Quotation Estimate Ophthalmologist in Senegal Dakar –Free Word Template Download with AI

This Quotation Estimate is issued by Dakar Vision Care & Ophthalmology Centre to provide a comprehensive and transparent breakdown of professional Ophthalmologist services to be rendered in Senegal Dakar. The purpose of this document is to outline the scope of ophthalmological care, associated diagnostic procedures, surgical interventions, and follow-up consultations that our qualified Ophthalmologist team will deliver to the requesting client or institution within the greater Dakar metropolitan area. All pricing is quoted in West African CFA Francs (XOF) and reflects current market rates for specialist ophthalmic services in Senegal Dakar as of the date of issue.

The following Ophthalmologist services are included in this Quotation Estimate for delivery in Senegal Dakar. Each service is performed by a board-certified Ophthalmologist with a minimum of ten years of clinical experience in ophthalmic surgery and patient management.

• This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, the Ophthalmologist service fees may be subject to revision based on updated pricing in Senegal Dakar.
• All Ophthalmologist procedures will be performed at our fully accredited facility located in the Plateau district of Dakar, Senegal, in compliance with the standards set by the Senegalese Ministry of Health and the West African Health Organisation (WAHO).
• Payment terms: Fifty percent (50%) of the total Quotation Estimate amount is due upon acceptance as a deposit. The remaining fifty percent (50%) is payable within seven (7) business days following the completion of the primary Ophthalmologist surgical procedure.
• Accepted payment methods include bank transfer to our account at Ecobank Senegal (IBAN: SN09 1000 2050 0012 3456 7890 123), mobile money (Orange Money / Wave), or certified cheque payable to Dakar Vision Care & Ophthalmology Centre.
• The Ophthalmologist team reserves the right to modify the surgical plan intraoperatively if clinical findings necessitate additional interventions. Any such modifications will be communicated to the client or their authorised representative prior to proceeding, and a supplementary Quotation Estimate will be issued for approval.
• All patient data and medical records generated during the course of these Ophthalmologist services in Senegal Dakar are protected under Senegalese data privacy legislation (Law No. 2008-12 of 25 January 2008) and will not be disclosed to third parties without written consent.
• This Quotation Estimate does not constitute a binding contract until formally accepted in writing by both parties. Acceptance may be communicated via signed copy of this document or via a formal purchase order referencing Quotation No. QTE-DKR-2025-0412.

The lead Ophthalmologist for this engagement is Dr. Awa Ndiaye, MD, FRCS (Ophth), a specialist in cataract and refractive surgery with over fifteen years of practice in Senegal Dakar. She is a member of the Senegalese Society of Ophthalmology (SénOph) and the African Association of Ophthalmologists (AAO). Our facility in Dakar is equipped with state-of-the-art phacoemulsification machines, OCT imaging systems, and a fully sterile operating theatre that meets international WHO surgical safety standards.

By signing below, the client acknowledges receipt of this Quotation Estimate for Ophthalmologist services in Senegal Dakar and agrees to the terms and conditions outlined herein.