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Purchase Order Surgeon in Israel Tel Aviv –Free Word Template Download with AI

Medical Services Procurement Document PO No.: IL-TLV-2025-04872 Date of Issue: June 15, 2025
Role Details
Purchasing Entity (Buyer) Sheba Medical Center – Tel Aviv Campus
12 HaYarkon Street, Tel Aviv, Israel 64239
Tax ID: 51-234-567-8
Contact: Procurement Department, Tel: +972-3-640-5000
Service Provider (Seller) Dr. Michael Rosenbaum, MD, FACS – Lead Surgeon
Department of General and Vascular Surgery
Tel Aviv Medical Center, 6 Weizmann Street, Tel Aviv, Israel 64239
Medical License No.: IL-MED-2019-44821
Contact: +972-3-697-3000, email: [email protected]

This Purchase Order is issued by Sheba Medical Center – Tel Aviv Campus to formally engage the services of Dr. Michael Rosenbaum, a board-certified Surgeon, for a comprehensive series of surgical procedures, pre-operative consultations, and post-operative follow-up care to be performed at the Tel Aviv Medical Center facility located in Israel Tel Aviv. This document governs all financial, operational, and professional obligations between the purchasing entity and the Surgeon for the duration of the contracted period. The Purchase Order is subject to the regulations of the Israeli Ministry of Health, the Israeli Medical Association standards, and all applicable municipal and national healthcare laws governing the city of Tel Aviv.

Item # Description of Service / Item Quantity Unit Price (ILS) Total (ILS)
001 Pre-operative surgical consultation and patient assessment by the Surgeon 12 sessions 2,500 30,000
002 Elective laparoscopic cholecystectomy procedures performed by the Surgeon 8 procedures 18,500 148,000
003 Open vascular bypass surgery (femoral-popliteal) performed by the Surgeon 3 procedures 32,000 96,000
004 Post-operative follow-up visits and wound management by the Surgeon 24 sessions 1,200 28,800
005 Specialized surgical instruments and disposable kits (allocated to the Surgeon's operating schedule) 1 lot 45,000 45,000
006 On-call emergency surgical coverage (24/7 availability in Israel Tel Aviv) 12 months 8,500 102,000
007 Surgical training and mentorship sessions conducted by the Surgeon for junior medical staff 6 sessions 4,000 24,000
GRAND TOTAL (before VAT): 473,800 ILS
VAT (18%): 85,284 ILS
TOTAL AMOUNT DUE: 559,084 ILS

All surgical procedures, consultations, and related services specified in this Purchase Order shall be performed exclusively at the Tel Aviv Medical Center, 6 Weizmann Street, Israel Tel Aviv, 64239. The Surgeon is required to maintain a minimum on-site presence of five (5) days per week at the designated facility in Tel Aviv. Any off-site procedures or satellite clinic engagements within the Tel Aviv metropolitan area must be pre-approved in writing by the Procurement Department of the purchasing entity.

  • Payment shall be made in three (3) equal installments: 40% upon execution of this Purchase Order, 35% upon completion of all scheduled surgical procedures, and 25% upon final post-operative clearance and submission of all medical reports.
  • All payments shall be processed via bank transfer to the account designated by the Surgeon or the Tel Aviv Medical Center's central accounts payable department.
  • Invoices must be submitted in New Israeli Shekels (ILS) and must reference this Purchase Order number (IL-TLV-2025-04872) for proper reconciliation.
  • Late payments beyond thirty (30) days from the invoice date shall accrue interest at the rate of 1.5% per month, in accordance with Israeli commercial law.
  • The Surgeon is responsible for all applicable Israeli income tax obligations arising from compensation received under this Purchase Order.
  • This Purchase Order is governed by the laws of the State of Israel. Any disputes arising from this agreement shall be resolved through the competent courts in Tel Aviv, Israel.
  • The Surgeon warrants that he holds a valid, unrestricted medical license issued by the Israeli Medical Licensing Committee and maintains full professional indemnity insurance with a minimum coverage of 5,000,000 ILS.
  • All surgical procedures must comply with the standards set forth by the Israeli Ministry of Health, the Israeli Society of Surgeons, and the accreditation requirements of the Tel Aviv Medical Center.
  • The Surgeon agrees to maintain strict patient confidentiality in accordance with the Israeli Privacy Protection Law, 5741-1981, and all data protection regulations applicable in Israel Tel Aviv.
  • Either party may terminate this Purchase Order with thirty (30) days written notice. In the event of termination, all completed services shall be invoiced and paid in full within fifteen (15) business days.
  • The Surgeon shall not subcontract or delegate any surgical procedures to another practitioner without prior written consent from the purchasing entity.
  • All medical records, operative notes, and post-operative documentation generated under this Purchase Order shall be retained for a minimum of ten (10) years in compliance with Israeli medical records retention law.

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 Surgeon at the designated facility in Israel Tel Aviv. This document constitutes a binding agreement effective from the date of the last signature.

Authorized Representative – Purchasing Entity
Sheba Medical Center – Tel Aviv Campus
Name: _________________________
Title: Director of Procurement
Date: _________________________
Service Provider – Surgeon
Dr. Michael Rosenbaum, MD, FACS
Tel Aviv Medical Center, Israel Tel Aviv
Name: _________________________
Medical License: IL-MED-2019-44821
Date: _________________________

This Purchase Order (No. IL-TLV-2025-04872) is a controlled document. Unauthorized reproduction or distribution is prohibited.
Issued by: Procurement & Supply Chain Department, Sheba Medical Center – Tel Aviv Campus, Israel Tel Aviv.
Document Version: 1.0 | Classification: Confidential – Medical Procurement

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