Invoice Physiotherapist in Colombia Medellín –Free Word Template Download with AI
Specialized Rehabilitation & Sports Medicine
Carrera 43A # 22-50, El Poblado
Medellín, Antioquia, Colombia
NIT: 900.123.456-7
Phone: +57 (4) 444-5555 | Email: [email protected]
License No. 123456789 (Ministry of Health)
Invoice #: INV-2023-10-089
Date: October 24, 2023
Due Date: November 07, 2023
Status: Pending Payment
Bill To (Patient)Mr. Juan Carlos Pérez
ID (Cédula): 1.098.765.432
Address: Calle 73 # 45-12, Laureles
Medellín, Antioquia, Colombia
Email: [email protected]
Phone: +57 300 123 4567
Service Provider (Physiotherapist)Dr. Ana María Rodríguez
Professional License: PT-889900
Specialty: Orthopedic & Sports Rehabilitation
Affiliation: Medellín Physiotherapy Center
EPS/Health Plan: Sanitas (If applicable)
Autorización: AUT-998877
Description of Physiotherapy Services Rendered| # | Service Description | Date | Qty | Unit Price (COP) | Total (COP) |
|---|---|---|---|---|---|
| 1 | Initial Orthopedic Assessment & Biomechanical Analysis (Lumbar Region) | Oct 10 | 1 | $150,000 | $150,000 |
| 2 | Manual Therapy Session: Soft Tissue Mobilization & Joint Manipulation | Oct 12 | 1 | $120,000 | $120,000 |
| 3 | Electrotherapy: TENS & Ultrasound Therapy for Pain Management | Oct 14 | 1 | $90,000 | $90,000 |
| 4 | Therapeutic Exercise Program: Core Strengthening & Flexibility | Oct 17 | 1 | $110,000 | $110,000 |
| 5 | Kinesio Taping Application (Lumbar Support) | Oct 17 | 1 | $40,000 | $40,000 |
| 6 | Follow-up Consultation & Progress Evaluation | Oct 20 | 1 | $100,000 | $100,000 |
| 7 | Home Exercise Program Prescription & Education | Oct 20 | 1 | $50,000 | $50,000 |
| Subtotal: | $660,000 |
| Discount (Loyalty Program): | -$30,000 |
| Net Subtotal: | $630,000 |
| VAT (IVA 19%): | $119,700 |
| Total Due (COP): | $749,700 |
Please make payment within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge as per Colombian commercial law.
Bank Transfer:
Bank: Bancolombia
Account Name: Medellín Physiotherapy Center S.A.S.
Account Number: 123-456789-00
Reference: INV-2023-10-089
Nequi/Daviplata: +57 310 987 6543
Terms, Conditions & Important Notes- This invoice is issued in accordance with the tax regulations of the National Tax and Customs Directorate (DIAN) of Colombia.
- All physiotherapy services are provided by licensed professionals registered with the Ministry of Health and Social Protection of Colombia.
- The VAT (IVA) rate of 19% is applied as per current Colombian tax law. Some medical services may be exempt; please consult your tax advisor.
- If this service is covered by your health insurance (EPS), please ensure the authorization number is valid. This invoice may be used for reimbursement claims.
- Patients are responsible for informing the physiotherapist of any changes in their medical condition during the treatment period.
- Cancellations must be made at least 24 hours in advance to avoid being charged for the session.
- This document serves as proof of payment and service delivery for medical and administrative purposes in Medellín, Antioquia.
- For any questions regarding this invoice, please contact our billing department at [email protected] or call +57 (4) 444-5555.
Authorized by (Physiotherapist)
Dr. Ana María Rodríguez
License: PT-889900
Received by (Patient)
Juan Carlos Pérez
ID: 1.098.765.432
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