Quotation Estimate Psychiatrist in Qatar Doha –Free Word Template Download with AI
Psychiatrist Services — Qatar Doha
Confidential Medical Services Documentation
This Quotation Estimate is issued by Al Noor Mental Health & Psychiatry Center, a licensed and accredited medical facility operating in Qatar Doha, to provide a comprehensive breakdown of professional Psychiatrist services. This document outlines the estimated costs, scope of treatment, and associated terms for the engagement of a board-certified Psychiatrist to deliver diagnostic, therapeutic, and pharmacological care to the client or patient identified herein.
The Psychiatrist services described in this Quotation Estimate are delivered in full compliance with the regulations set forth by the Ministry of Public Health (MoPH) of the State of Qatar and the Qatar Health Regulatory Authority (QHRA). All clinical procedures, consultations, and therapeutic interventions are conducted within the facility located in the Al Rayyan District, Qatar Doha, and adhere to international standards of psychiatric care as recognized by the World Psychiatric Association (WPA).
| Field | Details |
|---|---|
| Patient Name | [Confidential — On File] |
| Nationality / Residency | Qatar Resident (QID on record) |
| Referring Physician | Dr. S. Al-Mansouri, General Practitioner, Hamad Medical City |
| Insurance Provider | Qatar General Insurance (QGI) — Policy No. QGI-2025-88412 |
| Service Location | Al Noor Mental Health Center, Al Rayyan, Doha, Qatar |
| Item No. | Service Description | Frequency | Unit Price (QAR) | Estimated Qty | Subtotal (QAR) |
|---|---|---|---|---|---|
| 01 | Initial Comprehensive Psychiatric Assessment & Diagnostic Consultation (90 minutes) conducted by a Senior Psychiatrist | One-time | 1,200.00 | 1 | 1,200.00 |
| 02 | Follow-up Psychiatric Consultation & Treatment Plan Review (45 minutes) | Bi-weekly | 750.00 | 8 | 6,000.00 |
| 03 | Cognitive Behavioral Therapy (CBT) Session administered by a Licensed Clinical Psychologist under Psychiatrist supervision | Weekly | 550.00 | 12 | 6,600.00 |
| 04 | Psychopharmacological Management & Medication Prescription (including initial and follow-up prescriptions) | Monthly | 400.00 | 3 | 1,200.00 |
| 05 | Psychological Testing & Neuropsychological Evaluation (MMSE, PHQ-9, GAD-7, BDI-II, and custom battery) | One-time | 1,800.00 | 1 | 1,800.00 |
| 06 | Family / Caregiver Psychoeducation Session (60 minutes, up to 4 participants) | One-time | 900.00 | 1 | 900.00 |
| 07 | Urgent / After-Hours Psychiatrist Telehealth Consultation (30 minutes, via secure video platform) | As needed | 600.00 | 2 | 1,200.00 |
| 08 | Comprehensive Discharge Summary & Ongoing Care Coordination Report | One-time | 500.00 | 1 | 500.00 |
| Subtotal (QAR) | 19,400.00 | ||||
| VAT (5% — Qatar Standard Rate) | 970.00 | ||||
| TOTAL ESTIMATED COST (QAR) | 20,370.00 | ||||
| TOTAL ESTIMATED COST (USD, approx. at 3.64 QAR/USD) | 5,596.15 | ||||
- This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. Beyond this period, pricing may be subject to revision based on prevailing market rates in Qatar Doha and any changes in regulatory fee structures.
- All Psychiatrist consultations and therapeutic sessions are subject to prior scheduling. Cancellations made less than 24 hours before the appointment will incur a 50% fee of the scheduled session rate.
- The estimated quantities listed in Section 3 are projections based on standard treatment protocols. Actual billing will reflect the number of sessions actually delivered. The final invoice may differ from this Quotation Estimate by up to 15% depending on clinical necessity.
- Payment is due within fourteen (14) days of the final invoice. Accepted payment methods include bank transfer to the facility's corporate account in Doha, Qatar, and major credit cards. No cash payments are accepted for amounts exceeding QAR 500.
- Insurance claims will be processed directly by Al Noor Mental Health Center with the patient's designated insurer. The patient is responsible for any co-payments, deductibles, or services not covered under the policy terms.
- All patient records, diagnostic reports, and treatment notes are maintained in strict accordance with Qatar's Personal Data Protection Law (Law No. 13 of 2016) and the facility's internal confidentiality protocols. No information will be disclosed without written patient consent, except where mandated by Qatari law.
- The Psychiatrist assigned to this case holds a valid license from the Qatari Medical and Dental Council (QDMC) and is a member of the Qatari Psychiatric Society. Credentials and license numbers are available upon request.
- This Quotation Estimate does not constitute a guarantee of specific clinical outcomes. Treatment plans may be modified at the discretion of the treating Psychiatrist based on the patient's clinical progress and response to therapy.
- Any disputes arising from the services described herein shall be resolved in accordance with the laws of the State of Qatar, with jurisdiction vested in the competent courts of Doha.
By signing below, the client or authorized representative acknowledges receipt of this Quotation Estimate for Psychiatrist services in Qatar Doha and agrees to the terms and conditions outlined in Section 4. This signature authorizes Al Noor Mental Health & Psychiatry Center to commence the services described herein.
Patient / Authorized RepresentativeName: _________________________
Date: _________________________
Authorized Signatory
Dr. Khalid Al-Thani, MD, FRCPsych
Chief Psychiatrist & Medical Director
License No: QDMC-PSY-2019-0347
Doha, Qatar
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