Invoice Occupational Therapist in Ivory Coast Abidjan –Free Word Template Download with AI
Specialized Occupational Therapy Services
123 Boulevard de la République, Cocody
Abidjan, Ivory Coast
Tel: +225 27 22 44 55 66
Email: [email protected]
RC Abidjan: B-2023-12345 | NINEA: 000123456789000
Invoice Number: INV-2023-10-089
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Monsieur Jean-Marie Kouassi
Residence Ivoire, Appartement 4B
Rue des Jardins, Marcory
Abidjan, Ivory Coast
Phone: +225 07 08 09 10 11
Service Location:
Abidjan Rehab & Wellness Center
Therapy Wing B, Room 104
Cocody, Abidjan
Ivory Coast
Primary Therapist: Dr. Amina Diallo, OTR/L
| # | Description of Occupational Therapy Services | Date | Qty | Unit Price (XOF) | Total (XOF) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Evaluation Detailed assessment of motor skills, cognitive function, and activities of daily living (ADLs) conducted at our Abidjan clinic. Includes history taking and goal setting. |
Oct 01, 2023 | 1 | 45,000 | 45,000 |
| 2 |
Individual Occupational Therapy Session (Neurological) One-on-one therapy focused on stroke rehabilitation, fine motor coordination, and sensory integration. |
Oct 03, 2023 | 1 | 35,000 | 35,000 |
| 3 |
Individual Occupational Therapy Session (Neurological) Continuation of motor skill development and adaptive strategy training. |
Oct 05, 2023 | 1 | 35,000 | 35,000 |
| 4 |
Home Safety Assessment & Ergonomic Consultation Visit to client residence in Marcory to evaluate environmental barriers and recommend modifications for independence. |
Oct 08, 2023 | 1 | 60,000 | 60,000 |
| 5 |
Individual Occupational Therapy Session (ADL Training) Focus on dressing, grooming, and feeding techniques using adaptive equipment. |
Oct 10, 2023 | 1 | 35,000 | 35,000 |
| 6 |
Individual Occupational Therapy Session (ADL Training) Reinforcement of daily routines and energy conservation techniques. |
Oct 12, 2023 | 1 | 35,000 | 35,000 |
| 7 |
Adaptive Equipment Provision Supply of specialized dressing stick and button hook for upper limb mobility assistance. |
Oct 12, 2023 | 1 | 25,000 | 25,000 |
| 8 |
Caregiver Training Session Instruction for family members on safe transfer techniques and support strategies within the home environment. |
Oct 15, 2023 | 1 | 40,000 | 40,000 |
| 9 |
Individual Occupational Therapy Session (Cognitive) Exercises for memory, attention, and problem-solving skills relevant to daily tasks. |
Oct 17, 2023 | 1 | 35,000 | 35,000 |
| 10 |
Progress Report & Care Plan Update Documentation of progress towards goals and adjustment of therapy plan for the next phase of treatment. |
Oct 20, 2023 | 1 | 20,000 | 20,000 |
Payment Instructions & Notes:
Please make payment within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge as per local regulations in Ivory Coast.
Bank Transfer Details:
Bank: Ecobank Côte d'Ivoire
Branch: Cocody
Account Name: Abidjan Rehab & Wellness Center SARL
Account Number: 0012345678901234
SWIFT/BIC: ECOBCICJ
Mobile Money:
Orange Money / MTN MoMo: +225 07 00 00 00 00 (Name: Abidjan Rehab)
Service Disclaimer:
The Occupational Therapy services provided herein are performed by licensed professionals adhering to the standards of practice in Abidjan, Ivory Coast. This invoice covers professional fees, equipment, and administrative costs associated with the care plan. All therapy sessions are tailored to the individual needs of the patient to maximize functional independence.
Thank you for choosing Abidjan Rehab & Wellness Center for your healthcare needs. We are committed to providing high-quality rehabilitation services in the heart of Abidjan.
Authorized SignatureAbidjan Rehab & Wellness Center Received By
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