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Templates

Treatment quote template (Word)

Reviewed 19 October 2026

A free Word template for the treatment quotes you send patients: options with a price table, what the price includes, the deposit and balance, payment details for your clinic's bank account, cancellation terms and a signature for acceptance. Just fill in the fields in square brackets.

treatment-quote-template.docxWord document, 36 kBFree download, no sign-upDownload
On this page

What's inside?

  • Clinic details, quote number, date and validity
  • Patient, file number, doctor and the coordinator who prepared it
  • A table for two options (treatment, quantity, unit price, amount) with subtotal, discount, VAT and total
  • What the price includes and leaves out: accommodation, transfers, interpreter, medication, aftercare kit, follow-up visits, tests, flights
  • A payment schedule: deposit and balance, each with its due date
  • Bank transfer details for the clinic's account, with a warning about fake bank details
  • A section for cancellation, rescheduling and refund terms
  • The patient's chosen option, acceptance and signatures for both sides

Who is it for?

Clinics, private practices and health-tourism agencies that want to send a tidy, signable quote instead of a price typed into a message. It works for dental, hair, aesthetic and other treatments, with patients from home or abroad, and includes a note that the final plan is set after the doctor's examination.

Use it in 3 steps

  1. Fill in your clinic's details once

    Add your name, address, contact and bank details, then keep the document as your own template.

  2. Build the options from the doctor's review

    Write the lines, quantities and prices; tick whether hotel nights, transfers and an interpreter are included, and set out the deposit and balance with dates.

  3. Send it as a PDF

    The patient ticks an option, signs and returns it.

Klinikbook does this for you

In Klinikbook the quote is built inside the case: up to five options, line items, inclusions and exclusions, the deposit and when the balance is due. Price lists and packages save rewriting your usual quotes, and internal costs are visible only to people with permission.

The patient opens the quote through a secure link, you see that they have, and they compare and accept it on the patient portal. Acceptance creates the payment schedule and the patient uploads their receipt. The money goes straight to the clinic, never through Klinikbook.

Quote OK-0001-Q1: two options (All-on-4 and six implants with a zirconia bridge), lines, what is included, a 20% deposit, internal costs and the version the patient accepted.
A quote: two options with their line items, deposit and balance, and the moment the patient opened and accepted it.Real product screen · fictional sample data

Frequently asked questions

Is the treatment quote template free?

Yes. You download it without signing up or giving an e-mail address.

Can I use it with my own logo?

Yes. It is an ordinary Word document, so you can add your logo and change the colours and wording. There are no macros.

Can I quote in a foreign currency?

Yes. You write the currency yourself, whether that is GBP, EUR, TRY or another. The template does not convert between currencies.

How large should the deposit be?

That is your clinic's decision; the template suggests no amount or percentage. What matters is that the quote states the deposit, its due date and when it is refunded.

Does it open in Google Docs or LibreOffice?

Yes. It is a standard Word file and opens in Google Docs, LibreOffice Writer and Pages, although the layout may differ slightly.

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