Quotation Estimate Physiotherapist in Germany Berlin –Free Word Template Download with AI
Physiotherapist Services | Alexanderplatz 12, 10178 Germany Berlin | Tel: +49 30 1234 5678 | Email: [email protected]
USt-IdNr: DE123456789 | Licensed Physiotherapist Practice – Chamber of Physiotherapists, Germany Berlin
Quotation EstimateQuotation Estimate Details
Quotation Estimate No.: QE-2025-BER-0472
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared By: Dr. Markus Weber, Lead Physiotherapist
Location: Germany Berlin, Mitte District
Client Information
Client Name: [Client Full Name]
Address: [Client Address], Germany Berlin
Insurance Provider: [Insurance Company Name]
Policy / Referral No.: [Reference Number]
Referring Physician: Dr. [Name], Charité – Universitätsmedizin Berlin
This Quotation Estimate has been prepared by our licensed Physiotherapist team at the Berlin Physiotherapy & Rehabilitation Center, located in the heart of Germany Berlin. The purpose of this document is to provide a comprehensive, transparent, and itemized breakdown of all anticipated costs associated with the physiotherapy treatment plan recommended for the client. All pricing reflects current 2025 fee schedules applicable in Germany Berlin and complies with the German Physiotherapists' Association (VDB) guidelines and the applicable regional tariff structures of the Berlin Senate Department for Health.
Following a thorough initial assessment conducted by our senior Physiotherapist, Dr. Markus Weber, the following treatment programme has been designed specifically for the client's diagnosed condition. This Quotation Estimate covers a full course of therapy spanning approximately eight weeks, with sessions scheduled two to three times per week at our clinic in Germany Berlin. The Physiotherapist will tailor each session to the client's evolving progress, incorporating manual therapy, therapeutic exercise, electrotherapy, and functional rehabilitation as clinically indicated.
| No. | Service Description | Quantity | Unit Price (EUR) | Subtotal (EUR) | Notes |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment by Lead Physiotherapist | 1 session | € 85.00 | € 85.00 | Includes gait analysis, ROM testing, and treatment plan formulation |
| 2 | Manual Therapy & Joint Mobilisation (Physiotherapist-led) | 16 sessions | € 72.00 | € 1,152.00 | 45-minute sessions; 2x per week for 8 weeks |
| 3 | Therapeutic Exercise & Functional Training Programme | 16 sessions | € 65.00 | € 1,040.00 | Individualised exercise prescription by Physiotherapist |
| 4 | Electrotherapy / TENS / Ultrasound Application | 8 sessions | € 45.00 | € 360.00 | Supplementary modality as directed by Physiotherapist |
| 5 | Postural Re-education & Ergonomic Counselling | 4 sessions | € 55.00 | € 220.00 | Includes home exercise programme booklet |
| 6 | Progress Review & Discharge Assessment by Physiotherapist | 1 session | € 60.00 | € 60.00 | Final report to referring physician in Germany Berlin |
| 7 | Home Visit by Physiotherapist (if required, Germany Berlin area) | 2 visits | € 95.00 | € 190.00 | Travel within Berlin city limits; subject to availability |
| 8 | Therapeutic Taping & Orthotic Fitting | 1 package | € 120.00 | € 120.00 | Materials and application by qualified Physiotherapist |
| Subtotal (before VAT): | € 3,227.00 | ||||
| VAT (19% – Germany Berlin standard rate): | € 613.13 | ||||
| TOTAL AMOUNT DUE: | € 3,840.13 | ||||
Please note that this Quotation Estimate reflects the full private-pay rate for Physiotherapist services in Germany Berlin. If the client holds statutory health insurance (Gesetzliche Krankenversicherung) or private health insurance (Private Krankenversicherung) with a valid physician's prescription (Ärztliche Verordnung), a significant portion of the costs outlined in this Quotation Estimate may be reimbursed. Our billing department in Germany Berlin will coordinate directly with the client's insurance provider to process any applicable claims. The Physiotherapist will provide all necessary documentation, including treatment reports and ICD-10 diagnostic codes, to facilitate a smooth reimbursement process under German healthcare regulations.
1. Validity: This Quotation Estimate is valid for 30 calendar days from the date of issue. After this period, prices may be adjusted to reflect any changes in the Germany Berlin physiotherapy fee schedule or material costs.
2. Scheduling: The Physiotherapist will confirm all appointment times in writing. Sessions cancelled with less than 24 hours' notice will be charged at 50% of the session fee as outlined in this Quotation Estimate.
3. Payment Terms: Invoices will be issued bi-weekly. Payment is due within 14 days of invoice date via bank transfer to our account in Germany Berlin. A late-payment surcharge of 1.5% per month applies to overdue balances.
4. Scope Changes: Should the Physiotherapist determine during treatment that additional sessions or modalities are clinically necessary, a supplementary Quotation Estimate will be issued and must be approved in writing by the client before any additional services are rendered.
5. Confidentiality: All patient data processed in connection with this Quotation Estimate and subsequent treatment is handled in strict accordance with the German Federal Data Protection Act (BDSG) and the EU General Data Protection Regulation (GDPR).
6. Liability: The Physiotherapist and the Berlin Physiotherapy & Rehabilitation Center shall not be held liable for any adverse outcomes arising from the client's failure to follow prescribed home exercise programmes or post-treatment instructions.
7. Governing Law: This Quotation Estimate and any resulting contractual relationship shall be governed by the laws of the Federal Republic of Germany, with jurisdiction in the competent courts of Germany Berlin.
By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions set forth herein for the Physiotherapist services to be provided in Germany Berlin. The client confirms that the treatment plan described has been explained in full by the treating Physiotherapist and that all questions regarding scope, cost, and expected outcomes have been satisfactorily addressed.
For the Berlin Physiotherapy & Rehabilitation Center
Dr. Markus Weber, Lead Physiotherapist
Signature: ___________________________
Date: ___________________________
Client Acknowledgement
Name: ___________________________
Signature: ___________________________
Date: ___________________________
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