Quotation Estimate Surgeon in Egypt Alexandria –Free Word Template Download with AI
Alexandria Medical Services Group
12 Corniche El-Nil Street, Alexandria, Egypt 21543
Tel: +20 3 482 5567 | Email: [email protected]
Commercial Registration No: 104582 | Tax ID: 552-883-124
This Quotation Estimate is formally issued by Alexandria Medical Services Group to provide a comprehensive and transparent breakdown of all costs associated with the engagement of a Surgeon for specialized surgical procedures to be performed at our facilities in Egypt Alexandria. This document serves as a binding financial proposal and outlines the full scope of services, professional fees, facility charges, and ancillary costs that the client will incur. All pricing in this Quotation Estimate is based on current market rates in Egypt Alexandria as of the date of issuance and is subject to the terms and conditions stated herein.
The Surgeon engaged under this Quotation Estimate will provide full surgical care including pre-operative consultation, intra-operative surgical execution, and post-operative follow-up. The Surgeon is a board-certified specialist registered with the Egyptian Medical Syndicate, Alexandria Branch, and holds valid malpractice insurance coverage. The surgical procedures will be conducted at our fully accredited operating theatre located in the central district of Egypt Alexandria, equipped with state-of-the-art surgical technology and a dedicated anaesthesiology team.
| Item No. | Description of Service | Quantity | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|---|
| 01 | Surgeon Professional Fee – Primary Surgical Procedure | 1 | 45,000 | 45,000 |
| 02 | Surgeon Pre-Operative Consultation & Assessment | 2 | 2,500 | 5,000 |
| 03 | Surgeon Post-Operative Follow-Up Visits (Week 1, 2, 6) | 3 | 1,800 | 5,400 |
| 04 | Operating Theatre Facility Fee – Alexandria, Egypt | 1 | 32,000 | 32,000 |
| 05 | Anaesthesiologist & Nursing Team (4-hour block) | 1 | 18,500 | 18,500 |
| 06 | Surgical Consumables, Implants & Sterile Supplies | 1 | 27,000 | 27,000 |
| 07 | Inpatient Recovery Room – 24-Hour Post-Op Monitoring | 1 | 12,000 | 12,000 |
| 08 | Laboratory Work, Imaging & Pre-Surgical Diagnostics | 1 | 8,500 | 8,500 |
| 09 | Emergency Surgeon On-Call Standby (48-hour window) | 1 | 6,000 | 6,000 |
| 10 | Medical Records, Discharge Summary & Certification | 1 | 1,200 | 1,200 |
| Subtotal | 160,600 | |||
| VAT (14% – Egyptian Tax Authority) | 22,484 | |||
| GRAND TOTAL (EGP) | 183,084 | |||
The Surgeon referenced in this Quotation Estimate holds a Doctorate of Medicine (MD) from Alexandria University Faculty of Medicine, a Fellowship in Advanced Surgical Techniques (FACS), and over fifteen years of clinical practice in Egypt Alexandria. The Surgeon is a member in good standing of the Egyptian Surgical Society and the Alexandria Medical Syndicate. All credentials, licenses, and insurance certificates are available for verification upon request prior to the execution of this Quotation Estimate.
- This Quotation Estimate is valid for thirty (30) calendar days from the date of issuance. After the expiry date, all prices are subject to revision based on prevailing rates in Egypt Alexandria.
- Payment terms: 50% advance payment upon acceptance of this Quotation Estimate; the remaining 50% is due within seven (7) business days following the completion of the surgical procedure.
- The Surgeon reserves the right to reschedule the procedure up to 48 hours in advance due to medical necessity, with full refund of any advance payment if the cancellation is initiated by the facility.
- All surgical procedures will comply with the regulations set forth by the Egyptian Ministry of Health and the Alexandria Health Directorate.
- Any additional procedures deemed necessary intra-operatively by the Surgeon will be communicated to the patient or authorized representative prior to execution, and a supplementary Quotation Estimate will be issued for approval.
- This Quotation Estimate does not include costs for extended hospitalization beyond the 24-hour recovery period, physiotherapy, or specialist referrals unless explicitly stated.
- Disputes arising from this Quotation Estimate shall be governed by the laws of the Arab Republic of Egypt and adjudicated in the competent courts of Alexandria.
By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms, conditions, and pricing outlined for the engagement of the Surgeon in Egypt Alexandria. This signature constitutes formal acceptance and authorizes Alexandria Medical Services Group to proceed with scheduling and preparation.
For Alexandria Medical Services Group
Authorized Signatory
Name: Eng. Mona El-Sayed
Title: Director of Operations
Date: _______________
Client / Patient Representative
Name: _________________________
ID / Passport No: _______________
Date: _______________
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