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Quotation Estimate Psychiatrist in Ivory Coast Abidjan –Free Word Template Download with AI

Abidjan Mental Health & Psychiatry Center

12 Boulevard de la Paix, Cocody, Abidjan, Ivory Coast

Tel: +225 27 22 45 67 89 | Email: [email protected]

Registered with the Ivorian Ministry of Health – License No. CI-PSY-2024-0087

Quotation Estimate No.: QTE-ABJ-2025-0342
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared For:
Mr. Jean-Marc Kouassi
45 Rue des Palmiers, Plateau
Abidjan, Ivory Coast
Tel: +225 07 08 12 34 56

Psychiatrist Services – Ivory Coast Abidjan

Dear Mr. Kouassi,

Thank you for your inquiry regarding professional psychiatric care in our facility. This Quotation Estimate has been carefully prepared to outline the full scope of Psychiatrist services available at our clinic located in the heart of Ivory Coast Abidjan. We are committed to providing compassionate, evidence-based mental health care tailored to the unique cultural and medical context of our patients in Abidjan and the wider Ivorian community.

1. Scope of Psychiatrist Services

The following Quotation Estimate covers a comprehensive package of Psychiatrist consultations, diagnostic assessments, and therapeutic interventions. All services are delivered by board-certified Psychiatrist professionals who are licensed to practice in the Republic of Côte d'Ivoire and who operate in full compliance with the national health regulations governing mental health care in Ivory Coast Abidjan.

2. Itemized Cost Breakdown
Ref Service Description Duration / Frequency Unit Price (XOF) Total (XOF)
01 Initial Psychiatrist Consultation & Comprehensive Psychiatric Assessment 1 session (90 min) 85,000 85,000
02 Follow-up Psychiatrist Consultation (Ongoing Management) 6 sessions (45 min each) 55,000 330,000
03 Psychological & Neuropsychological Testing (Cognitive, Mood, Anxiety Scales) 1 session (120 min) 120,000 120,000
04 Individual Cognitive-Behavioral Therapy (CBT) – Psychiatrist Supervised 8 sessions (50 min each) 65,000 520,000
05 Psychiatric Medication Management & Prescription Renewal Monthly (12 months) 35,000 420,000
06 Family Psychoeducation Session (Psychiatrist-led, up to 5 family members) 2 sessions (60 min each) 75,000 150,000
07 Urgent / After-hours Psychiatrist Consultation (On-call, Abidjan) As needed (up to 3 visits) 110,000 330,000
08 Written Psychiatric Report & Medical Certificate (for employer or insurance) 2 reports 45,000 90,000
09 Psychiatric Second Opinion (Senior Psychiatrist, Abidjan) 1 session (60 min) 150,000 150,000
10 Administrative & Record-Keeping Fee (Patient file, data protection per Ivorian law) One-time 25,000 25,000
SUBTOTAL 2,220,000 XOF
VAT (18% – Ivorian Standard Rate) 399,600 XOF
GRAND TOTAL 2,619,600 XOF
3. Terms & Conditions of This Quotation Estimate
  • This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After this period, prices may be subject to revision due to changes in medication costs, exchange rates, or regulatory adjustments in Ivory Coast Abidjan.
  • All Psychiatrist consultations and therapeutic sessions must be scheduled in advance through our reception desk or via our online booking portal. Cancellations made less than 24 hours before the appointment will incur a 50% fee of the session cost.
  • Payment is due within fourteen (14) days of the date of this Quotation Estimate. Accepted payment methods include bank transfer (CI Bank, Ecobank, BICICI), mobile money (Orange Money, MTN MoMo, Wave), and cash at our Abidjan clinic.
  • Prescribed psychiatric medications are not included in this estimate. Medication costs will be billed separately at the pharmacy counter and are subject to current Ivorian pharmaceutical pricing.
  • Confidentiality of all patient records is guaranteed in accordance with the Ivorian Data Protection Law (Loi n° 2013-450) and the professional code of ethics of the Ivorian Psychiatric Association.
  • In the event of hospitalization or inpatient psychiatric care, a separate and detailed Quotation Estimate will be issued prior to admission.
  • This Quotation Estimate does not constitute a binding contract until formally accepted in writing by both parties. Our Psychiatrist team reserves the right to modify the treatment plan based on clinical judgment during the course of care.
  • All services are delivered at our primary facility in Cocody, Abidjan, Ivory Coast, unless otherwise agreed in writing for home-visit Psychiatrist consultations (subject to an additional travel surcharge of 20,000 XOF per visit within Abidjan city limits).
4. Acceptance & Authorization

By signing below, the client acknowledges receipt of this Quotation Estimate for Psychiatrist services in Ivory Coast Abidjan and agrees to the terms and conditions outlined above. The client confirms that they have had the opportunity to ask questions regarding the scope, cost, and expected outcomes of the proposed psychiatric care plan.

Client Signature
Name: Jean-Marc Kouassi
Date: _______________
Authorized Representative
Dr. Awa Diabaté, MD – Lead Psychiatrist
Abidjan Mental Health & Psychiatry Center
Date: _______________

Abidjan Mental Health & Psychiatry Center | 12 Boulevard de la Paix, Cocody, Abidjan, Ivory Coast

This Quotation Estimate is the property of the issuing clinic. Unauthorized reproduction is prohibited.

Document Reference: QTE-ABJ-2025-0342 | Page 1 of 1

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