Quotation Estimate Speech Therapist in South Africa Johannesburg –Free Word Template Download with AI
142 Rivonia Road, Sandton, Johannesburg, 2196, South Africa
Tel: +27 (0)11 456 7890 | Email: [email protected]
Registration No: HPCSA-45821 | VAT No: 4910238765
Quotation EstimateQuotation Details
Quotation No: QTE-2025-0487
Date Issued: 15 June 2025
Valid Until: 15 July 2025
Prepared By: Dr. Naledi Mokoena, MSc (Speech-Language Pathology)
Client Information
Client Name: Mr. Thabo Dlamini
Address: 28 Oak Avenue, Fourways, Johannesburg, 2191
Contact: +27 (0)82 345 6789
Email: [email protected]
Dear Mr. Dlamini,
Thank you for contacting ClearVoice Speech Therapy Centre regarding professional speech therapy services for your dependent. This Quotation Estimate has been carefully prepared following our initial assessment consultation held on 10 June 2025 at our Sandton clinic in Johannesburg. The purpose of this document is to provide you with a comprehensive and transparent breakdown of the costs associated with the recommended Speech Therapist intervention programme, tailored specifically to the needs identified during the diagnostic evaluation.
As a registered Speech Therapist operating in compliance with the Health Professions Council of South Africa (HPCSA) regulations, we are committed to delivering evidence-based, culturally sensitive, and ethically sound therapeutic services to all clients within the South Africa Johannesburg metropolitan area and surrounding regions. This Quotation Estimate reflects our standard fee structure as applicable in the South Africa Johannesburg healthcare market for the 2025 financial year.
Scope of Services – Speech Therapist Intervention ProgrammeThe following Speech Therapist services have been recommended based on the clinical findings from the initial assessment. The programme is designed to address articulation disorders, phonological processing difficulties, and mild language comprehension delays identified in the client's dependent (age 7, male). All sessions will be conducted by a qualified Speech Therapist at our Johannesburg facility or via telehealth as specified below.
| Item No. | Description of Service | Frequency / Duration | Unit Rate (ZAR) | Amount (ZAR) |
|---|---|---|---|---|
| 1 | Initial Comprehensive Speech-Language Assessment (including articulation, phonology, receptive and expressive language, and pragmatic evaluation) | One-time (90 min) | R 2,850.00 | R 2,850.00 |
| 2 | Individual Speech Therapy Sessions – Articulation and Phonological Intervention (delivered by a registered Speech Therapist) | 2 sessions/week × 12 weeks (45 min each) | R 950.00 | R 22,800.00 |
| 3 | Parent/Caregiver Education and Home Programme Guidance (group session, max 6 families) | 4 sessions (60 min each) | R 450.00 | R 1,800.00 |
| 4 | Mid-Programme Progress Review and Re-assessment by the Speech Therapist | One-time (60 min) | R 1,500.00 | R 1,500.00 |
| 5 | Final Outcome Assessment and Written Report (suitable for school or medical aid submission) | One-time (60 min) | R 1,850.00 | R 1,850.00 |
| 6 | Telehealth Follow-up Consultation (post-programme, via secure video platform) | 2 sessions (30 min each) | R 550.00 | R 1,100.00 |
| 7 | Customised Home Exercise Materials and Digital Resource Pack (printed and digital) | One-time | R 650.00 | R 650.00 |
| Subtotal | R 32,550.00 | |||
| VAT (15%) | R 4,882.50 | |||
| TOTAL ESTIMATED COST | R 37,432.50 | |||
- A deposit of 30% (R 11,229.75) of the total Quotation Estimate amount is required to secure the client's place in the programme. The balance is payable in two equal monthly instalments over the 12-week period.
- Payment may be made via EFT to our bank account (Bank: FNB, Account: 6284 5512 009, Branch: 250655) or by credit/debit card. A 2.5% surcharge applies to card payments.
- Medical aid claims: ClearVoice Speech Therapy Centre is a preferred provider for major South African medical aid schemes including Discovery Health, Momentum Health, Bonitas, and Medihelp. The Speech Therapist will provide all necessary documentation for claims submission. The client is responsible for any co-payment or gap between the medical aid benefit and the fees outlined in this Quotation Estimate.
- Appointments cancelled with less than 48 hours' notice will be charged at 50% of the session fee. No-shows will be charged in full.
- This Quotation Estimate is valid for 30 days from the date of issue. Fees are subject to annual review in line with the South Africa Johannesburg healthcare cost index.
- All services are governed by the HPCSA Code of Professional Conduct and the Protection of Personal Information Act (POPIA), 2013. Client records are maintained in strict confidence in accordance with South African data protection legislation.
- In the event of the Speech Therapist's unavailability due to illness or leave, an equally qualified substitute Speech Therapist will be assigned, and the client will be notified in advance.
By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions outlined herein. The client confirms that the recommended Speech Therapist intervention programme is understood and accepted. This document does not constitute a binding contract until the deposit has been received and a formal treatment plan has been signed by both parties.
Client SignatureName: Mr. Thabo Dlamini
Date: ______________________ Speech Therapist / Authorised Representative
Name: Dr. Naledi Mokoena
HPCSA No: 45821
Date: ______________________ ⬇️ Download as DOCX Edit online as DOCX
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