Quotation Estimate Occupational Therapist in Israel Jerusalem –Free Word Template Download with AI
Jerusalem Therapy & Rehabilitation Center
12 King David Street, Jerusalem, Israel 97100
Tel: +972-2-555-0142 | Email: [email protected]
VAT No. 51-234-567-8 | License No. OT-IL-2024-0891
Quotation Estimate No.: QE-2025-JER-0472
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared By: Dr. Miriam Levi, Senior Occupational Therapist
Client Name: [Client / Institution Name]
Client Address: [Street, Jerusalem, Israel]
Contact Person: [Name & Title]
Phone / Email: [Contact Details]
1. Purpose of This Quotation Estimate
This Quotation Estimate is issued by Jerusalem Therapy & Rehabilitation Center to provide a comprehensive, itemized financial projection for the provision of professional Occupational Therapist services to the above-named client within the municipality of Israel Jerusalem. This document outlines the full scope of therapeutic interventions, associated costs, scheduling parameters, and contractual terms governing the engagement. All pricing is quoted in New Israeli Shekels (NIS / ILS) and is subject to the standard Value Added Tax (VAT) of 18% as mandated by the Israel Tax Authority.
2. Scope of Occupational Therapist Services
The Occupational Therapist assigned to this engagement will deliver a multidisciplinary program tailored to the client's specific functional, cognitive, and psychosocial needs. Services to be rendered in Israel Jerusalem include, but are not limited to, the following:
- Initial Comprehensive Assessment: A full functional capacity evaluation conducted at the client's residence or at our Jerusalem clinic, including ADL (Activities of Daily Living) analysis, upper-limb dexterity testing, sensory processing screening, and environmental hazard review. Duration: 90 minutes.
- Individualized Treatment Sessions: Weekly one-on-one sessions (50 minutes each) focusing on fine motor rehabilitation, adaptive equipment training, cognitive-behavioral strategies for daily task completion, and home-based activity modification. Frequency: 3 sessions per week for a 12-week cycle.
- Group Therapy Workshops: Bi-weekly small-group sessions (up to 6 participants) addressing social reintegration, community mobility, and vocational retraining. Conducted at the Jerusalem community center facility.
- Home & Workplace Environmental Modification: On-site assessment and recommendation of ergonomic adjustments, grab-bar installations, and adaptive tool procurement for the client's living and working spaces within Israel Jerusalem.
- Caregiver & Family Training: Two dedicated sessions (60 minutes each) to educate family members and support staff on therapeutic techniques, safety protocols, and long-term maintenance strategies.
- Progress Reporting & Re-evaluation: Written progress reports submitted bi-weekly, with a formal re-evaluation at the 6-week and 12-week marks to adjust the treatment plan as clinically indicated.
3. Itemized Cost Breakdown
| No. | Service / Item Description | Quantity | Unit Rate (NIS) | Subtotal (NIS) | Notes |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Occupational Therapist Assessment | 1 | 1,200.00 | 1,200.00 | One-time fee |
| 2 | Individual Treatment Sessions (50 min each) | 36 | 450.00 | 16,200.00 | 3x/week x 12 weeks |
| 3 | Group Therapy Workshop (90 min each) | 6 | 350.00 | 2,100.00 | Bi-weekly, 12 weeks |
| 4 | Home & Workplace Environmental Modification Visit | 2 | 850.00 | 1,700.00 | Includes written report |
| 5 | Caregiver / Family Training Sessions | 2 | 600.00 | 1,200.00 | 60 min each |
| 6 | Progress Reports & Re-evaluations (6-week & 12-week) | 4 | 300.00 | 1,200.00 | Written documentation |
| 7 | Adaptive Equipment Consultation & Procurement Assistance | 1 | 500.00 | 500.00 | Equipment cost excluded |
| 8 | Travel & Logistics within Israel Jerusalem Municipality | 1 | 400.00 | 400.00 | Flat rate, 12 weeks |
| Subtotal (excl. VAT) | 24,500.00 | ||||
| VAT @ 18% (Israel Tax Authority) | 4,410.00 | ||||
| TOTAL AMOUNT DUE (NIS) | 28,910.00 | ||||
4. Payment Terms & Schedule
- Deposit: 25% of the total Quotation Estimate value (NIS 7,227.50) is due upon acceptance to secure the Occupational Therapist's schedule and commence the initial assessment.
- Installment 1: 25% (NIS 7,227.50) due at the completion of Week 4 of the treatment cycle.
- Installment 2: 25% (NIS 7,227.50) due at the completion of Week 8.
- Final Payment: Remaining 25% (NIS 7,227.50) due upon delivery of the final 12-week progress report and re-evaluation summary.
- All payments are to be made via bank transfer to the account of Jerusalem Therapy & Rehabilitation Center, Bank Leumi, Branch Jerusalem, Account No. 001-123456-7. Late payments exceeding 14 days will incur a 1.5% monthly interest charge in accordance with Israeli commercial law.
5. Terms & Conditions
- This Quotation Estimate is valid for 30 calendar days from the date of issue. Beyond this period, pricing may be revised to reflect changes in operational costs, therapist availability, or regulatory updates in Israel Jerusalem.
- The Occupational Therapist assigned to this engagement is a licensed professional registered with the Israel Occupational Therapy Association and holds a valid practice permit issued by the Ministry of Health, State of Israel.
- All services will be conducted in compliance with the Israeli National Health Insurance (Bituach Leumi) guidelines where applicable, and with the client's informed written consent.
- Cancellation of a scheduled session must be communicated at least 48 hours in advance. Sessions cancelled with less than 48 hours' notice will be billed at 50% of the session fee.
- The Occupational Therapist reserves the right to modify the treatment plan based on clinical judgment and client progress. Any significant scope changes will be documented in a supplementary addendum to this Quotation Estimate and require written client approval before additional charges are applied.
- Confidentiality of all client records, assessment data, and therapeutic notes is guaranteed under the Israeli Privacy Protection Law, 5741-1981, and the National Insurance Law provisions regarding medical records.
- This engagement is limited to the 12-week period specified. Extension or continuation of services will require a new Quotation Estimate and mutual written agreement.
- Disputes arising from this agreement shall be governed by the laws of the State of Israel and subject to the exclusive jurisdiction of the competent courts in Israel Jerusalem.
6. Acceptance & Authorization
By signing below, the client acknowledges receipt of this Quotation Estimate, confirms understanding of the scope of Occupational Therapist services to be provided in Israel Jerusalem, and authorizes the commencement of services upon payment of the initial deposit.
Client / Authorized Representative
Name: ___________________________
Signature: _________________________
Date: _____________________________
Jerusalem Therapy & Rehabilitation Center
Name: Dr. Miriam Levi, OT
Signature: _________________________
Date: _____________________________
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