Invoice Dietitian in Brazil Rio de Janeiro –Free Word Template Download with AI
CRN-3: 12345-F (Rio de Janeiro)
Av. Atlântica, 1702, Copacabana
Rio de Janeiro, RJ - 22021-001, Brazil
CNPJ: 12.345.678/0001-90
Email: [email protected]
Date: October 24, 2023
Due Date: November 07, 2023
Bill To
Mr. Roberto Mendes
Leblon Health Club
Rua Visconde de Pirajá, 550
Leblon, Rio de Janeiro, RJ - 22410-002
CPF: 123.456.789-00
| Description of Services | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|
|
Initial Clinical Nutritional Assessment Comprehensive evaluation including anthropometric measurements, body composition analysis via bioimpedance, and detailed dietary history interview conducted at the Copacabana clinic. |
1 | R$ 350,00 | R$ 350,00 |
|
Personalized Nutritional Plan Development Creation of a customized meal plan tailored to the client's metabolic needs, lifestyle in Rio de Janeiro, and specific health goals, including macronutrient calculation and food exchange lists. |
1 | R$ 250,00 | R$ 250,00 |
|
Follow-up Consultation (Monthly) One-hour session to monitor progress, adjust caloric intake, review food logs, and provide behavioral counseling to ensure adherence to the nutritional protocol. |
2 | R$ 200,00 | R$ 400,00 |
|
Supplementation Protocol Prescription and guidance on the use of dietary supplements to support muscle recovery and metabolic health, compliant with ANVISA regulations. |
1 | R$ 150,00 | R$ 150,00 |
Terms and Conditions:
This invoice represents the professional fees for clinical nutrition services rendered by Dr. Helena Silva, a registered Dietitian with the Regional Council of Nutritionists (CRN-3) in the state of Rio de Janeiro, Brazil. All services were performed in accordance with the ethical code of the Brazilian Society of Nutrition and Dietetics. Payment is due within 15 days of the invoice date. Late payments may be subject to a 2% monthly interest penalty and a 2% administrative fine, as per Brazilian commercial law. This document serves as proof of payment for tax purposes and health insurance reimbursement claims where applicable. The nutritional advice provided is strictly for the named client and is not transferable. By accepting these services, the client acknowledges that results may vary based on individual adherence to the prescribed plan.
Professional Disclaimer: The information contained in this invoice and the associated nutritional plans is confidential. The Dietitian assumes no liability for adverse reactions resulting from the client's failure to follow the prescribed instructions or for pre-existing conditions not disclosed during the initial assessment in Rio de Janeiro.
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