Invoice Midwife in Brazil Brasília –Free Word Template Download with AI
Professional Midwife: Maria Clara Santos
COREN Address: Asa Sul, Quadra 301, Bloco A, Brasília - DF, Brazil
Phone: +55 (61) 99999-8888 | Email: [email protected]
CNPJ: 00.000.000/0001-00 | CPF: 000.000.000-00
Bill To:
Client Name: Ana Paula Oliveira
Address: Sudoeste, Quadra 702, Lote 15, Brasília - DF, Brazil
Phone: +55 (61) 98888-7777
Email: [email protected]
CPF: 123.456.789-00
| # | Description of Midwifery Services | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|
| 1 |
Comprehensive Prenatal Consultation Package Includes initial risk assessment, personalized birth plan creation, and nutritional guidance tailored to the specific healthcare standards of Brasília. |
1 | R$ 1.200,00 | R$ 1.200,00 |
| 2 |
Monthly Home Visits (Trimester 2 & 3) Bi-weekly monitoring of fetal development, maternal blood pressure checks, and emotional support sessions conducted at the client's residence in Brasília. |
8 | R$ 350,00 | R$ 2.800,00 |
| 3 |
Continuous Labor Support & Delivery Assistance Professional midwife presence during labor, pain management techniques, and assistance with natural delivery at the designated hospital or home birth setting in the Federal District. |
1 | R$ 3.500,00 | R$ 3.500,00 |
| 4 |
Postpartum Care and Newborn Assessment Includes immediate newborn screening, breastfeeding support, and three follow-up visits for maternal recovery within the first 30 days post-birth. |
1 | R$ 1.500,00 | R$ 1.500,00 |
| 5 |
Emergency On-Call Availability 24/7 availability for urgent consultations or complications during the final trimester and immediate postpartum period. |
1 | R$ 800,00 | R$ 800,00 |
| Subtotal: | R$ 9.800,00 |
| Discount (Early Payment): | - R$ 500,00 |
| Service Tax (ISS - Brasília): | R$ 490,00 |
| Grand Total: | R$ 9.790,00 |
Payment Instructions
Please transfer the total amount of R$ 9.790,00 (Nine thousand, seven hundred and ninety Brazilian Reais) by the due date.
Bank: Banco do Brasil
Agency: 1234-5
Account: 67890-1 (Pix Key: [email protected])
Reference: Invoice #INV-2023-10-045
Terms and Conditions
- This invoice represents the professional fees for midwifery services rendered in accordance with the regulations of the Federal Council of Nursing (COREN) in Brazil.
- Payment is due within 14 days of the invoice date. Late payments may incur a penalty fee of 2% plus interest of 1% per month.
- All services are provided by a licensed midwife operating legally within the Federal District of Brasília.
- In the event of medical complications requiring hospital intervention, the midwife will coordinate care with the attending obstetrician but does not cover hospital fees or surgical costs.
- This document serves as a valid fiscal receipt for tax purposes in Brazil.
- Confidentiality of all medical information is guaranteed under Brazilian data protection laws (LGPD).
Professional Statement
We are honored to support your journey into motherhood. Our midwifery practice in Brasília is dedicated to providing compassionate, evidence-based care that respects your birth choices while ensuring the highest safety standards for both mother and child. Thank you for trusting us with this precious responsibility.
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