Quotation Estimate Surgeon in Canada Toronto –Free Word Template Download with AI

This Quotation Estimate outlines the comprehensive surgical services to be provided by the undersigned Surgeon in the city of Canada Toronto. The scope encompasses pre-operative assessment, the surgical procedure itself, immediate post-operative care, and scheduled follow-up consultations. All services will be delivered in accordance with the standards set by the College of Physicians and Surgeons of Ontario and the Canadian Medical Association. The Surgeon confirms full availability and commitment to the timeline specified herein, with all procedures to be conducted at a licensed surgical facility within the Canada Toronto metropolitan area.

This Quotation Estimate is payable as follows: a deposit of 30% ($3,690.02) is due upon acceptance of this document to secure the Surgeon's schedule and the operating room booking in Canada Toronto. The remaining balance of 70% ($8,610.03) is due within 14 calendar days following the completion of the surgical procedure. Payment may be made via EFT, certified cheque, or major credit card. The Surgeon and Toronto Surgical Associates Inc. will submit a direct billing claim to the client's insurance provider (Sun Life of Canada) where applicable, and the client is responsible for any co-payments, deductibles, or non-covered items as determined by the insurer.

• This Quotation Estimate is valid for 30 days from the date of issue. After the expiry date, pricing may be subject to revision based on current fee schedules in Canada Toronto.
• The Surgeon reserves the right to modify the surgical approach intra-operatively if clinical findings necessitate a change in technique. Any additional costs arising from such modifications will be communicated to the client or their designated representative prior to or immediately after the procedure.
• All services described in this Quotation Estimate are subject to the client's informed consent, which must be signed no fewer than 48 hours before the scheduled procedure date.
• The Surgeon is registered in good standing with the College of Physicians and Surgeons of Ontario. The client may verify credentials at any time through the CPSO public registry.
• Confidentiality of all medical information is maintained in strict compliance with the Personal Health Information Protection Act (PHIPA) of Ontario and the Privacy Act of Canada.
• This Quotation Estimate does not constitute a guarantee of specific surgical outcomes. The Surgeon will exercise the highest standard of care consistent with accepted medical practice in Canada Toronto and the broader Canadian healthcare system.
• Any disputes arising from this engagement shall be resolved through mediation in accordance with the Ontario Arbitration Act before proceeding to litigation in the courts of the Province of Ontario, Canada Toronto jurisdiction.
• Cancellation by the client after the deposit has been paid will result in forfeiture of the deposit. Cancellation by the Surgeon for reasons other than medical contraindication will result in a full refund of all amounts paid.

By signing below, the client acknowledges receipt and acceptance of this Quotation Estimate for Surgeon services to be performed in Canada Toronto. The client confirms that they have had the opportunity to ask questions regarding the scope, costs, and risks associated with the proposed procedure.