Quotation Estimate Psychiatrist in United Arab Emirates Dubai –Free Word Template Download with AI
Building 12, Level 5, Sheikh Zayed Road, Downtown Dubai
United Arab Emirates, Dubai, P.O. Box 78432
Tel: +971 4 555 0192 | Email: [email protected]
DHA License No. DHA-PSY-2024-00871 | MOH Approved Facility
Quotation EstimateQuotation Details
Quotation No.: QTE-2025-04187
Date of Issue: 15 June 2025
Valid Until: 15 July 2025 (30 days)
Prepared By: Dr. Aisha Al Mansoori, Lead Psychiatrist
Service Location: United Arab Emirates, Dubai
Client / Recipient
Name: [Client Full Name]
Company / Insurance: [Insurance Provider Name]
Policy / Ref. No.: [Reference Number]
Contact: [Phone / Email]
Address: [Client Address, Dubai, UAE]
This Quotation Estimate is issued by Meridian Mental Health & Psychiatry Centre, a fully licensed and DHA-registered psychiatric practice operating in United Arab Emirates, Dubai. The purpose of this document is to provide a comprehensive, transparent, and itemised cost breakdown for the professional services of a Psychiatrist as requested by the client. All fees listed below are quoted in United Arab Emirates Dirhams (AED) and are subject to the terms and conditions outlined in this Quotation Estimate.
The following Quotation Estimate covers a full course of psychiatric care delivered by a board-certified Psychiatrist at our clinic in United Arab Emirates, Dubai. The scope includes initial assessment, diagnostic evaluation, ongoing therapeutic sessions, pharmacological management, and follow-up care as clinically indicated.
| # | Service Description | Quantity | Unit Rate (AED) | Subtotal (AED) | Duration |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Psychiatric Assessment by a Senior Psychiatrist (includes medical history review, mental status examination, and diagnostic formulation) | 1 session | 1,200.00 | 1,200.00 | 60 minutes |
| 2 | Psychological & Neuropsychological Testing Battery (administered and interpreted by the Psychiatrist or designated psychologist under supervision) | 1 package | 2,500.00 | 2,500.00 | 2 sessions |
| 3 | Follow-up Psychiatric Consultation & Treatment Adjustment (subsequent visits for medication review, therapy progress, and clinical monitoring) | 6 sessions | 850.00 | 5,100.00 | 45 min each |
| 4 | Psychopharmacological Management & Prescription (includes initial prescription, dosage titration, and quarterly blood work monitoring for medication safety) | 1 package | 1,800.00 | 1,800.00 | 3 months |
| 5 | Psychiatric Crisis / Urgent Consultation (available 7 days a week at the Dubai clinic; includes same-day appointment and emergency medication adjustment) | 1 session | 1,500.00 | 1,500.00 | 30–45 min |
| 6 | Written Psychiatric Report & Medical Certificate (suitable for employer, insurance, or legal purposes; issued in English and Arabic) | 2 reports | 450.00 | 900.00 | — |
| 7 | Telepsychiatry / Video Consultation (remote follow-up sessions conducted via secure, HIPAA-compliant platform; valid for residents of United Arab Emirates, Dubai and surrounding emirates) | 4 sessions | 650.00 | 2,600.00 | 40 min each |
| 8 | Family / Caregiver Psychoeducation Session (guided by the treating Psychiatrist; up to 4 family members may attend) | 2 sessions | 700.00 | 1,400.00 | 60 min each |
| Subtotal | 17,000.00 | — | |||
| VAT (5% – United Arab Emirates) | 850.00 | — | |||
| TOTAL AMOUNT DUE (AED) | 17,850.00 | — | |||
- This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After the expiry date, all rates listed herein are subject to revision based on prevailing market conditions in United Arab Emirates, Dubai.
- All psychiatric services described in this document shall be delivered by a licensed Psychiatrist registered with the Dubai Health Authority (DHA) and the Ministry of Health and Prevention (MOHAP) of the United Arab Emirates.
- Payment is due within fourteen (14) days of the date of this Quotation Estimate unless a different arrangement is agreed in writing. Accepted payment methods include bank transfer (AED), credit/debit card, and approved insurance direct billing.
- Insurance claims: Where the client holds a valid health insurance policy covering psychiatric services in the United Arab Emirates, our billing department will process the claim on the client's behalf. The client is responsible for any co-payment, deductible, or non-covered items as per the policy terms.
- Cancellation policy: Appointments may be rescheduled or cancelled with a minimum of 24 hours' notice. Cancellations made within 24 hours or no-shows will be charged at 50% of the applicable session fee as stated in this Quotation Estimate.
- Confidentiality: All patient records, diagnostic findings, and treatment plans are handled in strict accordance with the UAE Federal Decree-Law No. 45 of 2021 on the Protection of Personal Data and the professional code of ethics governing psychiatric practice in Dubai.
- The treating Psychiatrist reserves the right to refer the client to a specialist psychiatrist, neuropsychologist, or inpatient psychiatric facility if the clinical condition warrants a higher level of care. Any such referral costs are not included in this Quotation Estimate and will be quoted separately.
- This Quotation Estimate does not constitute a binding contract until signed and accepted by both parties. Upon acceptance, a formal Service Agreement will be executed in accordance with UAE commercial law.
- All services are to be rendered at our clinic premises in United Arab Emirates, Dubai (Sheikh Zayed Road, Downtown) or via the approved telepsychiatry platform, unless otherwise specified in writing.
- Any additional laboratory investigations, imaging (e.g., MRI, EEG), or specialist consultations not explicitly listed in this Quotation Estimate will be billed at the prevailing DHA-regulated fee schedule and communicated to the client in advance.
By signing below, the client acknowledges receipt of this Quotation Estimate for Psychiatrist services in United Arab Emirates, Dubai and agrees to the terms, conditions, and pricing outlined above.
For Meridian Mental Health & Psychiatry Centre
Dr. Aisha Al Mansoori, Lead Psychiatrist
Signature & DateClient / Authorised Representative
Name: ______________________________
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