Quotation Estimate Physiotherapist in Ivory Coast Abidjan –Free Word Template Download with AI
Professional Physiotherapist Services
Abidjan, Ivory Coast
1. Parties InvolvedService Provider
Abidjan Physiotherapy & Rehabilitation Centre
12 Boulevard de la Paix, Cocody
Abidjan, Ivory Coast
Tel: +225 27 22 45 67 89
Email: [email protected]
RC: CI-ABJ-2019-B-03421
Client / Recipient
[Client Full Name / Organization]
[Street Address]
Abidjan, Ivory Coast
Tel: [Client Phone Number]
Email: [Client Email Address]
NIF: [Tax Identification Number]
2. Scope of Physiotherapist ServicesThis Quotation Estimate is prepared by Abidjan Physiotherapy & Rehabilitation Centre to outline the full range of professional Physiotherapist services to be delivered to the client within the city of Ivory Coast Abidjan. The services described below encompass a comprehensive rehabilitation programme designed to restore mobility, reduce pain, improve functional capacity, and support the long-term physical well-being of the patient. All treatments will be administered by a licensed and certified Physiotherapist registered with the Ivorian Ministry of Health and the National Order of Physiotherapists of Ivory Coast.
3. Itemized Cost Breakdown| Ref | Description of Physiotherapist Service | Duration / Qty | Unit Price (XOF) | Total (XOF) |
|---|---|---|---|---|
| 01 | Initial comprehensive assessment and evaluation by a senior Physiotherapist (including gait analysis, range-of-motion testing, and functional screening) | 1 session (90 min) | 25,000 | 25,000 |
| 02 | Manual therapy and therapeutic massage sessions (joint mobilization, soft-tissue release, myofascial techniques) | 12 sessions (60 min each) | 20,000 | 240,000 |
| 03 | Therapeutic exercise programme and supervised rehabilitation training (strengthening, flexibility, balance, and proprioception drills) | 12 sessions (60 min each) | 18,000 | 216,000 |
| 04 | Electrotherapy and modalities (TENS, ultrasound therapy, interferential current, cryotherapy, and heat therapy as clinically indicated) | 8 sessions (45 min each) | 15,000 | 120,000 |
| 05 | Post-operative rehabilitation and wound-care physiotherapy (if applicable to the patient's surgical history) | 6 sessions (60 min each) | 22,000 | 132,000 |
| 06 | Home-visit Physiotherapist consultation within Abidjan city limits (Cocody, Plateau, Yopougon, Marcory, Treichville) | 4 visits (90 min each) | 35,000 | 140,000 |
| 07 | Custom orthotic and assistive-device fitting and follow-up (braces, insoles, walking aids) | 1 package | 85,000 | 85,000 |
| 08 | Written progress reports and discharge summary prepared by the treating Physiotherapist | 3 reports | 10,000 | 30,000 |
| 09 | Emergency Physiotherapist consultation and acute pain management (on-call availability, 7 days per week) | 1 month coverage | 50,000 | 50,000 |
| Subtotal | 1,038,000 | |||
| VAT (18% – applicable in Ivory Coast) | 186,840 | |||
| GRAND TOTAL (XOF) | 1,224,840 | |||
- This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After the expiry date, all prices are subject to revision based on current market conditions in Ivory Coast Abidjan.
- Payment is due within fourteen (14) days of invoice issuance. A 50% advance payment is required to confirm the booking and reserve the Physiotherapist's schedule.
- Accepted payment methods include bank transfer (Ecobank, BICICI, SGBCI, or any Ivorian commercial bank), mobile money (Orange Money, MTN MoMo, Wave), and certified cheque.
- The Physiotherapist reserves the right to modify the treatment plan based on the patient's clinical progress. Any additional sessions beyond those listed in this Quotation Estimate will be charged at the per-session rates indicated above.
- Cancellations must be communicated at least 24 hours in advance. Sessions cancelled with less than 24 hours' notice will be billed at 50% of the session fee.
- All patient records and clinical data are handled in strict accordance with the Ivorian data-protection regulations and the professional confidentiality code of the National Order of Physiotherapists of Ivory Coast.
- This Quotation Estimate does not constitute a binding contract until both parties have signed and returned a copy. The service agreement will be formalized in a separate service contract.
- Any disputes arising from the interpretation or execution of this Quotation Estimate shall be resolved amicably or, failing that, submitted to the competent courts of Abidjan, Ivory Coast.
By signing below, both parties acknowledge that they have read, understood, and agree to the terms set forth in this Quotation Estimate for Physiotherapist services to be rendered in Ivory Coast Abidjan.
For the Service ProviderAbidjan Physiotherapy & Rehabilitation Centre
Name: ___________________________
Title: Lead Physiotherapist / Director
Date: ___________________________ For the Client
Name: ___________________________
Title: ___________________________ Date: ___________________________ ⬇️ Download as DOCX Edit online as DOCX
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