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Quotation Estimate Psychiatrist in Singapore Singapore –Free Word Template Download with AI

MindBridge Psychiatry & Wellness Centre

128 Orchard Road, Level 15, Singapore Singapore 238849

Tel: +65 6821 4455 | Email: [email protected]

UEN: 2019334567 | HSA Licence No: PS-2021-00892

Quotation Estimate No: QTE-2025-04872
Date of Issue: 14 June 2025
Valid Until: 14 July 2025
Prepared For:
Mr. Tan Wei Ming
45 Bukit Timah Road, #12-08
Singapore Singapore 269692
NRIC: S1234567A

Dear Mr. Tan,

Thank you for your interest in the professional Psychiatrist services offered by MindBridge Psychiatry & Wellness Centre. This Quotation Estimate has been carefully prepared to outline the comprehensive psychiatric care plan recommended for your ongoing mental health management. As a licensed and accredited Psychiatrist practice operating in Singapore Singapore, we are committed to delivering the highest standard of psychiatric care in accordance with the guidelines set by the Singapore Health Services Authority (HSA) and the Singapore Medical Council (SMC).

This Quotation Estimate covers a twelve-month period of structured Psychiatrist consultations, diagnostic assessments, pharmacological management, and allied mental health support services. All services will be delivered at our primary clinic located in the heart of Singapore Singapore, ensuring convenient access for our patients across the island.

Itemised Services & Cost Breakdown
# Service Description Frequency Unit Cost (SGD) Quantity Subtotal (SGD) Remarks
1 Initial Comprehensive Psychiatrist Consultation & Diagnostic Assessment (includes psychiatric history, mental status examination, and differential diagnosis) One-time 350.00 1 350.00 90-minute session
2 Follow-up Psychiatrist Consultation & Treatment Review (medication adjustment, symptom monitoring, and therapeutic progress evaluation) Monthly 250.00 11 2,750.00 45-minute session
3 Psychological & Neuropsychological Testing (cognitive screening, personality assessment, and mood disorder evaluation) One-time 680.00 1 680.00 Administered by licensed Psychiatrist team
4 Pharmacological Management & Prescription Renewal (including medication counselling and side-effect monitoring) Monthly 80.00 12 960.00 Includes lab work coordination
5 Cognitive Behavioural Therapy (CBT) Sessions conducted under Psychiatrist supervision Bi-weekly 180.00 24 4,320.00 60-minute sessions
6 Emergency Psychiatrist Consultation (after-hours, weekends, and public holidays in Singapore Singapore) As needed 450.00 2 900.00 Allocated allowance
7 Annual Psychiatric Health Review & Treatment Plan Update (comprehensive re-assessment and next-year planning) One-time 400.00 1 400.00 120-minute session
8 Administrative & Record-Keeping Fees (medical records management, HSA compliance documentation, and insurance claim processing in Singapore Singapore) Annual 150.00 1 150.00 Flat annual fee
TOTAL ESTIMATED COST (SGD) 10,510.00
GST @ 9% (Singapore Singapore) 945.90
GRAND TOTAL (SGD) 11,455.90
Terms & Conditions of This Quotation Estimate
  1. This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, pricing for the Psychiatrist services listed herein may be subject to revision based on prevailing market rates in Singapore Singapore.
  2. All Psychiatrist consultations and therapeutic sessions must be conducted at our registered clinic premises in Singapore Singapore, unless a telehealth arrangement has been mutually agreed upon in writing prior to the session.
  3. Payment for the services outlined in this Quotation Estimate is due within fourteen (14) days of the invoice date. We accept major credit cards, PayNow, bank transfer, and corporate cheques. A late payment surcharge of 2% per month will apply to outstanding balances.
  4. Insurance claims: This Quotation Estimate is structured to be compatible with major insurance providers operating in Singapore Singapore, including AIA, Prudential, Great Eastern, and NTUC Income. Our Psychiatrist team will assist with all necessary documentation for claim submission.
  5. Cancellation Policy: Appointments for Psychiatrist sessions must be cancelled at least twenty-four (24) hours in advance. Late cancellations or no-shows will be charged at 50% of the applicable session fee as stated in this Quotation Estimate.
  6. Confidentiality: All patient records, psychiatric assessments, and treatment plans are handled in strict accordance with the Personal Data Protection Act (PDPA) of Singapore Singapore and the professional ethical standards of the Singapore Medical Council.
  7. This Quotation Estimate does not constitute a medical diagnosis or a guarantee of specific treatment outcomes. The treating Psychiatrist reserves the right to modify the treatment plan based on clinical judgement and the patient's evolving needs.
  8. Any additional services not explicitly listed in this Quotation Estimate, such as inpatient psychiatric admission, electroconvulsive therapy (ECT), or specialist referrals, will be quoted separately at the prevailing rates of our Psychiatrist practice in Singapore Singapore.
  9. This Quotation Estimate is non-transferable and is issued exclusively for the named patient. It cannot be applied to any other individual or entity without prior written consent from MindBridge Psychiatry & Wellness Centre.
Acceptance & Authorisation

By signing below, the patient or authorised guardian acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions outlined above for the Psychiatrist services to be provided in Singapore Singapore.

For MindBridge Psychiatry & Wellness Centre
Dr. Lim Siew Hua, MD (Psychiatry)
Lead Psychiatrist & Medical Director
Date: ____________________
Patient / Authorised Guardian
Mr. Tan Wei Ming
Date: ____________________

This Quotation Estimate (Ref: QTE-2025-04872) was generated by MindBridge Psychiatry & Wellness Centre, a registered Psychiatrist practice in Singapore Singapore. For queries regarding this estimate, please contact our billing department at +65 6821 4455 or [email protected]. This document is the property of MindBridge Psychiatry & Wellness Centre and is intended solely for the named recipient.

© 2025 MindBridge Psychiatry & Wellness Centre. All rights reserved. | Singapore Singapore

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