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Quotation Estimate Physiotherapist in Nepal Kathmandu –Free Word Template Download with AI

Kathmandu Physiotherapy & Rehabilitation Centre

Ward 10, Thamel, Kathmandu, Nepal | Phone: +977-1-4412345 | Email: [email protected]

License No: NP-PT-2024-0871 | VAT Reg: 012345678

Quotation No: QE-2025-0412

Date of Issue: 15 June 2025

Valid Until: 15 July 2025

Prepared For:

Mr. Rajesh Shrestha

House No. 45, Lalitpur, Kathmandu Valley, Nepal

Phone: +977-9841234567

1. Purpose of This Quotation Estimate

This Quotation Estimate is issued by Kathmandu Physiotherapy & Rehabilitation Centre to provide a comprehensive and transparent breakdown of costs associated with professional Physiotherapist services to be delivered in Nepal Kathmandu. The purpose of this document is to outline the scope of physiotherapy treatment, the associated fees, the duration of the programme, and all applicable terms and conditions. This Quotation Estimate is prepared in accordance with the standards set by the Nepal Physiotherapy Association and the Department of Health Services, Government of Nepal. All pricing is quoted in Nepalese Rupees (NPR) and is subject to the terms stated herein.

2. Scope of Physiotherapist Services

The following Physiotherapist services are included in this Quotation Estimate for the client's recovery and rehabilitation programme in Nepal Kathmandu:

  • Initial Comprehensive Assessment: A full-body physiotherapy evaluation conducted by a licensed Physiotherapist at our Kathmandu clinic, including gait analysis, range-of-motion testing, muscle strength grading, and pain assessment. Duration: 60 minutes.
  • Manual Therapy Sessions: Hands-on treatment including joint mobilisation, soft tissue massage, myofascial release, and therapeutic stretching performed by a senior Physiotherapist. Duration: 45 minutes per session.
  • Therapeutic Exercise Programme: Customised strengthening, flexibility, and functional movement exercises designed by the Physiotherapist based on the client's specific condition and recovery goals.
  • Electrotherapy & Modalities: Application of TENS, ultrasound therapy, hot/cold packs, and electrical stimulation as prescribed by the treating Physiotherapist.
  • Post-Surgical Rehabilitation: Structured recovery plan for post-operative patients, including wound care guidance, progressive loading, and return-to-activity protocols.
  • Home Exercise Programme & Follow-Up: Written and video-based home exercise instructions provided by the Physiotherapist, along with telephonic follow-up consultations.
3. Itemised Cost Breakdown
# Service Description Quantity Unit Rate (NPR) Total (NPR) Remarks
1 Initial Physiotherapist Assessment & Diagnosis 1 session 2,500 2,500 One-time fee
2 Manual Therapy & Soft Tissue Treatment 12 sessions 1,800 21,600 3x per week
3 Therapeutic Exercise & Functional Training 12 sessions 1,500 18,000 3x per week
4 Electrotherapy & Physiotherapy Modalities 12 sessions 1,200 14,400 As prescribed
5 Post-Surgical Rehabilitation Programme 8 sessions 2,000 16,000 2x per week
6 Home Exercise Programme & Telephonic Follow-Up 4 consultations 800 3,200 Weekly check-ins
7 Physiotherapy Equipment & Consumables (braces, tapes, etc.) 1 lot 5,500 5,500 As needed
8 Progress Review & Final Discharge Report by Physiotherapist 1 session 2,000 2,000 End of programme
Subtotal 83,200
VAT (13%) 10,816
Grand Total (NPR) 94,016
4. Terms and Conditions of This Quotation Estimate
  • This Quotation Estimate is valid for thirty (30) days from the date of issue. After the expiry date, the Physiotherapist service rates may be revised based on prevailing market conditions in Nepal Kathmandu.
  • A minimum advance payment of fifty percent (50%) of the total Quotation Estimate amount is required to confirm the booking and reserve the Physiotherapist's schedule. The remaining balance shall be settled upon completion of the treatment programme.
  • All Physiotherapist sessions are to be conducted at our registered clinic premises in Thamel, Kathmandu, Nepal, unless a home-visit service is specifically requested and approved in writing. Home-visit charges, if applicable, will be added to this Quotation Estimate as a separate line item.
  • The treatment plan and the number of sessions outlined in this Quotation Estimate are based on the initial clinical assessment. The treating Physiotherapist reserves the right to modify the programme based on the patient's progress, and any additional sessions will be billed at the rates specified herein.
  • Cancellations must be communicated at least twenty-four (24) hours in advance. Sessions cancelled without adequate notice will be charged at fifty percent (50%) of the session fee.
  • This Quotation Estimate does not include diagnostic imaging (X-ray, MRI, CT scan), laboratory tests, or surgical procedures. These costs, if required, will be quoted separately by the relevant medical facility in Nepal Kathmandu.
  • All Physiotherapist services are provided by licensed and registered professionals holding valid credentials from the Nepal Physiotherapy Association. The client's medical records and treatment data will be maintained in strict confidence in accordance with Nepal's data protection regulations.
  • Payment may be made via cash, bank transfer (Nabil Bank, Rastriya Banijya Bank), or digital wallet (eSewa, Khalti) to the accounts specified in the final invoice.
  • This Quotation Estimate is non-transferable and is issued exclusively for the named client. Any change in the patient's identity will require a revised Quotation Estimate.
5. Acceptance and Authorisation

By signing below, the client acknowledges that they have read, understood, and accepted all terms and conditions outlined in this Quotation Estimate for Physiotherapist services in Nepal Kathmandu. The undersigned authorises Kathmandu Physiotherapy & Rehabilitation Centre to commence the treatment programme as described herein.

Client Signature

Mr. Rajesh Shrestha

Date: _______________

Authorised Signatory

Dr. Anita Gurung, MPT, BPT

Lead Physiotherapist, Kathmandu

Date: _______________

This Quotation Estimate (QE-2025-0412) is a formal document issued by Kathmandu Physiotherapy & Rehabilitation Centre, Nepal Kathmandu. For queries or clarifications, please contact our office at +977-1-4412345 or email [email protected]. This document is generated electronically and is valid without a physical stamp or seal.

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