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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 To

Client 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 Description

This 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
Subtotal: 42,900.00 RUB VAT (20%): 8,580.00 RUB Total Due: 51,480.00 RUB

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.

NeuroRehab Moscow © 2023. All rights reserved.

Registered in Russia. Moscow City Court.

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