Invoice Occupational Therapist in Malaysia Kuala Lumpur –Free Word Template Download with AI
Provider: Senior Occupational Therapist, BSc OT, MSc Rehab
Lot 12, Level 3, Medical Centre Tower
Jalan Tun Razak, 50400 Kuala Lumpur
Federal Territory of Kuala Lumpur, Malaysia
Phone: +603-2188-XXXX | Email: [email protected]
Company Reg: 202301012345 (X)
Invoice Number: INV-KL-2023-0892
Date of Issue: 24 October 2023
Due Date: 24 November 2023
Payment Status: Pending
Bill To:
Mr. Tan Wei Ming
Flat 15-2, The Gardens Residence
Lingkaran Syed Putra, 59200 Kuala Lumpur
Malaysia
IC Number: 850612-10-XXXX
Insurance Ref: AXA-REHAB-9921
Service Overview
Service Type: Private Occupational Therapy Consultation & Rehabilitation
Location: Clinic-based sessions in Kuala Lumpur
Period Covered: 01 Oct 2023 – 23 Oct 2023
Therapist: Lead Occupational Therapist
| # | Description of Occupational Therapy Services | Qty | Unit Price (MYR) | Total (MYR) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of functional abilities, cognitive status, and environmental barriers. Includes history taking and goal setting for rehabilitation plan in Kuala Lumpur context. |
1 | 350.00 | 350.00 |
| 2 |
Individual Occupational Therapy Sessions (Standard) One-on-one therapy focusing on fine motor skills, activities of daily living (ADL), and ergonomic adaptations. Conducted by certified Occupational Therapist. |
8 | 250.00 | 2,000.00 |
| 3 |
Home Modification Consultation Site visit assessment within Kuala Lumpur residential area to recommend safety modifications and accessibility improvements for the client's home environment. |
1 | 450.00 | 450.00 |
| 4 |
Cognitive Rehabilitation Program Specialized Occupational Therapy intervention targeting memory, attention, and executive functioning deficits. Includes customized activity packs. |
4 | 300.00 | 1,200.00 |
| 5 |
Assistive Technology Prescription & Training Selection, fitting, and training on the use of assistive devices to enhance independence. Includes follow-up support. |
1 | 200.00 | 200.00 |
| 6 |
Progress Report & Medical Documentation Detailed clinical report for insurance or medical referral purposes, outlining progress made during the therapy period in Malaysia. |
1 | 150.00 | 150.00 |
Payment Instructions
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank Name: Maybank Berhad
Account Name: KL Integrated Occupational Therapy Sdn Bhd
Account Number: 5678 9012 3456
Reference: INV-KL-2023-0892
Terms and Conditions
1. This Invoice is issued for professional Occupational Therapy services rendered in Kuala Lumpur, Malaysia.
2. All services are provided by a qualified Occupational Therapist registered with the Allied Health Professions Council of Malaysia.
3. Late payments may incur a penalty of 1.5% per month.
4. Insurance claims should be submitted directly by the client using this invoice as a supporting document.
5. Any disputes regarding this invoice must be raised within 14 days of receipt.
Service Description Details
The services billed in this invoice reflect a comprehensive rehabilitation plan tailored to the client's specific needs. As an Occupational Therapist, the focus is on enabling participation in meaningful activities and improving quality of life. The interventions included in this billing cycle address physical, cognitive, and psychosocial aspects of recovery, ensuring a holistic approach to care within the Malaysian healthcare framework.
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