Quotation Estimate Optometrist in China Beijing –Free Word Template Download with AI
Beijing Vision Care Optometry Center
No. 88 Jianguomenwai Street, Chaoyang District, Beijing, China 100020
Tel: +86-10-6588-2200 | Email: [email protected]
| Quotation Estimate No. | QTE-BJ-2025-0417 | Date of Issue | 17 June 2025 |
| Valid Until | 17 July 2025 (30 days) | Currency | Chinese Yuan (CNY / RMB) |
| Prepared For | Mr. / Ms. [Client Full Name] | Client ID | CL-2025-0893 |
| Service Location | Beijing, China — Chaoyang District Clinic | Optometrist Assigned | Dr. Li Wei, O.D. (Licensed Optometrist, Beijing Municipal Health Commission) |
1. Purpose of This Quotation Estimate
This Quotation Estimate is issued by Beijing Vision Care Optometry Center to provide a comprehensive and itemized financial projection for the full range of Optometrist services to be delivered to the named client at our facility in China Beijing. This document serves as a formal, non-binding estimate of costs associated with diagnostic optometry, corrective lens prescription, and follow-up care. All pricing reflects current rates as of the date of issue and is subject to the terms and conditions outlined herein. The Quotation Estimate is prepared in accordance with the regulatory standards set forth by the Beijing Municipal Health Commission and the National Medical Products Administration of the People's Republic of China.
2. Scope of Optometrist Services
The following services have been assessed and are included in this Quotation Estimate. Each service is performed by a licensed Optometrist registered with the Beijing Optometric Association and holds a valid practice permit issued under the Optometrist Practice Regulations of the People's Republic of China. All clinical procedures are conducted in compliance with the latest national standards for ophthalmic and optometric care in China Beijing.
| No. | Service Description | Duration | Unit Price (CNY) | Qty | Subtotal (CNY) |
|---|---|---|---|---|---|
| 1 | Comprehensive Optometrist Eye Examination (refraction, visual acuity, binocular vision assessment, ocular health screening) | 45 min | ¥ 680.00 | 1 | ¥ 680.00 |
| 2 | Advanced Digital Retinal Imaging & Fundus Photography (Optometrist-supervised) | 20 min | ¥ 450.00 | 1 | ¥ 450.00 |
| 3 | Corneal Topography & Pachymetry (Optometrist diagnostic procedure) | 25 min | ¥ 520.00 | 1 | ¥ 520.00 |
| 4 | Prescription of Custom Single-Vision Lenses (Optometrist-verified prescription, including frame fitting in Beijing clinic) | 30 min | ¥ 1,200.00 | 2 | ¥ 2,400.00 |
| 5 | Progressive / Multifocal Lens Dispensing (Optometrist-fitted, premium lens material) | 40 min | ¥ 2,800.00 | 1 | ¥ 2,800.00 |
| 6 | Contact Lens Fitting & Trial (Optometrist-guided, including 30-day follow-up in China Beijing) | 35 min | ¥ 850.00 | 1 | ¥ 850.00 |
| 7 | Low Vision Assessment & Assistive Device Recommendation (specialized Optometrist consultation) | 30 min | ¥ 780.00 | 1 | ¥ 780.00 |
| 8 | Post-Dispensing Follow-Up Appointment (Optometrist review, lens adjustment, visual performance check) | 20 min | ¥ 350.00 | 2 | ¥ 700.00 |
| 9 | Annual Optometrist Health Monitoring Package (12-month subscription, 4 visits in Beijing) | 12 months | ¥ 3,200.00 | 1 | ¥ 3,200.00 |
| 10 | Administrative & Documentation Fee (medical records, prescription certificates, bilingual reports in Chinese and English) | — | ¥ 150.00 | 1 | ¥ 150.00 |
| Subtotal | ¥ 12,530.00 | ||||
| VAT (6% — Medical Services, PRC) | ¥ 751.80 | ||||
| TOTAL ESTIMATED COST | ¥ 13,281.80 | ||||
3. Terms and Conditions of This Quotation Estimate
3.1 This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, all prices are subject to revision based on prevailing market rates in China Beijing and any changes in government-mandated medical service pricing.
3.2 All Optometrist services listed herein are to be performed at the Beijing Vision Care Optometry Center, Chaoyang District, Beijing, China. Travel or relocation of services to a different location within Beijing or elsewhere in China will incur additional charges not reflected in this estimate.
3.3 The assigned Optometrist, Dr. Li Wei, O.D., holds a valid Optometrist Practice License (No. BJ-OD-2019-04471) issued by the Beijing Municipal Health Commission. In the event of unavailability, a substitute Optometrist of equivalent or higher qualification will be assigned, and the client will be notified in advance.
3.4 Payment is due within fourteen (14) days of acceptance of this Quotation Estimate. Accepted payment methods include bank transfer (CNY), UnionPay, Alipay, and WeChat Pay. International wire transfers in USD or EUR will be converted at the People's Bank of China reference rate on the day of transaction, plus a 2% handling surcharge.
3.5 A 50% deposit is required to confirm the booking of all Optometrist appointments. The remaining balance is payable upon completion of the final service session.
3.6 This Quotation Estimate does not constitute a binding contract. It is a good-faith financial projection. Final invoicing may vary by up to 10% depending on clinical findings that necessitate additional Optometrist procedures not initially anticipated.
3.7 All medical records, prescription documents, and diagnostic imaging generated during the Optometrist consultation are the property of the client and may be requested in digital or printed form at no additional cost.
3.8 This Quotation Estimate is governed by the laws of the People's Republic of China. Any disputes arising from the services described herein shall be resolved through the Beijing Municipal Medical Dispute Mediation Committee.
4. Important Notes for Clients in China Beijing
Note: All Optometrist services in China Beijing require the client to present a valid government-issued identification (Hukou booklet, Resident ID card, or passport with valid visa/residence permit). Foreign nationals residing in Beijing should ensure their residence permit is current prior to scheduling. The Optometrist will verify identity in accordance with the Personal Information Protection Law of the PRC (effective November 2021). All patient data is stored on servers located within mainland China and is subject to the Data Security Law of the People's Republic of China.
5. Acceptance and Authorization
By signing below, the client acknowledges receipt of this Quotation Estimate for Optometrist services in China Beijing and agrees to the terms and conditions stated herein. This signature does not constitute a final contract but indicates the client's intent to proceed with the estimated services.
For Beijing Vision Care Optometry CenterSignature: ______________________________
Name: Dr. Li Wei, O.D.
Title: Lead Optometrist
Date: ______________________________ For the Client
Signature: ______________________________
Name: ______________________________
ID / Passport No.: ______________________________
Date: ______________________________ ⬇️ Download as DOCX Edit online as DOCX
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