Quotation Estimate Physiotherapist in Vietnam Ho Chi Minh City –Free Word Template Download with AI
128 Nguyen Hue Boulevard, District 1, Vietnam Ho Chi Minh City, 700000
Tel: +84 28 3822 4567 | Email: [email protected]
Business Registration No: 0312345678 | Tax Code: 0312345678-001
Quotation EstimateQuotation Details
Quotation No: QTE-HCM-2025-0472
Date Issued: 15 June 2025
Valid Until: 15 July 2025
Currency: VND (Vietnamese Dong)
Client Information
Client Name: [Client / Company Name]
Address: [Client Address], Vietnam Ho Chi Minh City
Contact Person: [Name]
Email / Phone: [Contact Details]
Dear Valued Client,
Thank you for considering our professional Physiotherapist services at Golden Lotus Physiotherapy & Rehabilitation Center, located in the heart of Vietnam Ho Chi Minh City. This Quotation Estimate has been carefully prepared to outline the scope of physiotherapy services, associated costs, and terms of engagement for your specific rehabilitation and therapeutic needs. Our team of licensed Physiotherapist professionals is committed to delivering world-class care tailored to the diverse health requirements of residents and expatriates in Vietnam Ho Chi Minh City.
The following Quotation Estimate covers a comprehensive package of Physiotherapist services designed to address musculoskeletal injuries, post-surgical rehabilitation, chronic pain management, and general wellness programs. All treatments will be conducted at our fully equipped facility in Vietnam Ho Chi Minh City, utilizing modern therapeutic equipment and evidence-based clinical protocols.
| No. | Service Description | Duration / Frequency | Unit (VND) | Quantity | Subtotal (VND) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment by Senior Physiotherapist (including gait analysis, range of motion testing, and functional evaluation) | 60 minutes | 1,200,000 | 1 | 1,200,000 |
| 2 | Manual Therapy & Joint Mobilization Sessions (performed by licensed Physiotherapist) | 45 min / 3x per week | 950,000 | 12 | 11,400,000 |
| 3 | Therapeutic Exercise & Strengthening Program (supervised by Physiotherapist) | 45 min / 3x per week | 850,000 | 12 | 10,200,000 |
| 4 | Electrotherapy & Ultrasound Treatment (TENS, IFT, therapeutic ultrasound) | 30 min / 2x per week | 700,000 | 8 | 5,600,000 |
| 5 | Post-Surgical Rehabilitation Protocol (customized by lead Physiotherapist) | 60 min / 2x per week | 1,100,000 | 8 | 8,800,000 |
| 6 | Home Exercise Program & Patient Education (written plan + follow-up consultation) | One-time + 2 follow-ups | 500,000 | 1 | 500,000 |
| 7 | Progress Review & Treatment Plan Adjustment by Physiotherapist | 30 min / bi-weekly | 600,000 | 4 | 2,400,000 |
| TOTAL ESTIMATED COST (VND) | 40,100,000 | ||||
| VAT (10%) | 4,010,000 | ||||
| GRAND TOTAL (VND) | 44,110,000 | ||||
- Validity: This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, pricing may be subject to revision based on current market conditions in Vietnam Ho Chi Minh City.
- Payment Terms: A 50% deposit is required upon acceptance of this Quotation Estimate to secure your appointment schedule with our Physiotherapist team. The remaining 50% is due upon completion of the treatment program. Payment may be made via bank transfer, cash, or major credit card at our Vietnam Ho Chi Minh City facility.
- Scheduling: Appointments with our Physiotherapist staff are available Monday through Saturday, from 07:00 to 19:00. Weekend and after-hours sessions may incur an additional 20% surcharge.
- Cancellations: Cancellations must be made at least 24 hours in advance. Late cancellations or no-shows will be charged 50% of the session fee as outlined in this Quotation Estimate.
- Confidentiality: All patient records, treatment plans, and medical information handled by our Physiotherapist team are protected under Vietnamese medical privacy regulations and our internal data protection policies.
- Scope Limitation: This Quotation Estimate covers only the services explicitly listed above. Any additional treatments, imaging referrals, or specialist consultations not included herein will be quoted separately.
- Regulatory Compliance: All Physiotherapist practitioners at our center hold valid licenses issued by the Ministry of Health of Vietnam and operate in full compliance with the healthcare regulations applicable in Vietnam Ho Chi Minh City.
- Liability: The client acknowledges that physiotherapy treatments carry inherent risks. Our Physiotherapist team will obtain informed consent prior to any procedure. The center's liability is limited to the total amount stated in this Quotation Estimate.
By signing below, the client acknowledges receipt and acceptance of this Quotation Estimate for Physiotherapist services at Golden Lotus Physiotherapy & Rehabilitation Center, Vietnam Ho Chi Minh City. The client agrees to all terms and conditions stated herein.
For Golden Lotus Physiotherapy & Rehabilitation Center
Authorized Signatory
Name: Dr. Nguyen Thi Lan, Lead Physiotherapist
Date: _______________
For the Client
Authorized Signatory
Name: ___________________________
Date: _______________
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