Invoice Occupational Therapist in Ethiopia Addis Ababa –Free Word Template Download with AI
License No: AA-OT-2024-8892
Address: Bole Sub-City, Woreda 03, House No. 456
Addis Ababa, Ethiopia
Email: [email protected]
Phone: +251 11 618 5500
TIN: 1002345678
Professional Occupational Therapy Services
Bill To:
Client Name: Mr. Kebede Tadesse
Organization: Self-Employed / Private Patient
Address: Kirkos Sub-City, Woreda 06, House No. 120
Addis Ababa, Ethiopia
Phone: +251 91 123 4567
Email: [email protected]
Details of Occupational Therapy Services Rendered
| # | Description of Service | Date | Qty | Unit Price (ETB) | Total (ETB) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment: Evaluation of motor skills, cognitive function, and daily living activities (ADLs) conducted by a licensed Occupational Therapist in Addis Ababa. Includes history taking and goal setting. | Oct 01 | 1 | 2,500.00 | 2,500.00 |
| 2 | Individual Therapy Sessions (Neurological Rehab): 10 sessions of one-on-one therapy focusing on stroke recovery, fine motor skill enhancement, and sensory integration. | Oct 03-15 | 10 | 1,200.00 | 12,000.00 |
| 3 | Ergonomic Workplace Assessment: On-site evaluation of the client's home office setup in Addis Ababa to prevent repetitive strain injuries and improve productivity. | Oct 10 | 1 | 3,000.00 | 3,000.00 |
| 4 | Assistive Device Prescription & Training: Provision of adaptive equipment for dressing and bathing, including training on proper usage. | Oct 12 | 1 | 4,500.00 | 4,500.00 |
| 5 | Family Education & Caregiver Training: Session dedicated to teaching family members strategies to support the patient's independence at home. | Oct 18 | 1 | 1,500.00 | 1,500.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.
Bank Transfer Details:
Bank Name: Commercial Bank of Ethiopia
Branch: Bole Branch
Account Name: Addis Ababa Occupational Therapy Center
Account Number: 1000123456789
CIB Account: 0112345678
Telebirr / M-Pesa: +251 91 999 8888
Terms and Conditions
1. This invoice represents professional services rendered by a certified Occupational Therapist in accordance with the regulations of the Ethiopian Medical and Health Professions Council.
2. All services were performed at our clinic in Addis Ababa, Ethiopia, unless otherwise noted as home visits.
3. The client agrees to pay the total amount due by the specified due date.
4. Any disputes regarding this invoice must be raised within 7 days of receipt.
5. This document serves as a valid receipt for tax purposes in Ethiopia upon payment.
Authorized Signature
Dr. Selamawit Bekele, OTR/L
Lead Occupational Therapist
Received By (Client)
Signature: ___________________
Date: ___________________
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