Invoice Occupational Therapist in Brazil São Paulo –Free Word Template Download with AI
Provider: Dr. Ana Paula Silva, M.Sc.
CREFITO-SP: 12345678
Av. Paulista, 1000, 15th Floor, Suite 1502
Bela Vista, São Paulo - SP, Brazil
CEP: 01310-100
CNPJ: 12.345.678/0001-90
Email: [email protected]
Phone: +55 (11) 3456-7890
Professional Service Statement
Bill ToClient Name: João Pedro Oliveira
CPF: 123.456.789-00
Rua das Flores, 500, Apt 42
Pinheiros, São Paulo - SP, Brazil
CEP: 05422-000
Email: [email protected]
Description of Services RenderedThe following invoice details the professional fees for Occupational Therapy services provided in accordance with the regulations of the Federal Council of Occupational Therapy and Physiotherapy (CREFITO) within the state of São Paulo, Brazil. These services focus on functional rehabilitation, cognitive retraining, and adaptive strategies to enhance the client's quality of life and independence in daily activities.
| # | Service Description | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Evaluation Assessment of motor skills, sensory processing, cognitive function, and activities of daily living (ADLs). Includes history taking and goal setting. |
1 | R$ 450.00 | R$ 450.00 |
| 2 |
Individual Occupational Therapy Sessions One-on-one therapeutic interventions focusing on fine motor coordination, upper limb rehabilitation, and ergonomic adaptations for home environment. |
8 | R$ 250.00 | R$ 2,000.00 |
| 3 |
Cognitive Rehabilitation Therapy Targeted exercises to improve memory, attention, executive functions, and problem-solving skills tailored to the client's specific neurological profile. |
4 | R$ 280.00 | R$ 1,120.00 |
| 4 |
Assistive Technology Consultation Evaluation and prescription of adaptive devices and software to facilitate independence in work and leisure activities. |
1 | R$ 300.00 | R$ 300.00 |
| 5 |
Family Education and Caregiver Training Session dedicated to instructing family members on therapeutic techniques and environmental modifications to support the client's progress at home. |
1 | R$ 200.00 | R$ 200.00 |
Bank Transfer Details:
Bank: Banco do Brasil
Agency: 1234-5
Account: 98765-4
Account Holder: Ana Paula Silva
PIX Key: [email protected]
Please reference the Invoice Number (INV-2023-10-045) when making the payment. Payment is due within 10 days of the invoice date. Late payments may be subject to a penalty fee of 2% plus interest of 1% per month, in accordance with Brazilian civil law.
This invoice represents professional services rendered by a licensed Occupational Therapist in the city of São Paulo. All services comply with the ethical and technical standards set by CREFITO-SP.
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