Quotation Estimate Ophthalmologist in Ghana Accra –Free Word Template Download with AI
Professional Ophthalmologist Services — Ghana Accra
Issued By
Accra Vision & Eye Care Centre
12 Independence Avenue, Osu
Accra, Ghana
Tel: +233 30 277 4521
Email: [email protected]
GRA TIN: 00123-4567-890
Prepared For
Client Name: [Client / Organization Name]
Address: [Client Address, Accra, Ghana]
Contact: [Phone Number]
Email: [Client Email]
Ghana Card / ID No.: [ID Number]
This Quotation Estimate is issued by Accra Vision & Eye Care Centre, a licensed and accredited ophthalmology practice located in the heart of Ghana Accra, to provide a comprehensive and transparent breakdown of all anticipated costs associated with the delivery of specialized Ophthalmologist services to the client named above. This document serves as a formal, non-binding estimate of fees and is intended to assist the client in making an informed financial decision regarding the proposed scope of ophthalmic care. All pricing reflects the current market rates for Ophthalmologist consultations, diagnostics, and procedures as practiced in Ghana Accra for the 2025 fiscal year.
The following table itemizes each service, procedure, and associated cost that forms part of this Quotation Estimate. The Ophthalmologist team at our Ghana Accra facility will deliver all listed services in accordance with the standards set by the Ghana Health Service and the West African College of Surgeons (Ophthalmology Division).
| # | Description of Ophthalmologist Service | Quantity | Unit Rate (GH₵) | Total (GH₵) |
|---|---|---|---|---|
| 1 | Comprehensive Ophthalmologist Consultation & Visual Acuity Assessment | 1 session | 850.00 | 850.00 |
| 2 | Dilated Fundus Examination & Optical Coherence Tomography (OCT) Scan | 1 session | 1,200.00 | 1,200.00 |
| 3 | Intraocular Pressure Measurement (Tonometry) & Gonioscopy | 1 session | 450.00 | 450.00 |
| 4 | Anterior Segment Biometry & Refractive Error Analysis | 1 session | 600.00 | 600.00 |
| 5 | Cataract Surgery (Phacoemulsification with IOL Implantation) — per eye | 2 eyes | 7,500.00 | 15,000.00 |
| 6 | Post-Operative Ophthalmologist Follow-Up Visits (Weeks 1, 2, 4, 6, 8) | 5 visits | 350.00 | 1,750.00 |
| 7 | Prescription of Post-Operative Medications & Eye Drops (30-day supply) | 1 package | 950.00 | 950.00 |
| 8 | Custom Prescription Spectacles (Single-Vision Lenses, Standard Frame) | 1 pair | 1,800.00 | 1,800.00 |
| 9 | Emergency Ophthalmologist On-Call Coverage (24/7, 30-day period) | 1 month | 2,500.00 | 2,500.00 |
| 10 | Administrative & Facility Usage Fees (Accra, Ghana location) | 1 charge | 500.00 | 500.00 |
| Subtotal (GH₵) | 35,600.00 | |||
| VAT @ 15% (Ghana Revenue Authority) | 5,340.00 | |||
| Grand Total (GH₵) | 40,940.00 | |||
3.1 Validity: This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After this period, the Ophthalmologist fees and associated costs may be subject to revision based on changes in medical supply pricing, exchange rates, or regulatory adjustments within Ghana Accra.
3.2 Payment Terms: A non-refundable deposit of fifty percent (50%) of the Grand Total is required to confirm the booking and secure the Ophthalmologist schedule. The remaining fifty percent (50%) shall be settled within seven (7) business days following the completion of all procedures. Payments may be made via bank transfer to our designated account at Ecobank Ghana, Accra branch, or by certified cheque.
3.3 Cancellation Policy: Should the client wish to cancel the scheduled Ophthalmologist services, a written notice must be provided at least fourteen (14) days prior to the scheduled procedure date. Cancellations within fourteen days will incur a fee of twenty-five percent (25%) of the total Quotation Estimate value.
3.4 Scope Limitations: This Quotation Estimate covers only the services explicitly listed in Section 2. Any additional diagnostics, complications, or ancillary procedures identified during the course of treatment by the Ophthalmologist will be communicated to the client in writing and will be billed separately at the prevailing rates of our Ghana Accra facility.
3.5 Regulatory Compliance: All Ophthalmologist services rendered under this estimate are performed in full compliance with the regulations of the Ghana Health Service, the Medical and Dental Council of Ghana, and applicable national healthcare legislation. Our facility in Ghana Accra holds a valid operating licence (Licence No. GHS-OPH-2024-0187).
3.6 Confidentiality: All patient records, diagnostic imaging, and clinical data generated during the delivery of these Ophthalmologist services shall be treated as strictly confidential in accordance with Ghana's Data Protection Act, 2012 (Act 843).
Note: This Quotation Estimate does not constitute a binding contract. It is a good-faith estimate prepared by the Ophthalmologist team at Accra Vision & Eye Care Centre, Ghana Accra, for the client's financial planning purposes. A formal service agreement will be executed upon the client's written acceptance of this estimate.By signing below, the client acknowledges receipt of this Quotation Estimate and confirms that the Ophthalmologist services described herein are understood and accepted at the quoted rates. The Ophthalmologist and the facility management in Ghana Accra confirm their readiness to deliver the services as outlined.
For: Accra Vision & Eye Care Centre
Dr. Kwame Asante, Consultant Ophthalmologist
Date: ____________________
For: Client / Authorized Representative
Name: ____________________
Date: ____________________
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