Quotation Estimate Optometrist in Russia Moscow –Free Word Template Download with AI
Professional Optometrist Services | 12 Tverskaya Street, Moscow, 101000, Russian Federation
Tel: +7 (495) 123-4567 | Email: [email protected] | INN: 7701234567
Quotation EstimateQuotation Details
Quotation No.: QTE-2025-04871
Date Issued: 15 June 2025
Valid Until: 15 July 2025 (30 days)
Currency: Russian Ruble (RUB)
Optometrist Services
Client Information
Client Name: [Client Full Name]
Address: [Client Address], Moscow, Russia
Phone: [Client Phone Number]
Email: [Client Email]
Passport / ID No.: [Document Number]
Dear Valued Client,
Thank you for considering OptiVision Moscow Clinic for your comprehensive eye care needs. This Quotation Estimate has been prepared specifically for the full range of Optometrist services available at our facility located in the heart of Russia Moscow. Our team of certified optometrists and ophthalmic specialists is committed to delivering world-class vision care in accordance with the highest standards of the Russian Federation's healthcare regulations. Please review the itemized services and pricing below carefully.
| No. | Service Description | Optometrist / Specialist | Duration | Unit Price (RUB) | Qty | Total (RUB) |
|---|---|---|---|---|---|---|
| 1 | Comprehensive Optometrist Eye Examination (refraction, visual acuity, color vision, binocular function) | Lead Optometrist | 45 min | 4,500 | 1 | 4,500 |
| 2 | Advanced Digital Retinal Imaging (OCT + Fundus Photography) | Optometrist / Ophthalmologist | 30 min | 6,200 | 1 | 6,200 |
| 3 | Intraocular Pressure Measurement (Non-Contact Tonometry) | Optometrist | 10 min | 1,800 | 1 | 1,800 |
| 4 | Corneal Topography & Keratometry Analysis | Senior Optometrist | 20 min | 3,900 | 1 | 3,900 |
| 5 | Binocular Vision Assessment & Vision Therapy Consultation | Optometrist (Vision Therapy) | 40 min | 5,500 | 1 | 5,500 |
| 6 | Prescription Lenses Fitting (Single Vision, Premium Index 1.67) | Optometrist / Dispensing Specialist | 30 min | 12,000 | 2 | 24,000 |
| 7 | Frame Selection & Fitting (Designer Frame, Russia Moscow exclusive collection) | Optometrist / Optician | 25 min | 8,500 | 1 | 8,500 |
| 8 | Follow-Up Optometrist Review (4 weeks post-fitting) | Optometrist | 20 min | 2,500 | 1 | 2,500 |
| 9 | Annual Eye Health Screening Package (Russia Moscow residents, subsidized rate) | Optometrist | 60 min | 7,800 | 1 | 7,800 |
| 10 | Low Vision Assessment & Assistive Device Recommendation | Specialist Optometrist | 35 min | 4,200 | 1 | 4,200 |
| Subtotal (RUB): | 69,000 | |||||
| VAT 20% (Russia Moscow Federal Tax): | 13,800 | |||||
| Grand Total (RUB): | 82,800 | |||||
Terms & Conditions of This Quotation Estimate
- This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After the expiry date, pricing for Optometrist services may be subject to revision based on current market conditions in Russia Moscow.
- All prices are quoted in Russian Rubles (RUB) and include applicable Value Added Tax (VAT) at the current federal rate of 20% as regulated by the Ministry of Finance of the Russian Federation.
- Payment is due within fourteen (14) days of acceptance of this Quotation Estimate. Accepted payment methods include bank transfer to the clinic's account in Moscow, cash payment at the reception, and major credit/debit cards.
- All Optometrist consultations and procedures listed in this estimate must be scheduled in advance. Appointments are available Monday through Saturday, 09:00 to 20:00, at our clinic on Tverskaya Street, Russia Moscow.
- The client acknowledges that all diagnostic and corrective services will be performed by licensed and certified optometrists registered with the Russian Medical Chamber. Full professional indemnity insurance is maintained by the clinic.
- Any additional services not explicitly listed in this Quotation Estimate will be quoted separately and require written client approval prior to commencement.
- This Quotation Estimate does not constitute a binding contract until formally accepted by both parties via signature or written electronic confirmation.
- The clinic reserves the right to substitute equivalent or superior equipment and materials without prior notice, provided the clinical outcome and quality of Optometrist care remain at or above the standard described herein.
- Client personal data collected in connection with this Quotation Estimate shall be processed in strict compliance with Federal Law No. 152-FZ "On Personal Data" of the Russian Federation.
- For any disputes arising from this Quotation Estimate, the parties agree to first attempt resolution through good-faith negotiation. Unresolved matters shall be subject to the jurisdiction of the Arbitration Court of the City of Moscow, Russia.
Prepared by (OptiVision Moscow Clinic):
Dr. Elena V. SokolovaLead Optometrist & Clinic Director
License No. ЛО-77-01-00XXXX
Date: _______________
Accepted by (Client):
[Client Full Name]Signature: _______________
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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