GoGPT GoSearch New DOC New XLS New PPT

OffiDocs favicon

Quotation Estimate Psychiatrist in Sudan Khartoum –Free Word Template Download with AI

Professional Psychiatrist Services — Sudan Khartoum

Al-Nil Mental Health & Psychological Care Centre

El-Khadim Street, Khartoum, Sudan | Tel: +249-183-XXXXXX | Email: [email protected]

Quotation No.: QTE-2025-KH-0472
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared For:
Mr. Ahmed El-Tahir Osman
Private Client — Khartoum, Sudan
Contact: +249-9XX-XXXXXX
Prepared By:
Dr. Salma Ibrahim Hassan
Consultant Psychiatrist
License No. SD-PSY-2019-0087

This Quotation Estimate is issued by Al-Nil Mental Health & Psychological Care Centre, a licensed and accredited psychiatric facility operating in Sudan Khartoum, to provide a comprehensive and transparent breakdown of costs associated with the delivery of professional Psychiatrist services. This document serves as a formal financial proposal outlining the scope of care, associated fees, and terms of engagement for the client named above. All pricing in this Quotation Estimate is denominated in Sudanese Pounds (SDG) unless otherwise stated, and reflects the current market rates for psychiatric and mental health services available in Sudan Khartoum as of the date of issue.

The following Psychiatrist services have been recommended following the initial clinical assessment conducted on 10 June 2025. The treatment plan is designed to address the client's diagnosed condition of Generalized Anxiety Disorder (GAD) with comorbid mild depressive symptoms, and is structured over a twelve-week period. All services will be delivered by a board-certified Psychiatrist at our facility located in the El-Khadim district of Sudan Khartoum.

No. Service Description Frequency / Qty Unit Price (SDG) Subtotal (SDG) Notes
1 Initial Comprehensive Psychiatric Assessment & Diagnostic Evaluation 1 session (90 min) 25,000 25,000 One-time fee
2 Follow-up Psychiatrist Consultation (Clinical Review & Medication Adjustment) 12 sessions (45 min each) 18,000 216,000 Bi-weekly schedule
3 Cognitive-Behavioural Therapy (CBT) Sessions conducted by Psychiatrist 8 sessions (60 min each) 22,000 176,000 Integrated with medication plan
4 Psychological Testing & Standardized Assessment Battery (Beck Depression Inventory, GAD-7, MMSE) 1 package 35,000 35,000 Includes written report
5 Prescribed Psychotropic Medication (12-week supply: Sertraline 100mg, Lorazepam PRN) 12 weeks 12,500 150,000 Pharmacy dispensed on-site
6 Urgent / Emergency Psychiatrist Consultation (after-hours, up to 2 visits) 2 visits 30,000 60,000 Available 24/7 in Khartoum
7 Family Psychoeducation Session (for up to 4 family members) 2 sessions (60 min each) 15,000 30,000 Week 2 and Week 8
8 Final Discharge Summary & Ongoing Care Recommendation Letter 1 document 10,000 10,000 End of 12-week plan
TOTAL ESTIMATED COST (SDG) 702,000
VAT / Applicable Tax (0% — Medical services exempt in Sudan) 0 Exempt
GRAND TOTAL (SDG) 702,000

This Quotation Estimate is subject to the following payment conditions. A deposit of 30% (SDG 210,600) is required upon acceptance of this quotation to secure the client's appointment schedule with the Psychiatrist. The remaining balance of 70% (SDG 491,400) shall be payable in two equal instalments: 50% at the midpoint of the treatment plan (end of Week 6) and 50% upon completion of the full twelve-week programme. Payments may be made via bank transfer to the facility's designated account at Bank of Khartoum, or in cash at the front desk of our Sudan Khartoum office. All payments are non-refundable once a session has been conducted.

  1. This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, all fees are subject to revision based on prevailing market conditions in Sudan Khartoum.
  2. All Psychiatrist services described herein are to be performed by Dr. Salma Ibrahim Hassan or, in her absence, by a similarly qualified and licensed psychiatrist from our team. The client will be notified in advance of any substitution.
  3. Appointments must be rescheduled at least 24 hours in advance. Cancellations made within 24 hours of a scheduled session will incur a 50% fee of the session cost.
  4. The Psychiatrist reserves the right to modify the treatment plan, including medication adjustments or additional sessions, based on clinical progress. Any additional services beyond the scope of this quotation will be communicated to the client in writing prior to delivery and will be billed separately.
  5. All patient records, diagnostic reports, and clinical notes are maintained in strict confidence in accordance with the Sudanese Medical Ethics Code and applicable data protection regulations in Sudan Khartoum.
  6. This quotation does not constitute a guarantee of specific clinical outcomes. The Psychiatrist will exercise professional medical judgment throughout the course of treatment.
  7. In the event of force majeure, including but not limited to civil unrest, natural disasters, or government-imposed restrictions affecting operations in Sudan Khartoum, the facility reserves the right to suspend or reschedule services without penalty to either party.
  8. Any disputes arising from this Quotation Estimate shall be resolved through amicable negotiation, failing which they shall be referred to the Sudanese Medical Council for mediation.

By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms, conditions, and fee schedule outlined above for the provision of Psychiatrist services at Al-Nil Mental Health & Psychological Care Centre, Sudan Khartoum.

Client Signature & Date

Mr. Ahmed El-Tahir Osman

Authorised Representative

Dr. Salma Ibrahim Hassan
Consultant Psychiatrist

Al-Nil Mental Health & Psychological Care Centre — Licensed by the Sudanese Ministry of Health, Khartoum State.
This Quotation Estimate is a confidential document intended solely for the named recipient. Unauthorized reproduction or distribution is prohibited.
© 2025 Al-Nil Mental Health & Psychological Care Centre, Sudan Khartoum. All rights reserved.

⬇️ Download as DOCX Edit online as DOCX

Create your own Word template with our GoGPT AI prompt:

GoGPT
×
Advertisement
❤️Shop, book, or buy here — no cost, helps keep services free.