Invoice Midwife in Morocco Casablanca –Free Word Template Download with AI
Provider: Sarah Alami, Certified Midwife
123 Boulevard Mohammed V, Maarif District
Casablanca, Morocco
Phone: +212 522-000-000
Email: [email protected]
Reg. No: 12345/CASA/MID
Invoice Number: INV-2023-0045
Date Issued: October 24, 2023
Due Date: November 07, 2023
Service Period: September 2023 - October 2023
Bill To:
Client Name: Fatima Zahra Bennani
Address: 45 Rue Ibn Sina, Anfa
Casablanca, Morocco
Phone: +212 661-000-000
Email: [email protected]
Service Location:
Home Birth Assistance & Consultation
45 Rue Ibn Sina, Anfa
Casablanca, Morocco
Insurance Ref: CNSS / RAMED (If applicable)
| # | Description of Midwifery Services | Quantity / Hours | Unit Price (MAD) | Total (MAD) |
|---|---|---|---|---|
| 1 |
Initial Prenatal Consultation & Risk Assessment Comprehensive health history review, physical examination, and personalized birth plan creation tailored to the client's needs in Casablanca. |
1 Session | 800.00 | 800.00 |
| 2 |
Monthly Prenatal Monitoring Visits Regular check-ups including fetal heart rate monitoring, blood pressure checks, and nutritional guidance. Includes 4 visits during the third trimester. |
4 Visits | 500.00 | 2,000.00 |
| 3 |
Home Birth Attendance & Labor Support Continuous support during labor, delivery assistance, and immediate postpartum care for both mother and newborn at the client's residence in Casablanca. |
1 Event | 3,500.00 | 3,500.00 |
| 4 |
Postpartum Home Visits (First Week) Daily visits for the first 5 days post-delivery to monitor recovery, assist with breastfeeding, and perform newborn care checks. |
5 Visits | 400.00 | 2,000.00 |
| 5 |
Umbilical Cord Care & Newborn Screening Professional care for the umbilical cord stump and initial screening for common newborn conditions. |
1 Service | 300.00 | 300.00 |
| 6 |
Emergency Transport Coordination Fee for arranging and accompanying the client to the nearest hospital in Casablanca if complications arise (Standby fee). |
1 Fee | 500.00 | 500.00 |
| 7 |
Administrative Documentation Preparation of birth certificates and medical reports required by Moroccan authorities. |
1 Service | 200.00 | 200.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer or cash.
Bank Name: Attijariwafa Bank
Account Name: Sarah Alami
IBAN: MA00 0000 0000 0000 0000 0000
SWIFT/BIC: ATBJMAMC
Reference: INV-2023-0045
Terms and Conditions
1. This invoice covers all midwifery services rendered in Casablanca, Morocco, as agreed upon in the service contract dated August 15, 2023.
2. Late payments will incur a penalty of 2% per month on the outstanding balance.
3. In case of medical emergencies requiring hospitalization, additional hospital fees are not included in this invoice and will be billed separately by the healthcare facility.
4. All services are provided in accordance with the Moroccan Ministry of Health regulations for midwives.
5. Please retain this invoice for your records and for any insurance claims.
Authorized Signature
Sarah Alami, Certified Midwife
Client Acceptance
Fatima Zahra Bennani
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