the Peruvian Ministry of Health and maintain active registration with the Peruvian College of Speech-Language Pathologists throughout the contract period.
  • Provide a minimum of 40 hours of direct clinical service per week, distributed across the service schedule outlined in the line items above.
  • Develop and implement individualized speech therapy treatment plans for each patient, incorporating standardized assessment tools validated for the Peruvian Spanish-speaking population.
  • Maintain detailed clinical records in the institution's electronic health record system (SIS-Perú compliant) within 24 hours of each session.
  • Participate in weekly multidisciplinary team meetings involving neurologists, occupational therapists, and nursing staff to coordinate patient care in Peru Lima.
  • Submit monthly progress reports to the Clinical Director, including patient outcome metrics, session attendance logs, and recommendations for treatment adjustment.
  • Comply with all data protection regulations under Peruvian Law No. 29733 (Personal Data Protection Law) regarding patient confidentiality and medical records.
  • Attend a minimum of two (2) continuing education workshops per year in speech-language pathology, with costs borne by the institution.
  • 1. Contract Period: This Purchase Order is valid for a period of twelve (12) months, commencing July 1, 2025, and concluding June 30, 2026, unless terminated earlier by mutual written agreement.
  • 2. Payment Schedule: Invoices shall be submitted on the last business day of each month. Payment shall be processed within thirty (30) calendar days via bank transfer to the account designated by the Speech Therapist. All payments are denominated in Peruvian Soles (PEN).
  • 3. Taxes and Withholdings: The institution shall apply the applicable Peruvian income tax withholding (Impuesto a la Renta) as mandated by SUNAFE (Superintendencia Nacional de Aduanas y de Administración Tributaria). The Speech Therapist is responsible for all other tax obligations.
  • 4. Termination: Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of termination for cause, the terminating party must provide a detailed written justification.
  • 5. Insurance: The Speech Therapist shall maintain professional liability insurance with a minimum coverage of S/ 500,000.00 for the duration of the engagement in Peru Lima.
  • 6. Governing Law: This Purchase Order shall be governed by and construed in accordance with the civil and commercial laws of the Republic of Peru. Any disputes shall be resolved in the competent courts of Peru Lima, specifically the judicial district of San Isidro.
  • 7. Non-Exclusivity: The Speech Therapist is not restricted from providing services to other institutions or private clients, provided that such activities do not conflict with the obligations under this Purchase Order or compromise patient confidentiality.
  • 8. 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, government-mandated closures, or public health emergencies as declared by the Peruvian government.

By signing below, both parties acknowledge that they have read, understood, and agree to all terms, conditions, and service specifications outlined in this Purchase Order for Speech Therapist services to be rendered in Peru Lima.

For the Buyer (Institution)
Dr. Ricardo Fernández Salas
Clinical Director
Clínica de Rehabilitación Neurológica del Pacífico S.A.C.
Date: _______________
For the Supplier (Speech Therapist)
Dr. María Elena Quispe Huamán, M.S. CCC-SLP
Independent Speech Therapist
Peru Lima
Date: _______________

This Purchase Order (PO-2025-LIM-00472) is a legally binding procurement document issued in Peru Lima, Republic of Peru. It is valid only when signed by both authorized parties. Unauthorized reproduction or distribution is prohibited. Document reference: Procurement Dept. / Neurological Rehabilitation Division / 2025.

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