Quotation Estimate Optometrist in Chile Santiago –Free Word Template Download with AI
Professional Optometrist Services & Vision Care Center
Av. Providencia 1234, Of. 501, Providencia, Santiago, Chile
Phone: +56 2 2345 6789 | Email: [email protected]
RUT: 76.543.210-K | Registro Sanitario: RS-2024-0891
Quotation EstimateQuotation Details
Quotation No.: QE-2025-04782
Date of Issue: 15 June 2025
Valid Until: 15 July 2025 (30 days)
Service Location: Santiago, Chile
Currency: Chilean Pesos (CLP)
Client Information
Client Name: [Full Name / Company Name]
RUT / Tax ID: [XXXXXXXXX-X]
Address: [Street, Commune, Santiago, Chile]
Phone: [Contact Number]
Email: [Email Address]
Dear Valued Client,
Thank you for considering Visión Andina Optometría for your comprehensive vision care needs in Santiago, Chile. This Quotation Estimate has been carefully prepared by our licensed Optometrist team to provide you with a transparent and detailed breakdown of all professional optometric services, diagnostic procedures, and corrective solutions available at our Santiago clinic. We are committed to delivering the highest standard of eye care in the Metropolitan Region of Chile, and this document reflects our dedication to clarity and fairness in all our pricing.
The following Quotation Estimate encompasses a full range of Optometrist services tailored to your specific visual requirements. All procedures will be performed by a certified Optometrist registered with the Colegio de Ópticos de Chile and will take place at our fully equipped clinic in the Providencia commune of Santiago. The services include comprehensive diagnostic assessments, prescription of corrective lenses, and follow-up consultations as needed.
| # | Description of Optometrist Service | Quantity | Unit Price (CLP) | Subtotal (CLP) |
|---|---|---|---|---|
| 1 | Comprehensive Optometrist Eye Examination (including visual acuity testing, refraction, and binocular vision assessment) | 1 | $38.000 | $38.000 |
| 2 | Advanced Optometrist Diagnostic: Tonometry and Intraocular Pressure Measurement | 1 | $15.000 | $15.000 |
| 3 | Optometrist Fundus Examination with Digital Retinal Imaging | 1 | $22.000 | $22.000 |
| 4 | Optometrist Corneal Topography and Pachymetry Analysis | 1 | $28.000 | $28.000 |
| 5 | Optometrist Presbyopia Assessment and Progressive Lens Fitting | 1 | $18.000 | $18.000 |
| 6 | Optometrist Binocular Vision Therapy Session (initial evaluation and treatment plan) | 3 | $32.000 | $96.000 |
| 7 | Optometrist Contact Lens Fitting and Trial (soft lenses, Santiago clinic) | 1 | $25.000 | $25.000 |
| 8 | Optometrist Follow-Up Consultation (post-treatment review, Santiago, Chile) | 2 | $20.000 | $40.000 |
| 9 | Optometrist Prescription for Corrective Lenses (single vision, standard lenses) | 1 | $12.000 | $12.000 |
| 10 | Optometrist Visual Field Test (perimetry) for peripheral vision assessment | 1 | $20.000 | $20.000 |
| Subtotal (CLP) | $314.000 |
| IVA (19% - Chilean VAT) | $59.660 |
| Grand Total (CLP) | $373.660 |
Terms and Conditions of this Quotation Estimate
- Validity: This Quotation Estimate for Optometrist services in Santiago, Chile is valid for 30 days from the date of issue. After this period, prices may be subject to revision based on current market conditions and regulatory updates in Chile.
- Payment Terms: Payment is due within 15 business days from the date of acceptance of this Quotation Estimate. Accepted payment methods include bank transfer (transferencia bancaria), credit/debit card, and cash at our Santiago clinic. A 2% discount applies for full payment within 5 business days.
- Scheduling: Upon acceptance of this Quotation Estimate, our Optometrist team in Santiago will contact you within 48 hours to schedule your initial comprehensive eye examination. Appointments are available Monday through Friday, 08:00 to 19:00, and Saturday 09:00 to 14:00.
- Cancellation Policy: Appointments may be rescheduled up to 24 hours in advance without charge. Cancellations made less than 24 hours before the scheduled Optometrist session will incur a 50% fee of the corresponding service.
- Confidentiality: All patient data and Optometrist diagnostic records are handled in strict accordance with Chilean Law 19.628 on the Protection of Private Life and applicable data protection regulations.
- Warranty: All Optometrist prescriptions and lens fittings are covered by a 90-day adjustment warranty from the date of delivery at our Santiago, Chile location.
- Regulatory Compliance: All Optometrist services are performed in compliance with the regulations established by the Superintendencia de Salud de Chile and the Colegio de Ópticos de Chile.
- Acceptance: This Quotation Estimate becomes a binding agreement upon written acceptance by the client. No services will be rendered until a signed copy of this document is returned to our office in Santiago.
Dr. Carolina Fuentes Mardones
Certified Optometrist, Visión Andina
Santiago, Chile Accepted by Client:
Name: _________________________
RUT: _________________________
Date: _________________________ ⬇️ Download as DOCX Edit online as DOCX
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