Quotation Estimate Doctor General Practitioner in Germany Frankfurt –Free Word Template Download with AI
Doctor General Practitioner
Goethestraße 142, 60313 Frankfurt am Main
Germany Frankfurt, Hesse
Tel: +49 69 4455 7821 | Fax: +49 69 4455 7822
Email: [email protected]
License No.: KÄV Hessen 2019-4471
Document No.: QE-2025-0847
Date: 15 June 2025
Valid Until: 15 July 2025
Prepared For (Client)
Name: Dr. Anna Schmidt, M.D.
Organization: Klinikum Frankfurt-Höchst GmbH
Address: Ernst-Ludwig-Straße 41, 60488 Frankfurt am Main
Germany Frankfurt
Contact: [email protected]
Phone: +49 69 4455 3300
Quotation Details
Quotation Estimate No.: QE-2025-0847
Service Category: Doctor General Practitioner – Outpatient & Inpatient Consultation
Currency: EUR (€)
Payment Terms: Net 30 days
Reference: Contract Ref. KFH-2025-112
Scope of Services – Doctor General PractitionerThis Quotation Estimate is issued by Dr. med. Heinrich Weber, a licensed Doctor General Practitioner operating in Germany Frankfurt, in response to the request for comprehensive primary care services to be provided to the above-named client. The following itemized services reflect the standard fee schedule applicable to a Doctor General Practitioner in the Frankfurt metropolitan area, in accordance with the German Medical Fee Schedule (Gebührenordnung für Ärzte – GOÄ) and supplementary private insurance agreements.
Itemized Services and Pricing| No. | Service Description | GOÄ Factor | Quantity | Unit Price (€) | Total (€) |
|---|---|---|---|---|---|
| 1 | Initial comprehensive consultation by Doctor General Practitioner (history, examination, diagnosis) | 1.0 × | 120 | € 82.00 | € 9,840.00 |
| 2 | Follow-up consultation and treatment plan review (monthly recurring) | 1.0 × | 240 | € 54.00 | € 12,960.00 |
| 3 | Preventive health screening (annual check-up per GOÄ §10) | 1.0 × | 60 | € 128.00 | € 7,680.00 |
| 4 | Diagnostic laboratory coordination and result interpretation | 1.0 × | 180 | € 38.00 | € 6,840.00 |
| 5 | Electrocardiogram (ECG) – 12-lead, performed in practice, Germany Frankfurt | 1.0 × | 90 | € 46.00 | € 4,140.00 |
| 6 | Urgent same-day consultation (after-hours, Doctor General Practitioner on-call) | 2.3 × | 30 | € 189.00 | € 5,670.00 |
| 7 | Medical certificate and documentation for employer or insurance purposes | 1.0 × | 150 | € 22.00 | € 3,300.00 |
| 8 | Home visit – Doctor General Practitioner, within Frankfurt city limits | 1.0 × | 25 | € 112.00 | € 2,800.00 |
| 9 | Telemedicine consultation (video-based, Doctor General Practitioner) | 1.0 × | 80 | € 42.00 | € 3,360.00 |
| 10 | Chronic disease management program (diabetes, hypertension) – quarterly review | 1.0 × | 100 | € 76.00 | € 7,600.00 |
| Subtotal (excl. VAT): | € 64,190.00 | ||||
| VAT (19% – German standard rate): | € 12,196.10 | ||||
| Grand Total (incl. VAT): | € 76,386.10 | ||||
1. Validity: This Quotation Estimate is valid for 30 calendar days from the date of issue. After the expiry date, all prices are subject to revision in line with the current GOÄ fee schedule applicable in Germany Frankfurt.
2. Scope: All services listed herein are to be rendered by Dr. med. Heinrich Weber, a Doctor General Practitioner registered with the Ärztekammer Hessen. In the event of unavailability, a qualified substitute Doctor General Practitioner from the same practice in Frankfurt will be assigned without additional charge.
3. Payment: Invoices shall be issued monthly in arrears. Payment is due within 30 days of invoice date via bank transfer to the practice account (IBAN: DE89 5001 0517 0000 0000 00, BIC: PBNKDEFF). Late payments shall incur interest at the statutory rate of 8% above the ECB base rate.
4. Cancellation: The client may terminate this Quotation Estimate agreement with 30 days' written notice. Services already rendered prior to the effective date of termination remain payable in full.
5. Confidentiality: All patient data processed under this arrangement shall be handled in strict compliance with the German Federal Data Protection Act (BDSG) and the EU General Data Protection Regulation (GDPR). The Doctor General Practitioner practice in Germany Frankfurt maintains full HIPAA-equivalent data security protocols.
6. Liability: The Doctor General Practitioner shall maintain professional liability insurance (Berufshaftpflicht) with a minimum coverage of € 5,000,000 per claim, as required by the Ärztekammer Hessen for practitioners operating in Germany Frankfurt.
7. Governing Law: This Quotation Estimate and any resulting contractual relationship shall be governed by the laws of the Federal Republic of Germany. Jurisdiction for any disputes shall lie with the competent court in Frankfurt am Main, Germany Frankfurt.
8. Tax Exemption Note: Medical services rendered by a Doctor General Practitioner to statutory health insurance (GKV) patients are VAT-exempt under § 4 No. 14 UStG. The VAT shown above applies only to private (PKV) and self-pay services.
Acceptance and AuthorizationBy signing below, both parties acknowledge and accept the terms set forth in this Quotation Estimate for the Doctor General Practitioner services to be provided in Germany Frankfurt.
For the Practice (Doctor General Practitioner)
Dr. med. Heinrich WeberSignature & Date
For the Client
Dr. Anna Schmidt, M.D.Klinikum Frankfurt-Höchst GmbH
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