Invoice Occupational Therapist in Nigeria Lagos –Free Word Template Download with AI
Specialized Occupational Therapy Services
14 Admiralty Way, Lekki Phase 1
Lagos, Nigeria
Tel: +234 803 555 1234
Email: [email protected]
TIN: 12345678-0001
Invoice #: INV-2023-10-089
Date: October 24, 2023
Due Date: November 07, 2023
Status: Pending Payment
Bill To:
Mr. Adebayo Okonkwo
Chief Executive Officer
Okonkwo Enterprises Ltd.
Plot 45, Victoria Island
Lagos, Nigeria
Email: [email protected]
Service Location:
Lagos Allied Health Clinic
14 Admiralty Way, Lekki Phase 1
Lagos, Nigeria
Services rendered on-site at the client's residence in Ikoyi, Lagos.
| # | Description of Occupational Therapy Services | Quantity / Hours | Unit Price (NGN) | Total (NGN) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Occupational Therapy Assessment Detailed evaluation of motor skills, cognitive function, and daily living activities for Mr. Okonkwo. Includes standardized testing and environmental assessment of the home in Ikoyi, Lagos. |
1 | ₦45,000.00 | ₦45,000.00 |
| 2 |
Individualized Occupational Therapy Sessions (Stroke Rehabilitation) 8 sessions of one-on-one therapy focusing on upper limb rehabilitation, fine motor skill development, and adaptive strategies for dressing and grooming. Conducted by a certified Occupational Therapist registered with the Allied Health Professionals Council of Nigeria. |
8 | ₦25,000.00 | ₦200,000.00 |
| 3 |
Home Modification Consultation & Ergonomic Assessment Professional assessment of the client's residence in Lagos to recommend safety modifications, grab bar installations, and ergonomic furniture adjustments to facilitate independence and prevent falls. |
1 | ₦35,000.00 | ₦35,000.00 |
| 4 |
Provision of Adaptive Equipment & Assistive Devices Supply and fitting of specialized adaptive utensils, button hooks, and a reacher/grabber tool tailored to the client's specific needs as determined by the Occupational Therapist. |
1 | ₦28,500.00 | ₦28,500.00 |
| 5 |
Caregiver Training & Education Session Comprehensive training for family members on proper transfer techniques, positioning, and how to support the client's occupational therapy goals at home. Essential for continuity of care in Lagos. |
2 | ₦15,000.00 | ₦30,000.00 |
| 6 |
Progress Report & Insurance Documentation Detailed clinical progress report prepared by the lead Occupational Therapist for submission to the client's health insurance provider and primary care physician. |
1 | ₦10,000.00 | ₦10,000.00 |
| Subtotal: | ₦348,500.00 |
| VAT (7.5% - Lagos State): | ₦26,137.50 |
| Discount (Loyalty Client): | -₦10,000.00 |
| Total Amount Due: | ₦364,637.50 |
Payment Instructions
Please make payment within 14 days of the invoice date to avoid late fees. Payments can be made via bank transfer to the following account:
Bank Name: First Bank of Nigeria
Account Name: Lagos Allied Health Professionals Ltd.
Account Number: 1234567890
SWIFT Code: FBNINGLA
Please use the Invoice Number (INV-2023-10-089) as the payment reference.
Terms and Conditions
1. All services provided are rendered by licensed Occupational Therapists in accordance with the standards set by the Allied Health Professionals Council of Nigeria.
2. Payment is due within 14 days of the invoice date. A late fee of 2% per month will be applied to overdue balances.
3. This invoice covers all professional fees for the Occupational Therapy services rendered in Lagos, Nigeria, as detailed above.
4. Any disputes regarding this invoice must be raised within 7 days of receipt. Please contact our billing department at [email protected].
5. All personal health information is treated with strict confidentiality in compliance with Nigerian data protection regulations.
6. This invoice is valid for tax purposes in Nigeria. VAT is calculated at the prevailing Lagos State rate.
Authorized By:
Dr. Funke Adeyemi, OT
Lead Occupational Therapist
Lagos Allied Health Professionals
Received By:
_________________________
Name & Signature
Date
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