Quotation Estimate Speech Therapist in Brazil Brasília –Free Word Template Download with AI

This Quotation Estimate outlines the comprehensive Speech Therapist intervention program to be delivered at our clinic in Brazil Brasília, specifically tailored to the client's diagnosed condition of post-stroke aphasia (Broca's type) with secondary dysarthria. The Speech Therapist, Dra. Helena Vasconcelos, holds a Master's degree in Speech-Language Pathology from the University of Brasília (UnB) and over fourteen years of clinical experience in neurological rehabilitation within the Federal District.

The program encompasses individualized assessment, weekly therapeutic sessions, home exercise protocols, caregiver training, and periodic re-evaluation. All services are conducted in compliance with the Brazilian Federal Council of Speech-Language Pathology (CREFONO) regulations and the National Health System (SUS) clinical guidelines for speech therapy in Brasília.

• Payment Schedule: The total Quotation Estimate amount of R$ 20,770.00 shall be paid in six (6) equal monthly installments of R$ 3,461.67, due on the 5th business day of each month.
• Accepted Methods: Bank transfer (TED/PIX) to the clinic account in Brasília, or credit card (up to 6 installments with no additional interest).
• Initial Assessment Fee: The R$ 480.00 initial assessment is due in full prior to the first session and is non-refundable once the evaluation has commenced.
• Late Payment: A 2% interest penalty plus a 1% fine will be applied to overdue installments, in accordance with Brazilian civil law (Código Civil, Art. 412).

• This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After this period, pricing may be adjusted to reflect current market rates in Brasília.
• The Speech Therapist reserves the right to modify the treatment plan based on clinical progress. Any significant change in scope will be communicated in writing and may result in a revised Quotation Estimate.
• Cancellations must be made at least 24 hours in advance. Sessions cancelled with less than 24 hours' notice will be billed at 50% of the session fee.
• All clinical records and patient data are protected under Brazil's General Data Protection Law (LGPD – Lei Geral de Proteção de Dados, Lei nº 13.709/2018). The Speech Therapist and clinic staff in Brasília are bound by strict confidentiality obligations.
• The program duration is estimated at six (6) months. Early discharge or extension will be determined by the Speech Therapist based on clinical milestones and documented in the progress reports.
• This Quotation Estimate does not include costs for auxiliary aids (e.g., specialized communication boards, software licenses) unless explicitly stated in Section 3.
• Disputes arising from this Quotation Estimate shall be resolved under the jurisdiction of the courts of Brasília, Distrito Federal, Brazil.

By signing below, the client acknowledges receipt of this Quotation Estimate for Speech Therapist services in Brazil Brasília, agrees to the terms, conditions, and payment schedule outlined herein, and authorizes the commencement of the therapeutic program as described.