Invoice Occupational Therapist in Russia Moscow –Free Word Template Download with AI
Professional Occupational Therapy Services
12/4 Tverskaya Street, Building 3
Moscow, 125009, Russia
Tel: +7 (495) 123-45-67
Email: [email protected]
INN: 7701234567 | KPP: 770101001
Invoice #: INV-2023-10-089
Date: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14
Bill ToClient Name: Ivan Petrovich Sokolov
Address: 45 Leninsky Prospekt, Apt 12, Moscow, 119991, Russia
Phone: +7 (916) 555-0199
Email: [email protected]
Policy/Ref Number: MED-MSC-8842
Service DescriptionThis invoice covers the professional services rendered by a licensed Occupational Therapist in accordance with the healthcare standards of the Russian Federation. The services were provided at our Moscow clinic to assist the client in regaining independence in daily living activities, fine motor skills, and cognitive rehabilitation following a neurological event.
| # | Description of Services | Qty | Unit Price (RUB) | Total (RUB) |
|---|---|---|---|---|
| 1 |
Initial Occupational Therapy Assessment Comprehensive evaluation of functional abilities, home environment analysis, and goal setting. Includes cognitive screening and upper limb dexterity testing. |
1 | 4,500.00 | 4,500.00 |
| 2 |
Individual Therapy Sessions (Neurological Rehab) One-on-one sessions focusing on motor skill restoration, sensory integration, and adaptive strategies for Activities of Daily Living (ADLs). |
8 | 3,200.00 | 25,600.00 |
| 3 |
Ergonomic Consultation & Home Modification Plan Detailed report on necessary home adaptations to ensure safety and accessibility for the client within their Moscow residence. |
1 | 5,000.00 | 5,000.00 |
| 4 |
Provision of Adaptive Equipment Supply of specialized utensils and dressing aids tailored to the client's current motor limitations. |
1 | 2,800.00 | 2,800.00 |
| 5 |
Caregiver Training Session Instruction for family members on proper handling techniques and support strategies for the client's daily routine. |
2 | 2,500.00 | 5,000.00 |
Payment Instructions & Terms
Please remit payment within 14 days of the invoice date. Late payments may incur a penalty fee of 0.1% per day as per Russian Civil Code regulations.
Bank Transfer Details:
Bank Name: Sberbank of Russia
Account Name: NeuroRehab Moscow LLC
Account Number: 40702810400000012345
BIC: 044525225
Correspondent Account: 30101810400000000225
Service Notes
All Occupational Therapy services listed above were conducted by certified professionals adhering to the medical standards of Moscow. The treatment plan focuses on holistic recovery, ensuring the client can reintegrate into their daily life with maximum autonomy. If you have any questions regarding this invoice or the services provided, please contact our billing department immediately.
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