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Quotation Estimate Physiotherapist in Thailand Bangkok –Free Word Template Download with AI

Professional Physiotherapist Services — Thailand Bangkok

Ref: QTE-BKK-2025-04782 | Valid Until: 30 June 2025

Prepared By:
Siam Wellness Physiotherapy Centre
128 Sukhumvit Road, Soi 21
Khlong Toei Nuea, Watthana
Thailand Bangkok 10110
Tel: +66 2 255 8899
Email: [email protected]
Prepared For:
Mr. James Anderson
45 Riverside Avenue
Ekkamai District
Thailand Bangkok 10110
Tel: +66 89 123 4567
Email: [email protected]
1. Purpose of This Quotation Estimate

This Quotation Estimate has been prepared by Siam Wellness Physiotherapy Centre to provide Mr. James Anderson with a comprehensive and transparent breakdown of costs associated with professional Physiotherapist services delivered within the Thailand Bangkok metropolitan area. This document serves as a formal proposal outlining the scope of treatment, session durations, applicable fees, and all associated terms and conditions. The Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue, after which pricing may be subject to revision based on prevailing market conditions in Thailand Bangkok.

2. Scope of Physiotherapist Services

The following Physiotherapist services are included in this Quotation Estimate. All treatments will be administered by licensed and certified Physiotherapist professionals at our fully equipped clinic located in the heart of Thailand Bangkok, ensuring convenient access for the client:

Item No. Service Description Duration Frequency Unit Price (THB) Total (THB)
01 Initial Comprehensive Assessment by Senior Physiotherapist (includes gait analysis, range-of-motion evaluation, and treatment plan formulation) 60 min 1 session 2,500 2,500
02 Manual Therapy & Joint Mobilisation (cervical and lumbar spine focus) 45 min 8 sessions 1,800 14,400
03 Therapeutic Exercise & Strengthening Programme (individualised) 45 min 8 sessions 1,600 12,800
04 Electrotherapy (TENS, Ultrasound, and Iontophoresis as clinically indicated) 30 min 6 sessions 1,200 7,200
05 Soft Tissue Massage & Myofascial Release 40 min 6 sessions 1,400 8,400
06 Progress Review & Discharge Assessment by Lead Physiotherapist 45 min 1 session 2,000 2,000
07 Home Exercise Programme (printed & digital) with follow-up telehealth check-in — 1 package 800 800
Subtotal (THB) 48,100
VAT (7%) 3,367
Grand Total (THB) 51,467
3. Physiotherapist Qualifications & Credentials

All Physiotherapist professionals assigned to this treatment plan hold a Bachelor's or Master's degree in Physiotherapy from accredited institutions in Thailand Bangkok or internationally recognised universities. Each Physiotherapist is registered with the Physiotherapy Council of Thailand and maintains a valid professional licence. The lead Physiotherapist overseeing this case possesses over twelve years of clinical experience in orthopaedic and sports rehabilitation, having treated thousands of patients in the Thailand Bangkok region. This ensures that the Quotation Estimate reflects not only fair pricing but also the highest standard of clinical expertise available in Thailand Bangkok.

4. Payment Terms & Conditions
  • Payment Schedule: A 50% deposit (THB 25,733.50) is due upon acceptance of this Quotation Estimate. The remaining balance (THB 25,733.50) is payable upon completion of the final session.
  • Accepted Payment Methods: Bank transfer (Siam Commercial Bank, Bangkok branch), credit/debit card (Visa, Mastercard), or cash at the clinic in Thailand Bangkok.
  • Cancellation Policy: Sessions may be rescheduled up to 24 hours in advance at no charge. Cancellations made less than 24 hours prior to a booked Physiotherapist appointment will incur a 50% fee of the session price.
  • Validity: This Quotation Estimate is valid for 30 days from the date of issue. After this period, a revised Quotation Estimate may be required to reflect any changes in service pricing in Thailand Bangkok.
  • Insurance: This Quotation Estimate may be submitted to the client's health insurance provider for partial or full reimbursement. Our Physiotherapist team will provide itemised invoices and treatment reports as required by insurers operating in Thailand Bangkok.
  • Confidentiality: All patient records and treatment details are handled in strict accordance with Thailand's Personal Data Protection Act (PDPA) and the professional ethics code of the Physiotherapy Council of Thailand.
5. Acceptance & Authorisation

By signing below, the client acknowledges and accepts the terms, conditions, and pricing outlined in this Quotation Estimate for Physiotherapist services to be delivered in Thailand Bangkok. The client confirms that the proposed treatment plan has been reviewed and understood, and authorises the Physiotherapist team to commence the outlined programme upon receipt of the initial deposit.

Client Signature Authorised Representative
Name: _________________________

Signature: _________________________

Date: _________________________
Name: Dr. Nattapong Siriwat
Title: Lead Physiotherapist & Clinic Director

Signature: _________________________

Date: _________________________

Siam Wellness Physiotherapy Centre | 128 Sukhumvit Road, Soi 21, Khlong Toei Nuea, Watthana, Thailand Bangkok 10110

Tel: +66 2 255 8899 | Email: [email protected] | VAT Reg. No: 0105559876543

This Quotation Estimate is a formal commercial document. For queries regarding this Physiotherapist service quotation in Thailand Bangkok, please contact our billing department during business hours (Monday to Saturday, 08:00–18:00 ICT).

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