Invoice Occupational Therapist in Mexico Mexico City –Free Word Template Download with AI
Occupational Therapy Services
Av. Insurgentes Sur 1234, Col. Del Valle
Cuauhtémoc, Mexico City, C.P. 03100
Tel: +52 (55) 1234-5678
Email: [email protected]
RFC: RIC-850101-XYZ
Invoice #: INV-2024-0892
Date: October 15, 2024
Due Date: November 15, 2024
Payment Terms: Net 30
Bill To:
Hospital Ángeles Pedregal
Attn: Occupational Therapy Department
Av. Universidad 1000, Col. Pedregal de San Ángel
Álvaro Obregón, Mexico City, C.P. 01900
RFC: HAP-900515-ABC
Service Location:
Rehabilitation Center - Wing B
Same as billing address
Mexico City, Mexico
| # | Description of Occupational Therapy Services | Quantity | Unit Price (MXN) | Subtotal (MXN) | Notes |
|---|---|---|---|---|---|
| 1 | Individual Occupational Therapy Assessment - Initial Evaluation | 2 | 2,500.00 | 5,000.00 | Comprehensive functional assessment |
| 2 | One-on-One Occupational Therapy Sessions (45 min) | 16 | 1,800.00 | 28,800.00 | Neurological rehabilitation |
| 3 | Group Occupational Therapy Sessions | 4 | 1,200.00 | 4,800.00 | ADL skills training |
| 4 | Ergonomic Workplace Assessment | 3 | 3,000.00 | 9,000.00 | Office environment analysis |
| 5 | Adaptive Equipment Consultation & Recommendation | 5 | 800.00 | 4,000.00 | Assistive technology evaluation |
| 6 | Pediatric Occupational Therapy - Sensory Integration | 8 | 1,600.00 | 12,800.00 | Children's development program |
| 7 | Home Safety Assessment & Modification Plan | 2 | 2,200.00 | 4,400.00 | Residential environment evaluation |
| 8 | Progress Reports & Documentation | 10 | 500.00 | 5,000.00 | Insurance compliance reports |
| 9 | Telehealth Occupational Therapy Consultations | 6 | 1,000.00 | 6,000.00 | Remote follow-up sessions |
| 10 | Family Education & Training Sessions | 4 | 900.00 | 3,600.00 | Caregiver support programs |
| Subtotal: | $83,400.00 MXN |
| IVA (16%): | $13,344.00 MXN |
| TOTAL DUE: | $96,744.00 MXN |
Payment Instructions:
Please make payment via bank transfer to:
Bank: BBVA México
Account Name: Rehabilitación Integral CDMX S.A. de C.V.
CLABE: 012180001234567890
Reference: INV-2024-0892
Important Notes:
This Invoice represents professional Occupational Therapist services rendered in Mexico Mexico City during the period of September 1-30, 2024. All services comply with the regulations established by the Secretaría de Salud and the Colegio de Terapeutas Ocupacionales de México.
Our licensed Occupational Therapist professionals have provided comprehensive rehabilitation services focusing on improving patients' ability to perform daily activities, enhancing independence, and promoting overall well-being. These services were delivered at various locations throughout Mexico Mexico City, including clinical settings, patient homes, and workplace environments.
Please note that this Invoice is valid for payment within 30 days from the date of issue. Late payments may incur a 2% monthly interest charge as per Mexican commercial law. All amounts are quoted in Mexican Pesos (MXN) and include applicable taxes as required by the Servicio de Administración Tributaria (SAT).
For any questions regarding this Invoice or the Occupational Therapist services provided, please contact our billing department at [email protected] or call +52 (55) 1234-5678. We appreciate your business and look forward to continuing our partnership in providing exceptional rehabilitation services in Mexico Mexico City.
Certification: All Occupational Therapist services documented in this Invoice were performed by licensed professionals registered with the appropriate health authorities in Mexico Mexico City and the State of Mexico.
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