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Quotation Estimate Radiologist in Israel Jerusalem –Free Word Template Download with AI

12 King David Street, Jerusalem, Israel 97100 | Tel: +972-2-555-0147 | Email: [email protected]

License No. IL-2024-RAD-0892 | VAT: 51-234-567-8

Quotation Estimate

Quotation Details

Quotation No.: QE-2025-JER-0471

Date Issued: 15 June 2025

Valid Until: 15 July 2025

Prepared By: Dr. Miriam Levi, Lead Radiologist

Client Information

Client Name: [Client / Institution Name]

Address: [Street, City, Israel]

Contact Person: [Name & Title]

Phone / Email: [Contact Details]

Dear Valued Client,

Thank you for your inquiry regarding our professional Radiologist services. This Quotation Estimate has been carefully prepared to outline the full scope of diagnostic imaging and radiological consultation services that our team at Jerusalem Advanced Imaging & Diagnostic Center will provide. As a leading medical imaging facility operating in Israel Jerusalem, we are committed to delivering the highest standard of radiological care, combining state-of-the-art technology with the expertise of board-certified specialists.

The following Quotation Estimate covers the comprehensive engagement of our senior Radiologist for a period of twelve (12) months, effective from the date of contract acceptance. All services will be rendered at our primary facility in central Israel Jerusalem, with the option for on-site consultations at approved partner hospitals within the Jerusalem metropolitan area.

# Service Description Frequency / Qty Unit Price (ILS) Total (ILS)
1 Senior Radiologist – Full Diagnostic Interpretation (CT, MRI, Ultrasound, X-Ray) Monthly retainer 18,500 222,000
2 Emergency Radiologist On-Call Coverage (24/7, Jerusalem District) Annual contract 45,000 45,000
3 Specialized Interventional Radiology Procedures (up to 20 per month) Per procedure 3,200 76,800
4 Mammography & Breast Imaging – Dedicated Radiologist Panel Monthly retainer 9,800 117,600
5 Pediatric Radiology Consultation – Certified Pediatric Radiologist Monthly retainer 12,400 148,800
6 Second-Opinion Radiology Reports (up to 50 per month) Per report 850 51,000
7 On-Site Radiologist Consultation at Partner Hospital, Jerusalem Up to 8 visits/month 2,100 20,160
8 Annual Quality Assurance & Regulatory Compliance Audit (Ministry of Health, Israel) One-time 15,000 15,000
Subtotal (Excluding VAT) 696,360
VAT (18%) 125,345
Grand Total (Including VAT) 821,705
  • Validity: This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiration date, pricing may be subject to revision based on current market conditions in Israel Jerusalem and updated Ministry of Health fee schedules.
  • Payment Terms: Payment is due within thirty (30) days of invoice issuance. A 1.5% monthly late-payment interest rate shall apply to overdue balances in accordance with Israeli commercial law. Payment may be made via bank transfer to our account at Bank Hapoalim, Jerusalem branch.
  • Scope Limitations: This Quotation Estimate covers the services explicitly listed above. Any additional Radiologist consultations, emergency interventions beyond the agreed on-call scope, or specialized procedures not enumerated herein will be billed separately at the rates published in our standard fee schedule.
  • Regulatory Compliance: All Radiologist services provided under this agreement shall comply with the regulations set forth by the Israeli Ministry of Health, the Israel Medical Association, and the relevant radiation safety directives issued by the Israel Atomic Energy Commission.
  • Confidentiality: All patient data and diagnostic reports handled by our Radiologist team are protected under the Israeli Privacy Protection Law, 5741-1981, and the Hospital Regulations. No patient information shall be disclosed to third parties without written consent.
  • Termination: Either party may terminate this agreement with sixty (60) days written notice. In the event of early termination by the client, a pro-rata charge for services already rendered will apply.
  • Dispute Resolution: Any disputes arising from this Quotation Estimate or the resulting contract shall be resolved through mediation in Jerusalem, Israel, in accordance with the provisions of the Israeli Arbitration Law, 5728-1968.
  • Force Majeure: Neither party shall be liable for failure to perform obligations due to circumstances beyond reasonable control, including but not limited to natural disasters, government-mandated closures, or public health emergencies affecting operations in Israel Jerusalem.

By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions outlined herein. The engagement of our Radiologist services shall commence upon full execution of this document and receipt of the initial payment installment.

For Jerusalem Advanced Imaging & Diagnostic Center

Name: Dr. Miriam Levi, Lead Radiologist

Signature: ___________________________

Date: ___________________________

For the Client

Name: ___________________________

Signature: ___________________________

Date: ___________________________

Jerusalem Advanced Imaging & Diagnostic Center | 12 King David Street, Jerusalem, Israel 97100

This Quotation Estimate document is generated electronically and is valid without a physical stamp. Quotation No. QE-2025-JER-0471 | Page 1 of 1

© 2025 Jerusalem Advanced Imaging & Diagnostic Center. All rights reserved.

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