Invoice Occupational Therapist in Spain Barcelona –Free Word Template Download with AI
Carrer de Balmes, 150, 08008 Barcelona, Spain
Phone: +34 93 123 45 67 | Email: [email protected]
NIF: B-12345678 | CIF: B-12345678
Collegi d'Ocupacionistes Terapeutes de Catalunya (COTC) Reg. No: 1234
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Period: October 1, 2023 - October 31, 2023
Bill To
Client Name: Maria Garcia Lopez
Address: Passeig de Gràcia, 45, 3º 2ª
City/Zip: 08007 Barcelona, Spain
NIF/NIE: 12345678Z
Insurance Provider: Sanitas (Policy #SAN-998877)
Service Provider
Occupational Therapist: Dr. Elena Rodriguez, MSc OT
Specialization: Pediatric & Neurological Rehabilitation
Licence: Registered with COTC
Location: Barcelona, Catalonia, Spain
| # | Description of Occupational Therapy Services | Date | Qty | Unit Price (€) | Total (€) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment & Functional Evaluation in Barcelona Clinic | Oct 02 | 1 | 120.00 | 120.00 |
| 2 | Individual Occupational Therapy Session: Fine Motor Skills Development | Oct 05 | 1 | 85.00 | 85.00 |
| 3 | Individual Occupational Therapy Session: Sensory Integration Techniques | Oct 09 | 1 | 85.00 | 85.00 |
| 4 | Home Visit Assessment: Environmental Adaptation in Barcelona Residence | Oct 12 | 1 | 110.00 | 110.00 |
| 5 | Individual Occupational Therapy Session: ADL Training & Cognitive Strategies | Oct 16 | 1 | 85.00 | 85.00 |
| 6 | Individual Occupational Therapy Session: Ergonomic Workspace Setup | Oct 19 | 1 | 85.00 | 85.00 |
| 7 | Consultation with Family/Caregivers: Therapy Plan Review | Oct 23 | 1 | 60.00 | 60.00 |
| 8 | Individual Occupational Therapy Session: Upper Limb Rehabilitation | Oct 26 | 1 | 85.00 | 85.00 |
| 9 | Progress Report & Documentation for Insurance/General Practitioner | Oct 30 | 1 | 45.00 | 45.00 |
| Subtotal: | 760.00 € |
| VAT (IVA) 21%: | 159.60 € |
| TOTAL DUE: | 919.60 € |
Payment Instructions
Please make payment within 30 days of the invoice date. Late payments may incur a statutory interest charge as per Spanish Law 3/2004.
Bank Transfer (SEPA):
IBAN: ES91 2100 0418 4502 0005 1332BIC/SWIFT: CAIXESBBXXX
Bank: Caixabank, Barcelona Branch
Reference: Please use Invoice Number INV-2023-10-045 as the payment reference.
Terms and Conditions
1. This invoice is issued in accordance with the regulations of the Spanish Tax Agency (Agencia Tributaria) and the Catalan Health Department.
2. All services provided by the Occupational Therapist are based on professional standards set by the Collegi d'Ocupacionistes Terapeutes de Catalunya (COTC).
3. Prices are inclusive of professional fees but exclusive of VAT (IVA), which is calculated at the standard rate of 21% applicable in Spain for private healthcare services not covered by public insurance.
4. If your insurance provider requires a detailed clinical report, additional fees may apply as specified in our service agreement.
5. In case of any discrepancies with this invoice, please contact our billing department within 15 days of receipt.
6. This document serves as a legal record of the occupational therapy services rendered in Barcelona, Spain.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT