Quotation Estimate Surgeon in India Mumbai –Free Word Template Download with AI

This Quotation Estimate is issued by MediCare Surgical Services Pvt. Ltd., a NABH-accredited surgical facility based in India Mumbai, in response to the formal request received from the above-named client for the engagement of a senior Surgeon and associated surgical team for a planned elective procedure. This document provides a comprehensive, itemized breakdown of all anticipated costs, professional fees, facility charges, and ancillary services required to deliver the surgical intervention safely and effectively within the India Mumbai metropolitan healthcare ecosystem. All pricing in this Quotation Estimate is quoted in Indian Rupees (INR) and is subject to the terms and conditions outlined herein.

The Surgeon to be engaged under this Quotation Estimate is Dr. Ananya Deshmukh, MS (General Surgery), MCh (Surgical Gastroenterology), with over 18 years of clinical experience and a fellowship in Minimally Invasive Surgery from the University of California, San Francisco. The Surgeon is registered with the Medical Council of India (MCI) under Registration No. MH-45821 and holds valid empanelment with all major health insurance providers operating in India Mumbai. The scope of services includes pre-operative consultation, surgical planning, the operative procedure itself, intra-operative decision-making, immediate post-operative care, and a minimum of three follow-up consultations within the first 30 days post-discharge.

1. This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. Beyond this period, all rates, particularly those pertaining to the Surgeon's professional fees and consumables, are subject to revision based on prevailing market conditions in India Mumbai.
2. A non-refundable advance payment of 40% of the Grand Total (INR 1,64,220) is required to confirm the Surgeon's schedule and reserve the operating theatre slot. The remaining 60% shall be payable within 7 working days of the patient's discharge.
3. The Surgeon reserves the right to modify the surgical approach intra-operatively based on findings during the procedure. Any additional costs arising from such modifications will be communicated to the patient or authorized representative in writing before proceeding, and will be billed separately beyond the scope of this Quotation Estimate.
4. All services rendered under this Quotation Estimate are subject to the availability of the Surgeon and the operating theatre. In the event of a rescheduling, a 15% cancellation fee shall apply if the cancellation is communicated less than 72 hours before the scheduled procedure date.
5. This Quotation Estimate does not include the cost of blood transfusions, ICU charges beyond the contingency reserve, or any additional diagnostic tests that may be recommended by the Surgeon post-operatively.
6. MediCare Surgical Services Pvt. Ltd. operates in strict compliance with the Medical Council of India (MCI) regulations, the Clinical Establishments (Registration and Regulation) Act, 2010, and all applicable healthcare laws of the State of Maharashtra, India Mumbai.
7. Payment may be made via bank transfer, cheque, or through approved health insurance providers. The facility is empanelled with 45+ major insurers operating in India Mumbai, including Star Health, HDFC Ergo, ICICI Lombard, and New India Assurance.
8. Any disputes arising from the interpretation or execution of this Quotation Estimate shall be subject to the exclusive jurisdiction of the competent courts in India Mumbai.

By signing below, the client acknowledges that they have read, understood, and accepted all terms, conditions, and cost estimates detailed in this Quotation Estimate for the engagement of the Surgeon and associated surgical services at the India Mumbai facility of MediCare Surgical Services Pvt. Ltd.