Quotation Estimate Psychiatrist in Egypt Cairo –Free Word Template Download with AI

Quotation Estimate No.: QTE-2025-0417 Date of Issue: 15 June 2025 Valid Until: 15 July 2025 Prepared For: [Client Name / Organization]

This Quotation Estimate is issued by Cairo Mental Health & Psychiatry Center, a fully licensed and accredited psychiatric facility located in the heart of Egypt Cairo. We are pleased to present this detailed cost estimate for comprehensive Psychiatrist services tailored to the specific clinical and organizational needs of the requesting party. Our team of board-certified Psychiatrist professionals operates in accordance with the Egyptian Ministry of Health regulations and international standards of psychiatric care.

The scope of this Quotation Estimate covers outpatient psychiatric consultations, diagnostic assessments, pharmacological management, psychotherapy sessions, and follow-up care. All services are delivered by a qualified Psychiatrist or a multidisciplinary psychiatric team at our facility in Egypt Cairo, ensuring accessibility, confidentiality, and the highest standard of mental health care.

#	Service Description	Quantity / Duration	Unit Price (EGP)	Subtotal (EGP)	Notes
1	Initial Psychiatrist Consultation & Comprehensive Psychiatric Evaluation	1 session (90 min)	2,500	2,500	Includes full history, mental status exam
2	Psychiatric Diagnostic Assessment (including neuropsychological testing)	1 session (120 min)	3,800	3,800	Administered by senior Psychiatrist
3	Follow-up Psychiatrist Consultation (medication management & progress review)	6 sessions (45 min each)	1,800	10,800	Bi-weekly over 12 weeks
4	Individual Psychotherapy (CBT / Psychodynamic) conducted by licensed therapist under Psychiatrist supervision	12 sessions (60 min each)	1,500	18,000	Weekly schedule
5	Psychiatric Medication Prescription & Pharmacy Coordination (first month supply)	1 month	4,200	4,200	Subject to Egyptian drug pricing
6	Psychiatric Laboratory & Diagnostic Workup (blood panels, thyroid, metabolic, ECG)	1 package	3,500	3,500	Performed at accredited Cairo lab
7	Psychiatric Crisis / Emergency Consultation (on-call Psychiatrist availability, 24/7)	3 months coverage	5,000	15,000	Up to 3 emergency visits included
8	Psychiatric Case Management & Care Coordination (referrals, family sessions, discharge planning)	3 months	2,000	6,000	Dedicated care coordinator
9	Psychiatric Report & Documentation (for insurance, legal, or employer purposes)	2 reports	1,200	2,400	Sealed & signed by attending Psychiatrist
10	Administrative & Facility Fees (registration, record-keeping, facility usage in Egypt Cairo clinic)	Flat fee	1,500	1,500	One-time charge
TOTAL ESTIMATED COST (EGP)				67,700
VAT (14% – Egyptian Tax Authority)				9,478
GRAND TOTAL (EGP)				77,178

This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After the expiration date, pricing may be subject to revision based on current Egyptian pharmaceutical costs and service adjustments.
All Psychiatrist services described herein are to be rendered at our primary facility located in Egypt Cairo, Downtown District, unless a different location is mutually agreed upon in writing.
The attending Psychiatrist is a licensed medical doctor (MD) registered with the Egyptian Medical Syndicate and holds a subspecialty certification in Psychiatry from a recognized Egyptian or international university.
Payment terms: 50% deposit is due upon acceptance of this Quotation Estimate; the remaining 50% is due upon completion of the full treatment cycle. Payments may be made in Egyptian Pounds (EGP) via bank transfer, credit card, or cash at our Egypt Cairo office.
Confidentiality: All patient records, psychiatric evaluations, and treatment plans are protected under Egyptian Law No. 153 of 2018 (Personal Data Protection Law) and the ethical code of the Egyptian Medical Syndicate. No information will be disclosed without written patient consent.
Cancellation Policy: Appointments may be rescheduled with at least 24 hours' notice. Cancellations made less than 24 hours before a scheduled Psychiatrist session will incur a 50% fee of the session cost.
This Quotation Estimate does not constitute a binding contract until formally accepted in writing by both parties. Acceptance may be indicated by signing the acknowledgment section below or by remitting the initial deposit.
Any additional services not explicitly listed in this estimate (e.g., inpatient psychiatric admission, group therapy, or specialized neuropsychiatric procedures) will be quoted separately at the prevailing rates of our Psychiatrist team in Egypt Cairo.
Insurance: This estimate may be submitted to the client's health insurance provider for pre-authorization. Our office in Egypt Cairo will assist with all necessary documentation and coordination with major Egyptian insurers (e.g., MetLife, AXA, Allianz, and the Social Insurance Authority).
This Quotation Estimate is prepared exclusively for the named client and may not be transferred or used by any third party without prior written consent from Cairo Mental Health & Psychiatry Center.

By signing below, the client acknowledges receipt of this Quotation Estimate for Psychiatrist services in Egypt Cairo and agrees to the terms and conditions outlined above. The client confirms that all information provided for the purpose of this estimate is accurate and complete.

Prepared By (Psychiatrist / Medical Director)
Dr. [Name], MD, PhD in Psychiatry
Cairo Mental Health & Psychiatry Center
Egypt Cairo Accepted By (Client / Authorized Representative)
Name: ___________________________
Signature: _______________________
Date: ___________________________ ⬇️ Download as DOCX Edit online as DOCX

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