Quotation Estimate Psychologist in Indonesia Jakarta –Free Word Template Download with AI
Jl. Jend. Sudirman Kav. 52-53, SCBD District, Jakarta Selatan 12190, Indonesia
Tel: +62-21-5790-1234 | Email: [email protected]
NIB: 12.345.678.901 | NPWP: 01.234.567.8-049.000
Quotation EstimateQuotation Details
Quotation No.: QTE-PSY-JKT-2025-0047
Date Issued: 15 June 2025
Valid Until: 15 July 2025 (30 Days)
Currency: Indonesian Rupiah (IDR)
Client Information
Company: PT Maju Sejahtera Indonesia
Address: Menara Astra, Jl. Jend. Sudirman Kav. 27, Jakarta Selatan 12920
Contact Person: Ibu Sari Wulandari, HR Director
Email: [email protected]
Scope of Services – Psychologist Consultation ProgramThis Quotation Estimate is prepared by Psyche Wellness Center Jakarta to provide a comprehensive and transparent cost breakdown for professional Psychologist services to be delivered within the Indonesia Jakarta metropolitan area. The services outlined below are designed to support the mental health and psychological well-being of your organization's employees through structured clinical and corporate psychology programs. All Psychologist professionals engaged under this estimate hold valid registration with the Indonesian Psychological Association (HIMPSI) and are licensed to practice in accordance with the regulations set forth by the Ministry of Health of the Republic of Indonesia.
Itemized Cost Breakdown| No. | Service Description | Duration | Rate (IDR) | Amount (IDR) | Notes |
|---|---|---|---|---|---|
| 1 | Initial Psychological Assessment & Screening for 50 Employees | 2 Days | 750,000 / person | 37,500,000 | Conducted by licensed Psychologist at client's Jakarta office |
| 2 | Individual Psychotherapy Sessions (10 sessions per employee, 5 employees) | 10 Weeks | 1,200,000 / session | 60,000,000 | 60-minute sessions; Psychologist visits client premises in South Jakarta |
| 3 | Group Counseling & Stress Management Workshop (4 sessions) | 4 Half-Days | 8,500,000 / session | 34,000,000 | Up to 25 participants per session; includes materials and handouts |
| 4 | Executive Mental Health Consultation (CEO & C-Level, 6 sessions) | 6 Weeks | 2,500,000 / session | 15,000,000 | Senior-level Psychologist; private consultation room in SCBD, Jakarta |
| 5 | Psychological Report & Organizational Wellness Recommendation | 1 Week | 12,000,000 | 12,000,000 | Comprehensive report in Bahasa Indonesia and English |
| 6 | Emergency Psychological First Aid Hotline (24/7, 3 months) | 3 Months | 15,000,000 / month | 45,000,000 | Staffed by on-call Psychologist team based in Jakarta |
| 7 | Travel & Logistics within Indonesia Jakarta Area | As Required | Flat Rate | 5,000,000 | Covers Psychologist travel across Jakarta administrative zones |
| SUBTOTAL | 208,500,000 | ||||
| VAT (PPN) 11% | 22,935,000 | ||||
| GRAND TOTAL | 231,435,000 | IDR | |||
- This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issuance. Any request for services beyond this validity period will require a revised estimate reflecting current Psychologist professional rates in Indonesia Jakarta.
- All Psychologist services will be conducted in strict compliance with the Indonesian Code of Ethics for Psychologists (Kode Etik Psikologi Indonesia) and applicable data protection regulations under Law No. 27 of 2022 concerning Personal Data Protection.
- Payment terms: 50% advance payment upon acceptance of this Quotation Estimate, and 50% upon completion of all services. Payment shall be made via bank transfer to the account designated by Psyche Wellness Center Jakarta.
- The Psychologist team assigned to this engagement will be based in Jakarta and will conduct all in-person sessions at the client's premises located in South Jakarta, unless otherwise agreed in writing.
- Confidentiality: All psychological records, assessment results, and session notes are the exclusive property of the client and the individual employee. No information will be disclosed to third parties without written consent, in accordance with professional Psychologist ethical standards in Indonesia.
- Any additional services beyond the scope described in this Quotation Estimate will be subject to a separate written amendment and additional cost approval.
- This Quotation Estimate does not constitute a binding contract until formally accepted in writing by both parties and a Service Agreement is executed.
- All services are subject to the availability of the assigned Psychologist. In the event of unavailability, a qualified substitute Psychologist of equivalent credentials will be provided at no additional cost.
By signing below, the client acknowledges receipt of this Quotation Estimate for Psychologist services in Indonesia Jakarta and agrees to the terms and conditions stated herein. This document serves as a formal cost proposal and does not guarantee service commencement until a separate Service Agreement is signed.
Prepared By:Dr. Andi Prasetyo, M.Psi.
Lead Psychologist & Director
Psyche Wellness Center Jakarta
Date: _______________ Accepted By (Client):
Ibu Sari Wulandari
HR Director, PT Maju Sejahtera Indonesia
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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