Invoice Occupational Therapist in China Shanghai –Free Word Template Download with AI
No. 1288 Nanjing West Road, Jing'an District
Shanghai, China 200040
Tel: +86 21 6288 9900 | Email: [email protected]
Unified Social Credit Code: 91310106MA1K3X7Y2Z
Invoice Number: INV-SH-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Provider
Shanghai Horizon Occupational Therapy Center
Licensed Medical Institution in Shanghai
Specializing in Neurological and Pediatric Rehabilitation
Bill To
Mr. David Chen
Resident of Shanghai, China
Room 2405, Tower B, Greenland Center
Pudong New Area, Shanghai, China 200120
ID/Passport No: E12345678
| # | Description of Occupational Therapy Services | Quantity (Sessions) | Unit Price (CNY) | Total Amount (CNY) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Occupational Therapy Assessment Detailed evaluation of motor skills, sensory processing, and activities of daily living (ADL) conducted by a certified Occupational Therapist in Shanghai. Includes diagnostic reporting. |
1 | 800.00 | 800.00 |
| 2 |
Individualized Neuro-Rehabilitation Sessions One-on-one therapy focusing on fine motor coordination and cognitive restoration. Provided by senior Occupational Therapist at our Shanghai clinic. |
8 | 600.00 | 4,800.00 |
| 3 |
Sensory Integration Therapy Specialized treatment plan for sensory modulation difficulties. Utilizing advanced equipment available at our Shanghai facility. |
4 | 550.00 | 2,200.00 |
| 4 |
Ergonomic Home Assessment & Consultation On-site visit in Shanghai to evaluate home environment safety and recommend adaptive equipment for independent living. |
1 | 1,200.00 | 1,200.00 |
| 5 |
Adaptive Equipment Provision Supply of specialized dressing aids and utensils prescribed by the Occupational Therapist. |
1 | 450.00 | 450.00 |
Payment Instructions
Please remit payment via bank transfer to the following account within 14 days.
Bank Name: Bank of China, Shanghai Pudong Branch
Account Name: Shanghai Horizon Occupational Therapy Center Co., Ltd.
Account Number: 4523 8899 0011 2233
SWIFT Code: BKCHCNBJ300
Currency: Chinese Yuan (CNY)
Note: Please reference Invoice Number INV-SH-2023-10-045 in the payment remarks.
Terms and Conditions & Service Notes
This Invoice serves as a formal request for payment for Occupational Therapy services rendered in Shanghai, China. All services listed above were performed by licensed Occupational Therapists registered with the Shanghai Health Commission. The treatment plans outlined were customized to meet the specific needs of the patient within the regulatory framework of China.
1. Payment Terms: Payment is due within 14 days of the invoice date. Late payments may incur a penalty fee of 1.5% per month on the outstanding balance, in accordance with local commercial practices in Shanghai.
2. Service Validity: The Occupational Therapy sessions described are valid only for the period specified in the treatment plan. Any additional sessions required after the completion of this invoice's scope must be authorized and billed separately.
3. Privacy and Compliance: Shanghai Horizon Occupational Therapy Center adheres strictly to the Personal Information Protection Law (PIPL) of the People's Republic of China. All patient data associated with this invoice and the corresponding therapy sessions are kept confidential and secure.
4. Disputes: In the event of any discrepancy regarding this Invoice or the Occupational Therapy services provided, please contact our billing department in Shanghai within 7 days of receipt. We are committed to resolving any issues promptly to ensure continuity of care.
5. Medical Disclaimer: The services provided are medical in nature. While our Occupational Therapists in Shanghai strive for the best possible outcomes, individual results may vary. This invoice does not constitute a guarantee of specific medical results but rather a record of services rendered and equipment supplied.
Thank you for choosing Shanghai Horizon Occupational Therapy Center for your rehabilitation needs. We are dedicated to improving quality of life through professional, compassionate, and evidence-based occupational therapy in China.
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