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Quotation Estimate Radiologist in Iran Tehran –Free Word Template Download with AI

Professional Radiologist Diagnostic & Imaging Services

Tehran, Islamic Republic of Iran

Quotation Details

Quotation No.: QTE-TEH-2025-04782

Date of Issue: 15 June 2025

Valid Until: 15 July 2025 (30 days)

Currency: Iranian Rial (IRR) / USD equivalent

Prepared By: Dr. Alireza Mohammadi, MD, PhD (Radiology)

Client Information

Client Name: [Client / Institution Name]

Address: [Street, District], Tehran, Iran

Contact Person: [Name & Title]

Phone: +98-21-XXXXXXXX

Email: [[email protected]]

1. Purpose and Scope of This Quotation Estimate

This Quotation Estimate is formally issued to provide a comprehensive and transparent breakdown of costs associated with the engagement of a qualified Radiologist for diagnostic imaging, interpretation, and consultation services to be delivered within the metropolitan area of Iran Tehran. This document serves as a binding financial proposal and outlines all professional fees, equipment usage charges, and ancillary costs that the client may incur upon acceptance of the services described herein. The Radiologist named in this estimate holds full licensure from the Iranian Ministry of Health and Medical Education and is registered with the Tehran Medical Association, ensuring full compliance with all national and regional regulatory standards governing radiological practice in Iran Tehran.

2. Itemized Services and Cost Breakdown
No. Service Description Duration / Qty Unit Price (IRR) Total (IRR)
1 Consultation and clinical assessment by the Radiologist (initial patient evaluation, review of prior imaging, and formulation of diagnostic plan) 1 session (60 min) 2,500,000 2,500,000
2 Computed Tomography (CT) scan – multi-slice, with contrast administration, performed and supervised by the Radiologist at a certified imaging center in central Tehran 1 procedure 18,000,000 18,000,000
3 Magnetic Resonance Imaging (MRI) – 3 Tesla, full-body protocol, with dedicated Radiologist on-site supervision and real-time image quality assurance 1 procedure 32,000,000 32,000,000
4 Digital Mammography and ultrasound screening, interpreted by a board-certified Radiologist specializing in breast imaging, conducted at a Tehran-based facility 1 procedure 12,000,000 12,000,000
5 Written diagnostic report and formal interpretation by the Radiologist, including comparative analysis with prior studies, differential diagnosis, and recommended follow-up protocol Per study (up to 3) 3,500,000 10,500,000
6 Follow-up telemedicine consultation with the Radiologist for review of results, discussion of findings, and coordination with the referring physician in Iran Tehran 2 sessions (30 min each) 1,500,000 3,000,000
7 Emergency / after-hours Radiologist on-call availability (24/7 coverage for urgent imaging needs within the Tehran metropolitan region) 1 month 8,000,000 8,000,000
8 Image archiving, digital storage, and secure transmission of DICOM files to the client's hospital information system in Iran Tehran 12 months 2,000,000 2,000,000
GRAND TOTAL (before applicable taxes) 88,000,000 IRR
VAT (9% – Islamic Republic of Iran standard rate) 7,920,000 IRR
FINAL TOTAL 95,920,000 IRR
Note: All prices in this Quotation Estimate are quoted in Iranian Rial (IRR) and are subject to the prevailing exchange rate if the client opts for payment in US Dollars (USD) or another foreign currency. The Radiologist fees are inclusive of professional malpractice insurance coverage as mandated by the Iranian Medical Council for all practitioners operating in Iran Tehran. 3. Terms and Conditions
  • Validity: This Quotation Estimate remains valid for a period of thirty (30) calendar days from the date of issue. After this period, all pricing may be subject to revision based on changes in equipment costs, regulatory fee adjustments, or market conditions in Iran Tehran.
  • Payment Terms: A deposit of 40% of the total amount is due upon acceptance of this estimate. The remaining 60% shall be settled within fifteen (15) business days following the completion of all imaging procedures and delivery of the final Radiologist reports. Payment may be made via bank transfer to the designated account of the imaging facility in Tehran.
  • Scope of Practice: The Radiologist engaged under this estimate shall perform all diagnostic imaging interpretations in strict accordance with the guidelines published by the Iranian Society of Radiology and the World Federation for Ultrasound in Medicine and Biology (WFUMB). All procedures will be conducted at an accredited facility located within the Tehran metropolitan area.
  • Confidentiality: All patient data, imaging files, and diagnostic reports shall be handled in full compliance with the Iranian Data Protection Law and the professional ethical code of the Tehran Medical Association. No information shall be disclosed to third parties without written consent from the client or the patient.
  • Cancellation and Rescheduling: Should the client wish to cancel or reschedule any imaging appointment, a notice of at least 48 hours in advance is required. Cancellations made within 48 hours of the scheduled procedure will incur a 25% administrative fee on the applicable service line item.
  • Warranty of Service: The Radiologist guarantees that all diagnostic reports will be delivered within 24 hours of procedure completion (48 hours for complex multi-modality studies). In the event of a misinterpretation confirmed by a second-opinion Radiologist panel, the cost of the re-examination shall be borne entirely by the service provider.
  • Governing Law: This Quotation Estimate and any resulting contractual obligations shall be governed by and interpreted in accordance with the civil and commercial laws of the Islamic Republic of Iran. Any disputes shall be resolved through the competent courts of Iran Tehran or, at the mutual agreement of both parties, through arbitration under the rules of the Tehran International Arbitration Center (TIAC).
4. Acceptance and Authorization

By signing below, the client acknowledges receipt of this Quotation Estimate and confirms acceptance of all terms, conditions, and pricing outlined in this document for the engagement of the named Radiologist and associated diagnostic imaging services in Iran Tehran.

For the Service Provider

Dr. Alireza Mohammadi, MD, PhD

Board-Certified Radiologist

Tehran Radiology & Imaging Center

Signature & Date

For the Client

[Authorized Representative Name]

[Title / Position]

[Institution / Company Name]

Signature & Date

Quotation Estimate No. QTE-TEH-2025-04782 | Radiologist Diagnostic Services | Tehran, Iran

This document is generated for the exclusive use of the named client and is not transferable. © 2025 Tehran Radiology & Imaging Center. All rights reserved.

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