Quotation Estimate Physiotherapist in Pakistan Islamabad –Free Word Template Download with AI

Quotation Estimate

Quotation Details

Quotation No: QE-2025-ISB-0347

Date of Issue: 12 June 2025

Valid Until: 12 July 2025 (30 days)

Prepared By: Dr. Ahmed Raza, Lead Physiotherapist

Client Information

Client Name: Mr. Khalid Mahmood

Address: G-13/4, Islamabad, Pakistan Islamabad

Contact: +92-300-XXXXXXX

Referral Source: Dr. Sana Javed, Orthopedic Surgeon, Shifa International Hospital

Dear Mr. Khalid Mahmood,

Thank you for contacting Capital Physiotherapy & Rehabilitation Centre regarding your post-operative rehabilitation needs. This Quotation Estimate has been carefully prepared by our senior Physiotherapist team after a thorough clinical assessment conducted on 10 June 2025 at our facility in Pakistan Islamabad. The following document outlines the comprehensive physiotherapy programme, associated costs, and terms of engagement for your recovery journey.

Scope of Physiotherapist Services

Based on the clinical evaluation, our Physiotherapist has recommended a structured twelve-week rehabilitation programme targeting your right knee arthroplasty recovery. The programme encompasses manual therapy, therapeutic exercises, electrotherapy modalities, gait retraining, and progressive functional strengthening. All sessions will be conducted at our fully equipped clinic in Pakistan Islamabad, where our Physiotherapist staff operates under strict NDC (National Dental Commission) and provincial health authority guidelines.

Itemized Quotation Estimate Breakdown

#	Service / Item Description	Quantity	Unit Rate (PKR)	Subtotal (PKR)	Duration
1	Initial Comprehensive Assessment by Senior Physiotherapist (includes gait analysis, ROM measurement, pain scoring, and treatment plan formulation)	1 session	3,500	3,500	Week 1
2	Manual Therapy & Joint Mobilization Sessions (performed by licensed Physiotherapist)	24 sessions	2,800	67,200	Weeks 1–12
3	Therapeutic Exercise & Progressive Strengthening Programme	24 sessions	2,500	60,000	Weeks 1–12
4	Electrotherapy Modalities (TENS, Ultrasound, Iontophoresis, Laser Therapy)	18 sessions	2,200	39,600	Weeks 1–10
5	Gait Retraining & Functional Mobility Training	12 sessions	3,000	36,000	Weeks 6–12
6	Home Exercise Programme (HEP) Customization & Follow-up Review	4 reviews	1,800	7,200	Weeks 4, 8, 10, 12
7	Custom Orthotic / Knee Brace (if clinically indicated by Physiotherapist)	1 unit	12,000	12,000	Week 2
8	Final Outcome Assessment & Discharge Report (prepared by Lead Physiotherapist)	1 session	3,000	3,000	Week 12
Grand Total (Inclusive of all applicable taxes)				228,500	12 Weeks

Payment Terms & Conditions

This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. Any services commenced after the expiry date will be subject to revised pricing by our Physiotherapist department.
A non-refundable deposit of 25% (PKR 57,125) is required to reserve your treatment slot with our Physiotherapist team in Pakistan Islamabad.
Remaining balance shall be payable in three equal monthly installments: 40% by end of Week 4, 30% by end of Week 8, and 30% by end of Week 12.
Accepted payment methods include bank transfer (HBL, UBL, MCB), JazzCash, EasyPaisa, and major credit/debit cards. All transactions are processed in Pakistani Rupees (PKR).
Each treatment session is scheduled for 45 minutes. Sessions missed without 24-hour prior notice will not be rescheduled at no additional cost.
All Physiotherapist services are delivered in compliance with the Pakistan Physiotherapy Association (PPA) standards and the Islamabad Capital Territory Health Department regulations.
This Quotation Estimate does not include hospitalization, surgical re-intervention, or diagnostic imaging (X-ray, MRI) costs, which will be billed separately if required.
Our clinic operates Monday through Saturday, 08:00 AM to 08:00 PM, in Pakistan Islamabad. Sunday is a non-operational day.
Client data and treatment records are maintained in strict confidence in accordance with the Pakistan Personal Data Protection Act, 2023.

Additional Notes

Please note that the Physiotherapist assigned to your case will be Dr. Ahmed Raza (MPT, Orthopedic Specialization, 12 years of clinical experience) or a designated senior associate from our team. Should any clinical deviation from the planned programme become necessary, a supplementary Quotation Estimate will be issued and requires your written consent before additional charges are applied. Our facility in Pakistan Islamabad is fully wheelchair accessible and equipped with modern rehabilitation technology including isokinetic dynamometers, hydrotherapy pools, and computerized balance training systems.

Authorized Signatory
Dr. Ahmed Raza, Lead Physiotherapist
Capital Physiotherapy & Rehabilitation Centre
Pakistan Islamabad Client Acceptance
Mr. Khalid Mahmood
Signature & Date: _________________________ ⬇️ Download as DOCX Edit online as DOCX

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