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Invoice Occupational Therapist in France Marseille –Free Word Template Download with AI

Occupational Therapist (Ergothérapeute)

12 Rue Paradis, 13001 Marseille, France

SIRET: 823 456 789 00012 | TVA Intracommunautaire: FR 12 823456789

Email: [email protected]

Phone: +33 4 91 00 00 00

Invoice Number: INV-2023-10-042

Date of Issue: October 24, 2023

Due Date: November 24, 2023

Bill To:

Mr. Jean-Pierre Dubois

45 Avenue du Prado

13008 Marseille, France

SS Number (Numéro de Sécurité Sociale): 1 85 04 78 123 456 78

# Description of Occupational Therapy Services Unit Price (€) Quantity Total (€)
1 Initial Comprehensive Assessment (Consultation Initiale)
Detailed evaluation of functional capabilities, home environment analysis, and establishment of a personalized care plan tailored to the patient's needs within the Marseille region.
85.00 1 85.00
2 Therapeutic Rehabilitation Sessions (Reéducation Fonctionnelle)
One-on-one occupational therapy sessions focusing on fine motor skills, cognitive rehabilitation, and activities of daily living (ADL) training.
65.00 8 520.00
3 Ergonomic Home Adaptation Consultation
On-site visit to the client's residence in Marseille to recommend safety modifications and adaptive equipment for independent living.
110.00 1 110.00
4 Assistive Technology Prescription & Training
Selection, prescription, and training on the use of specific orthotics and assistive devices to enhance autonomy.
45.00 2 90.00
5 Medical Report Generation
Formal documentation of progress and therapeutic outcomes for submission to the CPAM (Caisse Primaire d'Assurance Maladie) Marseille.
30.00 1 30.00
Subtotal (HT): 835.00 € VAT (TVA) 20%: 167.00 € Total Amount Due (TTC): 1,002.00 €

Payment Instructions:

Please remit payment within 30 days of the invoice date. Payments can be made via bank transfer or check.

Bank Details:

Bank Name: Crédit Agricole Provence Côte d'Azur

IBAN: FR76 1234 5678 9012 3456 7890 123

BIC: AGRIFRPP

Reference: INV-2023-10-042

Important Information Regarding Occupational Therapy in France:

This invoice reflects the professional fees charged by the Occupational Therapist for services rendered in Marseille, France. Please note that while the French social security system (Sécurité Sociale) covers a portion of occupational therapy costs, the rates listed here represent the full professional tariff. The difference between the social security reimbursement rate and the actual fee charged is known as the "dépassement d'honoraires."

Patients are advised to submit this invoice to their complementary health insurance provider (Mutuelle) to claim reimbursement for the remaining balance. As a registered healthcare provider in the Bouches-du-Rhône department, all services provided adhere to the strict ethical and professional standards required by the French Ordre des Ergothérapeutes.

For any questions regarding this invoice or the treatment plan, please contact the clinic directly in Marseille. Late payments may incur a penalty interest rate as defined by French commercial law.

Thank you for trusting our occupational therapy services.

Dr. Sophie Laurent | Ergothérapeute | Marseille, France

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