Quotation Estimate Surgeon in Brazil São Paulo –Free Word Template Download with AI
MedSurg São Paulo Especializada Ltda.
Av. Paulista, 1578 – Bela Vista, São Paulo – SP, Brazil
CNPJ: 12.345.678/0001-90 | Tel: +55 (11) 3456-7890 | Email: [email protected]
This Quotation Estimate is issued by MedSurg São Paulo Especializada Ltda. to provide a comprehensive and transparent financial breakdown for the engagement of a qualified Surgeon to perform scheduled and on-call surgical procedures at the client's private practice facility located in Brazil São Paulo. This document serves as a formal proposal and does not constitute a binding contract until both parties have executed the definitive service agreement. All pricing presented herein is denominated in Brazilian Reais (BRL) and reflects current market rates for surgical professional services in the metropolitan region of São Paulo, Brazil.
The Surgeon engaged under this Quotation Estimate shall provide the following professional services within the jurisdiction of Brazil São Paulo:
- Pre-operative patient assessment, diagnostic review, and surgical planning for general surgery cases including appendectomy, cholecystectomy, hernia repair, and colorectal procedures.
- Performance of scheduled surgical interventions at the client-designated operating theatre in São Paulo, Brazil, with full anaesthetic coordination.
- On-call emergency surgical coverage for a minimum of 48 hours per week, with a guaranteed response time of 30 minutes within the city limits of São Paulo.
- Post-operative patient monitoring, wound management, and follow-up consultations for a period of 14 days following each surgical procedure.
- Preparation and submission of detailed surgical reports, operative notes, and discharge documentation in compliance with the Brazilian Federal Medical Council (CFM) regulations.
- Participation in multidisciplinary case conferences and surgical board reviews as required by the facility's clinical governance protocol.
| Item | Description | Unit | Qty | Unit Price (BRL) | Subtotal (BRL) |
|---|---|---|---|---|---|
| 01 | Surgeon – Scheduled General Surgery Procedure (standard case, up to 3 hours operative time) | Procedure | 12 | R$ 8,500.00 | R$ 102,000.00 |
| 02 | Surgeon – Complex / Extended Surgical Procedure (exceeding 3 hours or involving multiple organ systems) | Procedure | 4 | R$ 14,200.00 | R$ 56,800.00 |
| 03 | Surgeon – Emergency On-Call Coverage (48-hour weekly rotation, São Paulo metropolitan area) | Week | 52 | R$ 3,200.00 | R$ 166,400.00 |
| 04 | Surgeon – Pre-operative Consultation and Surgical Planning Session | Session | 16 | R$ 1,800.00 | R$ 28,800.00 |
| 05 | Surgeon – Post-operative Follow-up and Wound Care (14-day monitoring period per patient) | Patient | 16 | R$ 950.00 | R$ 15,200.00 |
| 06 | Surgeon – Surgical Report, Operative Notes, and CFM Compliance Documentation | Report | 16 | R$ 450.00 | R$ 7,200.00 |
| 07 | Surgeon – Multidisciplinary Case Conference Participation (monthly) | Month | 12 | R$ 1,200.00 | R$ 14,400.00 |
| 08 | Professional Liability Insurance (Surgeon – Annual Coverage, Brazil São Paulo jurisdiction) | Year | 1 | R$ 22,000.00 | R$ 22,000.00 |
| 09 | Surgeon – Travel and Local Transportation within São Paulo, Brazil (estimated monthly) | Month | 12 | R$ 850.00 | R$ 10,200.00 |
| TOTAL ESTIMATED COST (BRL) | R$ 423,200.00 | ||||
| Applicable Tax – ISS (Serviços – São Paulo, Brazil) 5% | R$ 21,160.00 | ||||
| GRAND TOTAL (BRL) | R$ 444,360.00 | ||||
The Surgeon proposed under this Quotation Estimate must hold a valid registration with the Conselho Regional de Medicina do Estado de São Paulo (CREMESP) and the Conselho Federal de Medicina (CFM). The Surgeon shall possess a minimum of ten (10) years of post-residency surgical experience, with documented competency in general surgery and at least one subspecialty (e.g., hepatobiliary, colorectal, or vascular surgery). All surgical credentials, board certifications, and continuing medical education records shall be verified prior to the commencement of services in Brazil São Paulo. The Surgeon must also maintain a current professional liability insurance policy with a minimum coverage of R$ 5,000,000.00 per occurrence, as mandated by the facility's risk management protocol.
5.1 – This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, all prices and availability terms are subject to revision without prior notice.
5.2 – Payment terms: 50% of the total Quotation Estimate value shall be due upon contract execution, and the remaining 50% shall be settled in monthly installments aligned with the service delivery schedule in São Paulo, Brazil.
5.3 – Any surgical procedure not explicitly listed in Section 3 of this Quotation Estimate shall be subject to a supplementary Quotation Estimate issued within five (5) business days.
5.4 – The Surgeon reserves the right to decline any surgical case that falls outside the scope of their documented competency or that presents an unacceptably high risk profile, in which case an alternative Surgeon shall be proposed at no additional cost.
5.5 – All services rendered under this Quotation Estimate are governed by the laws of the Federative Republic of Brazil, with jurisdiction of the courts of the city of São Paulo, State of São Paulo.
5.6 – Cancellation by the client after the Surgeon has been scheduled for a specific procedure date shall incur a cancellation fee of 40% of the applicable procedure fee as stated in this Quotation Estimate.
By signing below, both parties acknowledge that they have read, understood, and agree to the terms set forth in this Quotation Estimate for Surgeon services in Brazil São Paulo. This signature does not constitute a final contract but serves as an expression of intent to proceed toward a definitive service agreement.
For MedSurg São Paulo Especializada Ltda.
Name: ______________________________
Role: Director of Surgical Services
Date: ______________________________
Signature: ______________________________
For the Client (Dr. Helena Vasconcelos)
Name: ______________________________
Role: Practice Owner / Medical Director
Date: ______________________________
Signature: ______________________________
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