Quotation Estimate Optometrist in Spain Valencia –Free Word Template Download with AI
Professional Optometrist Services — Spain Valencia
OFFICIAL ESTIMATEOptometrist Practice
Clínica Óptica Valencia
Calle Colón, 45, 2ºB
46004 Valencia, Spain
Tel: +34 963 123 456
Email: [email protected]
NIF: B-46000000
Client Information
Name: [Client Full Name]
Address: [Client Address]
City: Valencia, Spain
Postcode: 46000
Phone: [Client Phone]
Email: [Client Email]
Quotation Reference: QE-VAL-2025-00487 Date of Issue: 15 June 2025 Valid Until: 15 July 2025 (30 days) Prepared By: Dr. María López, Optometrist Specialty: Comprehensive Eye Care Location: Spain ValenciaThis Quotation Estimate has been prepared by our licensed Optometrist team at Clínica Óptica Valencia, located in the heart of Spain Valencia, to provide you with a transparent and detailed breakdown of the professional optometric services you have requested. All pricing is expressed in Euros (EUR) and includes applicable VAT (IVA) at the current rate of 21% as regulated by the Spanish tax authority (Agencia Tributaria).
| Ref | Service Description | Quantity | Unit Price (EUR) | Subtotal (EUR) |
|---|---|---|---|---|
| 01 | Comprehensive Optometrist Eye Examination (visual acuity, refraction, binocular vision assessment) | 1 | € 65.00 | € 65.00 |
| 02 | Automated Keratometry & Corneal Topography Mapping | 1 | € 45.00 | € 45.00 |
| 03 | Non-Contact Intraocular Pressure Measurement (Tonometry) | 1 | € 30.00 | € 30.00 |
| 04 | Dilated Fundus Examination with Digital Retinal Photography | 1 | € 55.00 | € 55.00 |
| 05 | Binocular Vision & Ocular Motility Assessment | 1 | € 40.00 | € 40.00 |
| 06 | Optical Dispensing & Frame Fitting (premium frame included) | 1 | € 180.00 | € 180.00 |
| 07 | Single-Vision Lenses (1.60 index, anti-reflective & blue-light coating) | 2 | € 95.00 | € 190.00 |
| 08 | Follow-up Appointment (4 weeks post-dispensing, included with Optometrist) | 1 | € 0.00 | € 0.00 |
| 09 | Written Optometrist Report & Prescription for Spain Valencia Health Authority | 1 | € 20.00 | € 20.00 |
| TOTAL (including 21% IVA / VAT) | € 720.00 | |||
- Validity: This Quotation Estimate shall remain valid for thirty (30) days from the date of issue. After this period, prices may be adjusted to reflect current market rates in Spain Valencia.
- Payment Terms: Full payment is due upon completion of the Optometrist consultation and dispensing. We accept bank transfer (SEPA), credit/debit card (Visa, Mastercard), and cash. A 15% deposit is required to reserve your appointment slot.
- Cancellation Policy: Appointments may be rescheduled up to 48 hours in advance at no charge. Cancellations within 48 hours or no-shows will incur a fee of 50% of the total Quotation Estimate value.
- Warranty: All lenses and frames dispensed by our Optometrist practice carry a 12-month warranty against manufacturing defects. The warranty does not cover damage caused by misuse, accidents, or normal wear.
- Confidentiality: All patient data is processed in strict accordance with the Spanish Organic Law 3/2018 (LOPDGDD) and the EU General Data Protection Regulation (GDPR). Your optometric records will be stored securely at our Spain Valencia premises.
- Regulatory Compliance: This Quotation Estimate and all associated services are governed by the laws of the Kingdom of Spain. Any disputes shall be resolved under the jurisdiction of the Courts of Valencia, Spain.
- Refunds: Custom-made lenses are non-refundable once the manufacturing process has commenced. Frame returns are accepted within 14 days in original condition.
- Insurance: This Quotation Estimate does not include insurance billing. Please contact your private health insurer (Seguro Médico) prior to the appointment to confirm coverage for Optometrist services in Spain Valencia.
By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions outlined above. The Optometrist practice at Clínica Óptica Valencia, Spain Valencia, will proceed with scheduling the services upon receipt of the required deposit.
Client Signature
Name: _________________________
Date: _________________________
Optometrist / Practice Representative
Dr. María López, Optometrist
Clínica Óptica Valencia, Spain
Date: _________________________
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