Invoice Occupational Therapist in Canada Vancouver –Free Word Template Download with AI
1234 Burrard Street, Suite 500
Vancouver, BC V6Z 2C7
Canada
Phone: (604) 555-0199
Email: [email protected]
Business Number: 123456789RC0001
Date: October 24, 2023
Due Date: November 24, 2023
Bill To:
Mr. James Anderson
5678 Granville Street
Vancouver, BC V6M 3K5
Canada
Client ID: #OT-2023-8842
| Description of Services | Date | Duration | Rate (CAD) | Amount (CAD) |
|---|---|---|---|---|
|
Initial Comprehensive Assessment Occupational Therapist conducted a full functional assessment focusing on upper extremity mobility and activities of daily living (ADLs) in the Vancouver clinic setting. |
Oct 02, 2023 | 60 mins | $150.00 | $150.00 |
|
Therapeutic Intervention Session 1 Targeted exercises for wrist rehabilitation and ergonomic workstation setup consultation. |
Oct 05, 2023 | 45 mins | $110.00 | $110.00 |
|
Therapeutic Intervention Session 2 Progression of strengthening exercises and adaptive equipment training. |
Oct 10, 2023 | 45 mins | $110.00 | $110.00 |
|
Home Program Review & Consultation Review of home exercise program compliance and modification of therapy goals. |
Oct 15, 2023 | 30 mins | $75.00 | $75.00 |
|
Therapeutic Intervention Session 3 Advanced functional training and fine motor skill development. |
Oct 20, 2023 | 45 mins | $110.00 | $110.00 |
| Subtotal: | $555.00 |
| Harmonized Sales Tax (HST) 5%: | $27.75 |
| Provincial Sales Tax (PST) 7%: | $38.85 |
| Total Due: | $621.60 |
Payment Instructions & Notes:
Thank you for choosing our Occupational Therapist services in Vancouver. This invoice reflects the professional fees for the services rendered during the specified period. As per the regulations in Canada, all amounts are listed in Canadian Dollars (CAD).
Payment Methods:
Payments can be made via Interac e-Transfer to [email protected], by credit card (Visa, MasterCard), or by cheque payable to "West Coast Rehabilitation". Please include the Invoice Number (INV-2023-10-045) as the reference for all payments.
Insurance Claims:
This document serves as a valid receipt for submission to your extended health insurance provider. If you require a detailed breakdown for your insurance claim, please contact our administrative office. We are familiar with the requirements of major Canadian insurance providers operating in British Columbia.
Late Payments:
Please ensure payment is received by the due date to avoid any service interruptions. If you have any questions regarding this invoice or the services provided by your Occupational Therapist, please do not hesitate to contact us.
Create your own Word template with our GoGPT AI prompt:
GoGPT