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Quotation Estimate Psychologist in Vietnam Ho Chi Minh City –Free Word Template Download with AI

Professional Psychologist Services

Serving Clients in Vietnam Ho Chi Minh City

Document Reference: QTE-HCM-2025-0472 | Issued: June 15, 2025

Prepared By:
Dr. Nguyen Thi Minh Anh, Ph.D.
Licensed Clinical Psychologist
MindBridge Psychological Services
128 Le Duan Street, District 3
Vietnam Ho Chi Minh City, 70000
Tel: +84 28 3822 4567
Email: [email protected]
Prepared For:
[Client / Organization Name]
[Client Address]
Vietnam Ho Chi Minh City
Contact: [Client Contact Person]
Email: [[email protected]]
Tax ID: [XXXXXXXX]

This Quotation Estimate is issued by MindBridge Psychological Services to provide a comprehensive and transparent breakdown of professional Psychologist consultation and therapeutic services to be delivered within the metropolitan area of Vietnam Ho Chi Minh City. This document serves as a formal cost projection and is valid for a period of sixty (60) calendar days from the date of issuance. All pricing is quoted in Vietnamese Dong (VND) unless otherwise specified, and is subject to the terms and conditions outlined herein.

Scope of Psychologist Services

The following Psychologist services are included in this Quotation Estimate and will be conducted at our licensed facility in District 3, Vietnam Ho Chi Minh City, or at the client's designated location within the city limits. Our team of board-certified psychologists specializes in cognitive-behavioral therapy, organizational mental health assessments, trauma-informed care, and corporate wellness programs tailored to the multicultural environment of Ho Chi Minh City.

Itemized Cost Breakdown
No. Service Description Quantity Unit Rate (VND) Subtotal (VND) Duration
1 Initial Psychologist Consultation & Comprehensive Intake Assessment (individual session, 90 minutes) 1 session 2,500,000 2,500,000 1.5 hours
2 Regular Psychologist Therapy Sessions (individual, 60 minutes each) – Cognitive Behavioral Therapy 12 sessions 1,800,000 21,600,000 12 weeks
3 Psychological Evaluation & Diagnostic Report (including standardized testing, written report in Vietnamese and English) 1 report 4,200,000 4,200,000 2 sessions
4 Group Psychologist Workshop – Stress Management & Resilience Training (up to 20 participants, 3 hours) 2 workshops 8,500,000 17,000,000 6 hours total
5 On-site Psychologist Visit to Client Premises in Ho Chi Minh City (travel within city limits, 2-hour block) 4 visits 3,000,000 12,000,000 8 hours total
6 Emergency Psychologist Hotline Access (24/7 phone consultation, unlimited calls during contract period) 12 months 1,200,000 14,400,000 12 months
7 Progress Monitoring & Quarterly Review Meetings with Lead Psychologist 4 meetings 1,500,000 6,000,000 12 months
8 Confidential Case File Management & Secure Digital Record Storage 12 months 800,000 9,600,000 12 months
TOTAL ESTIMATED COST (VND) 87,300,000
VAT (10%) 8,730,000
GRAND TOTAL (VND) 96,030,000
Terms and Conditions of This Quotation Estimate
  1. This Quotation Estimate is valid for sixty (60) days from the date of issue. After this period, all rates for Psychologist services may be subject to revision based on market conditions in Vietnam Ho Chi Minh City.
  2. All Psychologist services will be delivered in compliance with the Vietnamese Law on Mental Health (Law No. 12/2016/QH14) and the professional ethical standards of the Vietnam Association of Psychology.
  3. Payment terms: 40% advance payment upon acceptance of this Quotation Estimate, 30% upon completion of the first four therapy sessions, and the remaining 30% upon final delivery of all services and reports.
  4. Payments are to be made via bank transfer to the account of MindBridge Psychological Services, Bank for Foreign Trade of Vietnam (Vietcombank), Branch: Ho Chi Minh City. Account details will be provided upon contract execution.
  5. Any additional Psychologist sessions, extended evaluations, or on-site visits beyond the scope defined in this Quotation Estimate will be billed separately at the unit rates specified in the itemized table above.
  6. All client information, session notes, and diagnostic reports are held in strict confidence in accordance with Vietnamese data protection regulations. No information will be disclosed to third parties without written consent from the client, except where required by law in Vietnam Ho Chi Minh City.
  7. The Psychologist assigned to this engagement is Dr. Nguyen Thi Minh Anh, Ph.D., licensed under Registration No. 2019-PSY-0482 by the Ho Chi Minh City Department of Health. In the event of unavailability, a qualified substitute psychologist of equivalent credentials will be assigned with prior client notification.
  8. Cancellation policy: Sessions may be rescheduled up to 24 hours in advance at no charge. Cancellations within 24 hours or no-shows will be charged at 50% of the session fee.
  9. This Quotation Estimate does not constitute a binding contract. A formal service agreement will be executed upon mutual acceptance of all terms herein.
  10. All services are to be conducted within the administrative boundaries of Vietnam Ho Chi Minh City. Travel to locations outside the city (e.g., Binh Duong, Dong Nai) will incur additional transportation surcharges as per a separate schedule.
Acceptance and Authorization

By signing below, the client acknowledges receipt of this Quotation Estimate for Psychologist services in Vietnam Ho Chi Minh City and agrees to the terms, conditions, and pricing outlined in this document. This signature authorizes MindBridge Psychological Services to proceed with scheduling and preparation of the described services.

For MindBridge Psychological Services

Dr. Nguyen Thi Minh Anh, Ph.D.
Lead Psychologist & Director
Date: _______________

For the Client / Organization

[Authorized Signatory Name]
[Title / Position]
Date: _______________

MindBridge Psychological Services | 128 Le Duan Street, District 3, Vietnam Ho Chi Minh City, 70000

License No: 0102456789 | Tax Code: 0312345678 | Tel: +84 28 3822 4567 | Email: [email protected]

This Quotation Estimate is generated electronically and is valid without a physical seal. Document ID: QTE-HCM-2025-0472

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