Quotation Estimate Optometrist in France Lyon –Free Word Template Download with AI
Professional Optometrist Services — France Lyon
Official Estimate DocumentService Provider
Optique Lyon Vision Centre
124 Rue de la République
69002 Lyon, France
Tel: +33 4 72 00 00 00
Email: [email protected]
SIRET: 842 567 891 00021
Client Information
Client Name: [To be completed]
Address: [To be completed]
City: Lyon, France
Phone: [To be completed]
Email: [To be completed]
CPAM No.: [To be completed]
This Quotation Estimate has been prepared by Optique Lyon Vision Centre, a licensed and accredited Optometrist practice located in the heart of France Lyon. The following document outlines the comprehensive range of optometric services, diagnostic procedures, and corrective lens solutions that will be provided to the client. All services are delivered in strict compliance with the French Public Health Code (Code de la Santé publique) and the regulatory standards set forth by the Ordre National des Opticiens and the regional health authority (ARS Auvergne-Rhône-Alpes) governing Optometrist practices in France Lyon.
| Ref. | Description of Service | Qty | Unit Price (EUR) | Total (EUR) |
|---|---|---|---|---|
| 01 | Comprehensive Optometrist Eye Examination (visual acuity, refraction, binocular vision assessment, ocular health screening) | 1 | 85.00 | 85.00 |
| 02 | Advanced Diagnostic Imaging (optical coherence tomography, retinal photography, corneal topography) performed by the Optometrist team in France Lyon | 1 | 120.00 | 120.00 |
| 03 | Prescription of corrective lenses (single-vision, progressive, or bifocal) with detailed Optometrist prescription documentation | 2 | 45.00 | 90.00 |
| 04 | High-index polycarbonate lenses (1.67 index) with anti-reflective, anti-scratch, and UV400 coatings | 2 | 185.00 | 370.00 |
| 05 | Frame selection and fitting consultation with the Optometrist specialist (titanium or acetate frames, France Lyon exclusive collection) | 1 | 250.00 | 250.00 |
| 06 | Follow-up Optometrist consultation (post-fitting adjustment, visual comfort verification) — scheduled within 30 days | 1 | 40.00 | 40.00 |
| 07 | Annual Optometrist check-up subscription (France Lyon residents) — includes one full examination and priority booking | 1 | 150.00 | 150.00 |
| 08 | Administrative processing and CPAM (French national health insurance) reimbursement documentation | 1 | 15.00 | 15.00 |
| Subtotal (HT — Hors Taxes) | 1,120.00 EUR |
| TVA (VAT) — 20% (French standard rate) | 224.00 EUR |
| CPAM Reimbursement Estimate (approx. 30%) | −336.00 EUR |
| Net Amount Due by Client (TTC) | 1,008.00 EUR |
- This Quotation Estimate is valid for a period of ninety (90) days from the date of issue. After this period, pricing for Optometrist services in France Lyon may be subject to revision based on supplier costs and regulatory updates.
- All Optometrist consultations and procedures described in this document will be performed at our premises located at 124 Rue de la République, 69002 Lyon, France. The practice operates Monday through Saturday, 09:00 to 19:00.
- Payment is due within thirty (30) days of the date of this Quotation Estimate. Accepted payment methods include bank transfer (virement bancaire), credit/debit card, and cheque. A 1.5% monthly late fee applies to overdue balances.
- The CPAM reimbursement estimate provided herein is indicative only. Actual reimbursement amounts are determined by the French national health insurance system and the client’s complementary health insurance (mutuelle) contract. The Optometrist practice in France Lyon will provide all necessary documentation to facilitate the reimbursement process.
- Any modifications to the scope of services outlined in this Quotation Estimate must be agreed upon in writing by both parties. Additional Optometrist services not listed here will be quoted separately.
- This Quotation Estimate does not constitute a binding contract until formally accepted by the client via written signature or electronic confirmation. Upon acceptance, a service agreement will be issued by the Optometrist practice.
- All patient data processed in connection with this Quotation Estimate and subsequent Optometrist services will be handled in full compliance with the French Data Protection Act and the EU General Data Protection Regulation (GDPR/RGPD).
- Warranty: All corrective lenses and frames supplied under this Quotation Estimate carry a twelve-month warranty against manufacturing defects. The Optometrist in France Lyon will perform one complimentary adjustment within the first six months.
- Disputes arising from this Quotation Estimate shall be resolved under the jurisdiction of the Tribunal Judiciaire de Lyon, France, in accordance with French civil law.
By signing below, the client acknowledges receipt of this Quotation Estimate for Optometrist services in France Lyon and agrees to the terms and conditions set forth herein. The service provider confirms that all listed services will be delivered with the professional standard expected of a licensed Optometrist practice registered in France Lyon.
Client Signature & Date
Dr. Claire Moreau — Optometrist, Optique Lyon Vision Centre
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