Invoice Occupational Therapist in South Africa Johannesburg –Free Word Template Download with AI
Registered Practitioner: Dr. Sarah Mokoena, OTD
142 Rivonia Road, Sandton
Johannesburg, Gauteng, 2196
South Africa
Tel: +27 (0)11 555 0199
Email: [email protected]
HPCSA Registration: OT0012345
VAT Number: 4690123456
Bill To (Patient / Policyholder)
Mr. James van der Merwe
45 Oak Avenue, Bryanston
Johannesburg, 2021
South Africa
Email: [email protected]
Medical Aid: Discovery Health
Policy Number: DIS-99887766
Service Location
Sahara OT Clinic
142 Rivonia Road, Sandton
Johannesburg, Gauteng
South Africa
Note: Services rendered in accordance with the Health Professions Council of South Africa (HPCSA) guidelines.
Dear Mr. van der Merwe,
Please find attached the formal Invoice for the comprehensive Occupational Therapist services rendered during the period of October 1st to October 20th, 2023. As a registered Occupational Therapist operating within the vibrant healthcare landscape of South Africa Johannesburg, we are committed to providing high-quality rehabilitation and functional support.
This Invoice details the clinical interventions, assessments, and therapeutic strategies implemented to address your specific occupational needs. Our practice in South Africa Johannesburg adheres strictly to local medical aid regulations and national health standards. We appreciate your prompt attention to this Invoice to ensure continuity of care.
| # | Description of Occupational Therapy Services | Date | Qty | Unit Price (ZAR) | Total (ZAR) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment: Evaluation of fine motor skills, cognitive function, and activities of daily living (ADLs) conducted by a senior Occupational Therapist in South Africa Johannesburg. Includes history taking and goal setting. | 01/10/2023 | 1 | 1,850.00 | 1,850.00 |
| 2 | Individual Therapy Session (1 Hour): Targeted intervention for upper limb rehabilitation post-stroke. Focus on neuroplasticity and functional retraining. Standard rate for Occupational Therapist services in Gauteng. | 05/10/2023 | 1 | 1,200.00 | 1,200.00 |
| 3 | Individual Therapy Session (1 Hour): Continuation of motor skill development and adaptive strategy training. | 08/10/2023 | 1 | 1,200.00 | 1,200.00 |
| 4 | Home Assessment & Ergonomic Consultation: Site visit to client residence in South Africa Johannesburg to assess environmental barriers and recommend modifications for safety and independence. | 12/10/2023 | 1 | 2,100.00 | 2,100.00 |
| 5 | Provision of Adaptive Equipment: Supply and fitting of specialized dressing aids and reachers to facilitate independence in ADLs. | 12/10/2023 | 1 | 850.00 | 850.00 |
| 6 | Individual Therapy Session (1 Hour): Cognitive rehabilitation focusing on memory and executive function. | 15/10/2023 | 1 | 1,200.00 | 1,200.00 |
| 7 | Individual Therapy Session (1 Hour): Review of progress and adjustment of therapeutic goals. | 19/10/2023 | 1 | 1,200.00 | 1,200.00 |
| 8 | Medical Aid Report Writing: Compilation of detailed clinical report for medical aid submission, documenting the necessity of Occupational Therapist interventions. | 20/10/2023 | 1 | 450.00 | 450.00 |
| Subtotal: | R 10,050.00 |
| VAT (15%): | R 1,507.50 |
| Total Amount Due: | R 11,557.50 |
Payment Instructions
Please settle this Invoice within 30 days of the issue date. Payments can be made via Electronic Funds Transfer (EFT) to the following bank account:
- Bank: First National Bank (FNB)
- Branch: Sandton, Johannesburg
- Account Name: Sahara Occupational Therapy Solutions (Pty) Ltd
- Account Number: 62012345678
- Account Type: Business Current
- Reference: INV-2023-10-045
Note: Please ensure the reference is included to facilitate quick allocation of payment.
Terms and Conditions
- This Invoice is valid for 30 days from the date of issue.
- All services were rendered by a qualified Occupational Therapist registered with the Health Professions Council of South Africa (HPCSA).
- Prices are quoted in South African Rand (ZAR) and are inclusive of VAT where applicable.
- Medical aid claims are submitted directly by our practice; however, any co-payments or shortfalls are the responsibility of the patient.
- Interest may be charged on overdue amounts at a rate of 2% per month.
- For any queries regarding this Invoice or the services provided in South Africa Johannesburg, please contact our billing department.
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