Invoice Occupational Therapist in Uganda Kampala –Free Word Template Download with AI

Bill To:

Mrs. Sarah Namugga

Resident of Kololo Hill

House No. 12, Kololo Avenue

Kampala, Uganda

Phone: +256 772 999 888

Service Location:

Apex OT Clinic

Therapy Wing B, Room 3

Kampala, Uganda

Service Description: This Invoice represents professional Occupational Therapy services rendered in accordance with the standards set by the Uganda Occupational Therapists Association. The treatments provided in Kampala focus on enhancing functional independence, cognitive rehabilitation, and physical adaptation for daily living activities.

#	Description of Occupational Therapy Services	Quantity / Hours	Unit Price (UGX)	Total (UGX)
1	Initial Comprehensive Assessment Evaluation of motor skills, sensory processing, and environmental barriers within the home setting in Kampala. Includes detailed report generation.	1	350,000	350,000
2	Individualized Therapy Sessions (Neurological) One-on-one sessions focusing on stroke recovery and fine motor skill restoration. Conducted by a licensed Occupational Therapist.	8	150,000	1,200,000
3	Ergonomic Home Modification Consultation Site visit to assess accessibility needs in the client's residence in Kampala. Recommendations for ramps, grab bars, and adaptive equipment.	1	250,000	250,000
4	Adaptive Equipment Supply & Training Provision of dressing aids and utensil grips. Training on proper usage to ensure safety and independence.	1	180,000	180,000
5	Cognitive Rehabilitation Program Structured activities to improve memory, attention, and problem-solving skills. Includes progress monitoring.	4	120,000	480,000
6	Family Caregiver Training Workshop Educational session for family members on assisting with daily activities and managing behavioral changes.	1	200,000	200,000

Subtotal: 2,660,000 UGX VAT (18%): 478,800 UGX Discount (Loyalty): -100,000 UGX TOTAL DUE: 3,038,800 UGX

Amount in words: Three Million, Thirty-Eight Thousand, Eight Hundred Uganda Shillings.

Payment Instructions

Please remit payment within 14 days of the invoice date. Late payments may incur a penalty of 2% per month.

Mobile Money: MTN/Airtel Money to +256 700 123 456 (Apex OT Services)

Bank Transfer:

Bank: Stanbic Bank Uganda Ltd

Branch: Kampala Road

Account Name: Apex Occupational Therapy Services Ltd

Account Number: 1002345678901

Sort Code: 012345

Terms and Conditions:

This Invoice is valid for services rendered in Uganda Kampala only.
All Occupational Therapist services are provided by certified professionals registered with the Uganda Occupational Therapists Association.
Payment is due within 14 days. Please reference the Invoice Number on all payments.
Any disputes regarding this Invoice must be raised within 7 days of receipt.
Confidentiality of patient information is maintained in accordance with Ugandan health regulations.

Authorized By:

Dr. James Okello

Lead Occupational Therapist

Apex OT Services

Received By:

__________________________

Name & Signature

Date

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