Quotation Estimate Orthodontist in Chile Santiago –Free Word Template Download with AI

1. Payment Schedule: The total amount of this Quotation Estimate may be settled through the following options: (a) Full payment upon signing of the treatment agreement; (b) 30% initial deposit with the remaining balance divided into 18 equal monthly installments of $81.333 CLP; or (c) Payment through approved Chilean credit cards (Visa, Mastercard, American Express) with up to 12 interest-free installments. All payments are to be made in Chilean Pesos (CLP) at our Santiago office or via electronic transfer to our designated bank account.

2. Validity of Quotation: This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After this period, prices may be adjusted to reflect changes in material costs, exchange rates, or regulatory updates applicable to orthodontic practices in Santiago, Chile.

3. Treatment Duration: The estimated treatment period is eighteen (18) months from the date of brace placement. The Orthodontist reserves the right to extend or modify the treatment timeline based on clinical progress, patient compliance, and individual anatomical response. Any additional sessions beyond the estimated period will be communicated in writing and require prior client authorization.

4. Cancellation Policy: Should the client decide to discontinue treatment after the initial placement, a non-refundable fee of 40% of the total Quotation Estimate amount will apply. Cancellations prior to the placement of orthodontic appliances are subject to a 10% administrative fee on the initial deposit.

5. Insurance & Coverage: This Quotation Estimate does not include insurance coverage. The client is responsible for verifying orthodontic coverage with their respective Chilean health insurance provider (ISAPRE or FONASA). Our clinic in Santiago can provide the necessary documentation and treatment reports required for insurance claims.

6. Professional Standards: All orthodontic procedures described in this Quotation Estimate will be performed by a board-certified Orthodontist registered with the Colegio de Cirujanos Dentistas de Chile and the Sociedad Chilena de Ortodoncia y Odontofacial (SChOF). The practice adheres to all sanitary regulations established by the Superintendencia de Salud in Santiago, Chile.

7. Confidentiality: All patient records, diagnostic images, and treatment plans are protected under Chilean Law 19.628 on the Protection of Private Life. No information contained in this Quotation Estimate or associated clinical documents will be disclosed to third parties without written consent.