Quotation Estimate Doctor General Practitioner in Brazil Rio de Janeiro –Free Word Template Download with AI

This Quotation Estimate is issued by Dr. Ricardo Almeida Santos, a licensed Doctor General Practitioner registered with the Conselho Regional de Medicina do Estado do Rio de Janeiro (CRM-RJ), to provide comprehensive primary care medical services to the requesting client. The Doctor General Practitioner will deliver a full range of outpatient consultations, preventive health screenings, chronic disease management, and general diagnostic assessments within the metropolitan area of Brazil Rio de Janeiro.

The services outlined in this Quotation Estimate are designed to meet the health and wellness needs of up to 150 corporate employees and their immediate family members, as per the corporate health plan agreement. All consultations will be conducted at the Doctor General Practitioner's clinic located in the Leblon district of Rio de Janeiro, or at the client's designated facility in Barra da Tijuca, subject to prior scheduling.

• This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiration date, all prices and service availability must be reconfirmed in writing by the Doctor General Practitioner's office.
• All services will be rendered in compliance with the regulations of the Conselho Federal de Medicina (CFM) and the Conselho Regional de Medicina do Estado do Rio de Janeiro (CRM-RJ), ensuring full adherence to Brazilian medical ethics and legal standards.
• The Doctor General Practitioner reserves the right to refer patients to specialist physicians (cardiologists, dermatologists, orthopedists, etc.) when the clinical condition exceeds the scope of general practice. Referral fees, if applicable, will be quoted separately and are not included in this Quotation Estimate.
• Payment terms: 50% advance payment upon contract signing, with the remaining 50% due within fifteen (15) business days after the completion of the service period. Payment shall be made via bank transfer (TED/PIX) to the account designated by the Doctor General Practitioner.
• All medical records and patient data will be handled in strict accordance with the Brazilian General Data Protection Law (LGPD – Lei Geral de Proteção de Dados, Law No. 13.709/2018). Confidentiality is guaranteed at all times.
• The Doctor General Practitioner's services are covered by professional liability insurance (Seguro de Responsabilidade Civil Profissional) with a coverage of R$ 2,000,000.00, valid throughout the service period in Brazil Rio de Janeiro.
• Any cancellation of scheduled consultations must be communicated at least 24 hours in advance. Cancellations made within 24 hours will be subject to a 50% fee of the scheduled consultation value.
• This Quotation Estimate does not constitute a binding contract. A formal service agreement (Contrato de Prestação de Serviços Médicos) must be executed by both parties before any services commence.
• Taxes: All applicable taxes (ISS – Imposto Sobre Serviços, as per the municipality of Rio de Janeiro) are included in the quoted prices. No additional tax charges will be applied.

By signing below, both parties acknowledge that they have read, understood, and agree to the terms, conditions, and pricing outlined in this Quotation Estimate for the Doctor General Practitioner services in Brazil Rio de Janeiro.