Quotation Estimate Speech Therapist in Chile Santiago –Free Word Template Download with AI
Professional Speech Therapist Services
Chile Santiago — Metropolitan Region
Document Reference: QE-ST-2025-0847
Service Provider InformationProvider
Clínica del Hablar Santiago
Av. Providencia 1250, Of. 804
Providencia, Chile Santiago
RUT: 76.543.210-K
Phone: +56 2 2345 6789
Email: [email protected]
Web: www.clinicadelhablar.cl
Client / Recipient
Mr./Ms. [Client Full Name]
[Client Address]
[Comuna], Chile Santiago
RUT: [XX.XXX.XXX-X]
Phone: +56 9 XXXX XXXX
Email: [[email protected]]
This Quotation Estimate is issued by Clínica del Hablar Santiago to provide a comprehensive, itemized breakdown of professional Speech Therapist services to be delivered in the metropolitan area of Chile Santiago. The following program has been designed based on a preliminary clinical assessment conducted on June 10, 2025, and is tailored to address the specific communication and language needs of the client or the client's dependent (child, adolescent, or adult).
Our licensed Speech Therapist, a certified professional registered with the Colegio de Fonoaudiólogos de Chile, will conduct all sessions in a fully equipped therapy room located in the Providencia district of Chile Santiago. The program encompasses diagnostic evaluation, individualized treatment planning, weekly therapeutic sessions, progress monitoring, and a final comprehensive report.
Itemized Pricing Schedule| # | Service Description | Duration | Frequency | Unit Price (CLP) | Subtotal (CLP) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Diagnostic Evaluation by Speech Therapist (articulation, phonology, fluency, voice, language comprehension and expression) | 90 min | One-time | $85,000 | $85,000 |
| 2 | Individualized Treatment Plan Development & Family Orientation Session | 60 min | One-time | $55,000 | $55,000 |
| 3 | Weekly Speech Therapy Sessions (articulation drills, phonological intervention, oral motor exercises, language facilitation) | 50 min | 2x / week × 12 weeks | $65,000 | $1,560,000 |
| 4 | Bi-Weekly Progress Assessment & Plan Adjustment (administered by the Speech Therapist) | 45 min | Every 2 weeks × 6 | $45,000 | $270,000 |
| 5 | Home Practice Materials & Digital Resource Package (customized worksheets, audio recordings, app access) | — | One-time | $35,000 | $35,000 |
| 6 | Final Comprehensive Report & Discharge Summary (for school, insurance, or medical records) | 60 min | One-time | $70,000 | $70,000 |
| 7 | Parent/Caregiver Training Workshop (strategies for reinforcement at home, 2 sessions) | 60 min each | 2 sessions | $40,000 | $80,000 |
| TOTAL ESTIMATED COST (CLP) | $2,155,000 | ||||
- Validity: 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 Chile Santiago.
- Payment Schedule: A 30% advance payment (CLP $646,500) is required to secure the client's place in the Speech Therapist's schedule. The remaining balance shall be paid in two equal monthly installments (CLP $754,250 each) due on the 1st of the second and third months of the program.
- Accepted Payment Methods: Bank transfer (Cuenta RUT), credit/debit card (Visa, Mastercard, American Express), or cash at the Clínica del Hablar Santiago office. Installment plans of up to 3 months are available through our in-house financing or via Banco de Chile / Santander consumer credit.
- Cancellations & Rescheduling: Sessions may be rescheduled up to 24 hours in advance at no additional charge. Cancellations made less than 24 hours before the scheduled session will be billed at 50% of the session fee. The Speech Therapist reserves the right to cancel in cases of force majeure, with full rescheduling within 72 hours.
- Confidentiality: All clinical records, diagnostic reports, and session notes are protected under Chilean Law 19.628 on the Protection of Private Life and the regulations of the Colegio de Fonoaudiólogos de Chile. No information will be disclosed without written consent from the client or legal guardian.
- Program Duration: The 12-week program is an estimate based on the initial assessment. The Speech Therapist may recommend an extension or modification of the program based on the client's progress. Any additional sessions will be quoted separately at the same unit rates specified in this document.
- Insurance & Reimbursement: This Quotation Estimate can be submitted to major Chilean health insurance providers (Isapre: PlanVital, Cruz Blanca, Vida, Colmena, etc.) for partial or full reimbursement, subject to the client's coverage plan. An official invoice (Factura) will be issued upon request.
- Professional Standards: The Speech Therapist providing services is a licensed Fonoaudiólogo(a) with a minimum of 8 years of clinical experience, registered with the Superintendencia de Salud de Chile and the Colegio de Fonoaudiólogos de Chile. All interventions follow evidence-based protocols (e.g., Dynamic Approach, Cycle Approach, LSHS) adapted to the Chilean Spanish-speaking context.
By signing below, the client acknowledges receipt of this Quotation Estimate for Speech Therapist services in Chile Santiago and agrees to the terms, conditions, and pricing outlined in this document. The client authorizes Clínica del Hablar Santiago to commence the diagnostic evaluation upon receipt of the advance payment.
Client / Legal Guardian Signature
Name: ______________________________
RUT: ______________________________
Date: ______________________________ Clínica del Hablar Santiago (Provider)
Name: Dra. Carolina Fuentes, Fonoaudióloga
RUT: 12.345.678-9
Date: ______________________________ ⬇️ Download as DOCX Edit online as DOCX
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