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Quotation Estimate Occupational Therapist in Indonesia Jakarta –Free Word Template Download with AI

Occupational Therapist Professional Services — Indonesia Jakarta

Quotation Estimate No. QE-OT-JKT-2025-0472
Date of Issue 15 June 2025
Valid Until 15 July 2025 (30 calendar days)
Service Location Indonesia Jakarta — South Jakarta, Kebayoran Baru District
Prepared By PT Sehat Terapi Indonesia — Occupational Therapist Division
Prepared For Client / Receiving Party (Name to be confirmed upon acceptance)

This Quotation Estimate document is formally issued by PT Sehat Terapi Indonesia to provide a comprehensive and transparent financial projection for the engagement of a licensed Occupational Therapist to deliver specialized therapeutic interventions within the Indonesia Jakarta metropolitan area. The purpose of this Quotation Estimate is to outline the scope of services, associated costs, payment schedules, and contractual terms governing the provision of Occupational Therapist services. All pricing presented herein reflects current market rates applicable to the Indonesia Jakarta region as of the date of issue and is subject to the validity period stated above.

The Occupational Therapist engaged under this Quotation Estimate will provide a full spectrum of therapeutic services tailored to the client's specific clinical needs. The scope encompasses the following deliverables to be performed in Indonesia Jakarta:

  • Initial Comprehensive Assessment: A thorough evaluation of the client's functional abilities, daily living skills, cognitive status, and environmental barriers. This assessment will be conducted by a board-certified Occupational Therapist registered with the Indonesian Association of Occupational Therapists (IAOT) and will take place at the client's designated facility in Indonesia Jakarta.
  • Individualized Treatment Planning: Development of a personalized therapeutic program targeting upper limb rehabilitation, fine motor skill restoration, sensory integration, adaptive equipment training, and community reintegration strategies specific to the Indonesia Jakarta urban environment.
  • Weekly Therapeutic Sessions: A minimum of four (4) one-hour Occupational Therapist sessions per week, conducted at the client's residence or approved clinic in Indonesia Jakarta, over a period of twelve (12) weeks.
  • Family and Caregiver Education: Two (2) dedicated sessions per month to train family members and caregivers on home-based exercises, environmental modifications, and ongoing support strategies.
  • Progress Reporting: Monthly written progress reports submitted to the referring physician and the client, documenting functional gains, treatment adjustments, and recommendations for the Indonesia Jakarta-based care team.
  • Adaptive Equipment Consultation: One (1) on-site consultation in Indonesia Jakarta for assessment, recommendation, and fitting of assistive devices and adaptive tools.
Item No. Description of Service Quantity Unit Rate (IDR) Subtotal (IDR)
01 Initial Comprehensive Occupational Therapist Assessment (Indonesia Jakarta) 1 session 1,200,000 1,200,000
02 Individualized Treatment Plan Development 1 deliverable 850,000 850,000
03 Weekly Occupational Therapist Sessions (4 hrs/week × 12 weeks) 48 sessions 950,000 45,600,000
04 Family and Caregiver Education Sessions 24 sessions 600,000 14,400,000
05 Monthly Progress Reports (12 weeks = 3 reports) 3 reports 400,000 1,200,000
06 Adaptive Equipment Consultation and Fitting (Indonesia Jakarta) 1 session 1,500,000 1,500,000
07 Travel and Logistics within Indonesia Jakarta (South, Central, North Jakarta) 12 weeks 350,000 4,200,000
08 Administrative and Documentation Fees 1 package 750,000 750,000
TOTAL ESTIMATED COST (Before VAT 11%) 70,700,000
VAT (11% — Indonesia Standard Rate) 7,777,000
GRAND TOTAL (IDR) 78,477,000
  • A non-refundable deposit of 30% of the Grand Total (IDR 23,543,100) is due within five (5) business days of acceptance of this Quotation Estimate.
  • The remaining 70% shall be invoiced in three (3) equal monthly installments, payable within fourteen (14) calendar days of each invoice date.
  • All payments shall be made via bank transfer to the designated account of PT Sehat Terapi Indonesia, Indonesia Jakarta branch. Payment references must include the Quotation Estimate number QE-OT-JKT-2025-0472.
  • Late payments exceeding fourteen (14) days will incur a penalty of 2% per month on the outstanding balance.
  • This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. Beyond this period, pricing for Occupational Therapist services in Indonesia Jakarta may be subject to revision based on market conditions, regulatory changes, or resource availability.
  • The Occupational Therapist assigned to this engagement must hold a valid license issued by the Indonesian Ministry of Health and be a registered member of the IAOT. The client reserves the right to request a qualified replacement if the assigned therapist is unavailable for more than two consecutive sessions.
  • All services will be delivered in compliance with Indonesian healthcare regulations, the Personal Data Protection Law (UU PDP No. 27/2022), and the professional ethical code of the Occupational Therapist profession in Indonesia Jakarta.
  • Confidentiality: All clinical records, assessment data, and progress reports generated during the engagement are the exclusive property of the client and shall be handled in strict accordance with Indonesian medical confidentiality standards.
  • Cancellation: Should the client wish to cancel the engagement, a written notice of at least fourteen (14) days must be provided. Cancellation fees will be prorated based on sessions already delivered.
  • This Quotation Estimate does not constitute a binding contract until both parties have executed the formal Service Agreement. The terms herein serve as a financial and operational estimate only.
  • Any modifications to the scope of Occupational Therapist services, additional sessions, or changes to the service location within Indonesia Jakarta must be agreed upon in writing and may result in a revised Quotation Estimate.

By signing below, the client acknowledges receipt of this Quotation Estimate for Occupational Therapist services in Indonesia Jakarta and agrees to the terms, conditions, and financial projections outlined in this document. This acceptance authorizes PT Sehat Terapi Indonesia to proceed with scheduling and resource allocation for the described therapeutic program.

Prepared By (Provider)
PT Sehat Terapi Indonesia
Occupational Therapist Division
Indonesia Jakarta
Name: _________________________
Title: Lead Occupational Therapist
Date: _________________________
Accepted By (Client)
Name: _________________________
Organization: _________________________
Address (Indonesia Jakarta): _________________________
Date: _________________________

This Quotation Estimate document (Ref: QE-OT-JKT-2025-0472) is issued exclusively for the engagement of Occupational Therapist services within Indonesia Jakarta. It is not transferable and does not guarantee service delivery until a formal Service Agreement is executed. © 2025 PT Sehat Terapi Indonesia. All rights reserved.

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