Invoice Midwife in France Paris –Free Word Template Download with AI
Libérale Midwife Practice
12 Rue de la Paix, 75002 Paris, France
Tel: +33 1 42 60 00 00
Email: [email protected]
SIRET: 123 456 789 00012 | TVA Intracommunautaire: FR 12 123456789
Ordre des Sages-Femmes de Paris: N° 75-1234
Bill To
Mme. Claire Martin
45 Avenue des Champs-Élysées
75008 Paris, France
France
Patient Details
Patient Name: Claire Martin
Date of Birth: 15/05/1990
SSN (Numéro de Sécurité Sociale): 2 90 05 75 123 456 78
Insurance: CPAM Paris 8
This invoice represents the professional fees for midwifery services rendered in accordance with the regulations of the French National Health Insurance (Assurance Maladie) and the specific tariff grid applicable to liberal midwives in the Paris region. The services detailed below were provided to ensure comprehensive prenatal care, monitoring of fetal development, and preparation for childbirth within the healthcare framework of France.
As a registered midwife (Sage-Femme) practicing in Paris, the undersigned guarantees that all procedures listed adhere to the strict medical standards required by the French Ministry of Health. This document serves as the official request for reimbursement from the patient's complementary health insurance (Mutuelle) and the primary social security fund.
| Ref | Description of Midwife Services | Qty | Unit Price (€) | Total (€) |
|---|---|---|---|---|
| 01 |
Prenatal Consultation (Consultation de grossesse) Comprehensive medical examination during the 2nd trimester. Includes blood pressure monitoring, fetal heart rate auscultation, abdominal measurement, and counseling regarding nutrition and lifestyle adjustments in Paris. |
1 | 25.00 | 25.00 |
| 02 |
Fetal Echography (Échographie obstétricale) Standard ultrasound examination performed by the midwife to assess fetal growth, amniotic fluid levels, and placental position. Conducted at the clinic in the 2nd arrondissement of Paris. |
1 | 45.00 | 45.00 |
| 03 |
Biological Sample Collection (Prélèvements biologiques) Collection of blood and urine samples for routine prenatal screening tests required by French health protocols. Includes labeling and preparation for laboratory analysis. |
2 | 8.50 | 17.00 |
| 04 |
Childbirth Preparation Course (Cours de préparation à la naissance) Individual session focusing on breathing techniques, pain management strategies, and postpartum care. Tailored to the specific needs of the expectant mother residing in France. |
1 | 30.00 | 30.00 |
| 05 |
Home Visit (Visite à domicile) Emergency consultation at the patient's residence in Paris due to reported contractions. Assessment of labor progression and decision-making regarding hospital transfer. |
1 | 35.00 | 35.00 |
| 06 |
Postnatal Care (Soins postnatals) Examination of the mother and newborn at 48 hours post-delivery. Includes breastfeeding support, umbilical cord care instruction, and psychological support. |
1 | 28.00 | 28.00 |
Payment Instructions
Please make payment via bank transfer or check within 30 days of the invoice date.
Bank Details:
Bank: BNP Paribas, Paris Opéra
IBAN: FR76 1234 5678 9012 3456 7890 123
BIC: BNPAFRPP
Reference: INV-2023-10-045
Important Notes for the Patient
This invoice is issued in compliance with French tax laws. As a midwife operating in Paris, I am required to provide this detailed breakdown for your social security reimbursement. Please retain a copy of this document for your personal records. If you have a "Tiers Payant" agreement with your insurance provider, the reimbursement amount may be deducted automatically at the time of service; however, this invoice reflects the full cost of services rendered.
For any questions regarding these midwifery services or this invoice, please contact the office directly during business hours (Monday to Friday, 9:00 AM - 6:00 PM).
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