Invoice Optometrist in Switzerland Zurich –Free Word Template Download with AI
Dr. med. dent. Elena Müller, OD
Bahnhofstrasse 45, 8001 Zurich, Switzerland
Phone: +41 44 123 45 67 | Email: [email protected]
VAT ID: CHE-123.456.789 MWST
Invoice Number: INV-2023-10-042
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Reference: Patient ID #ZRH-8892
Bill To
Mr. Hans Weber
Seefeldstrasse 112
8008 Zurich, Switzerland
Insurance: Swiss Life Select
Policy Number: SL-99887766
Payment Instructions
Please transfer the total amount to the following account within 30 days.
Bank: UBS Switzerland AG
IBAN: CH93 0076 2011 6238 5295 7
BIC: UBSWCHZH80A
Reference: INV-2023-10-042
| # | Description of Services / Goods | Quantity | Unit Price (CHF) | Total (CHF) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes refraction, visual field test, and ocular health assessment performed by a certified Optometrist in Zurich. |
1 | 180.00 | 180.00 |
| 2 |
Premium Anti-Reflective Coating Applied to prescription lenses to reduce glare and improve night vision clarity. |
1 | 120.00 | 120.00 |
| 3 |
High-Index Polycarbonate Lenses (1.67) Durable, lightweight lenses tailored for high prescription strength. |
1 Pair | 350.00 | 350.00 |
| 4 |
Titanium Optical Frame Brand: Lindberg. Model: Classic. Includes fitting and adjustment. |
1 | 550.00 | 550.00 |
| 5 |
Dispensing Fee Professional fee for lens edging, assembly, and quality control. |
1 | 80.00 | 80.00 |
Terms and Conditions
This Invoice serves as an official request for payment for optometric services and optical goods provided by Zurich Vision Optometry, located in the heart of Switzerland Zurich. As a licensed Optometrist, we adhere to the strict professional standards set by the Swiss Association of Optometrists (SAO).
Payment Terms: Payment is due within 30 days of the invoice date. Late payments may incur a statutory interest rate of 5% per annum. Please ensure the invoice number is included in your payment reference to facilitate quick processing.
Insurance Claims: If your health insurance covers part of these costs, please submit this invoice along with the detailed prescription to your provider. Zurich Vision Optometry can provide additional documentation if required by your insurer. Note that basic insurance in Switzerland typically covers eye exams every two years for children and every four years for adults, while frames and lenses are often covered by supplementary insurance.
Warranty: All optical frames and lenses come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse, accidents, or normal wear and tear. Adjustments are free of charge for the first six months.
Privacy: Your personal and medical data is handled in accordance with the Swiss Federal Act on Data Protection (FADP). We ensure the confidentiality and security of your information.
Thank you for choosing Zurich Vision Optometry for your eye care needs. We are committed to providing you with the highest quality vision care in Switzerland Zurich. If you have any questions regarding this invoice or your eye health, please do not hesitate to contact our office.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT