Invoice Physiotherapist in DR Congo Kinshasa –Free Word Template Download with AI
Specialized Physiotherapy & Rehabilitation Clinic
123 Avenue de la Paix, Gombe
Kinshasa, Democratic Republic of the Congo
Tel: +243 81 000 0000 | Email: [email protected]
NIF: 001234567890123 | NINEA: 987654321
Invoice Number: INV-KIN-2023-089
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Bill To:
Monsieur Jean-Pierre Mukendi
45 Boulevard du 30 Juin
Commune de la Gombe
Kinshasa, DR Congo
Phone: +243 99 123 4567
| # | Description of Physiotherapy Services | Date | Qty | Unit Price (CDF) | Total (CDF) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of musculoskeletal function, gait analysis, and range of motion testing conducted by a licensed physiotherapist in Kinshasa. Includes development of a personalized rehabilitation protocol. |
Oct 01 | 1 | 150,000 | 150,000 |
| 2 |
Manual Therapy Sessions (5 Sessions) Hands-on techniques including joint mobilization, soft tissue massage, and myofascial release to reduce pain and improve mobility. Performed at our Gombe clinic facility. |
Oct 03-15 | 5 | 80,000 | 400,000 |
| 3 |
Therapeutic Exercise Program (10 Sessions) Supervised strengthening and flexibility exercises tailored for post-surgical recovery. Includes use of resistance bands and balance equipment available at the center. |
Oct 04-22 | 10 | 60,000 | 600,000 |
| 4 |
Electrotherapy & Ultrasound Treatment (5 Sessions) Application of TENS (Transcutaneous Electrical Nerve Stimulation) and therapeutic ultrasound to accelerate tissue healing and manage inflammation. |
Oct 05-18 | 5 | 45,000 | 225,000 |
| 5 |
Progress Evaluation & Plan Adjustment Mid-treatment review by the lead physiotherapist to assess recovery milestones and adjust the therapeutic strategy accordingly. |
Oct 15 | 1 | 100,000 | 100,000 |
| 6 |
Home Exercise Program Documentation Provision of a detailed written and visual guide for exercises to be performed at home between clinic visits, ensuring continuity of care. |
Oct 02 | 1 | 50,000 | 50,000 |
(One Million Seven Hundred Fifty-Three Thousand Seven Hundred Fifty Congolese Francs)
Payment Terms & Conditions
Currency: All amounts are quoted in Congolese Francs (CDF).
Due Date: Payment is due within 14 days of the invoice date.
Payment Methods:
- Mobile Money: M-Pesa / Airtel Money to +243 81 000 0000
- Bank Transfer: Banque Commerciale du Congo (BCC), Account No: 123-456-7890, Branch: Gombe, Kinshasa.
- Cash: Accepted at the clinic reception during business hours (Mon-Fri, 8:00 AM - 5:00 PM).
Late Payments: A late fee of 2% per month will be applied to overdue balances.
Insurance: If you have private health insurance, please submit this invoice along with your treatment summary to your provider for reimbursement. Our physiotherapy team is happy to provide additional medical reports if required by your insurer.
Disclaimer: This invoice represents professional physiotherapy services rendered in accordance with the standards of practice in the Democratic Republic of the Congo. All treatments were administered by qualified healthcare professionals licensed to practice in Kinshasa.
Authorized Signature
Dr. Sarah Mbuyi, DPT
Lead Physiotherapist
Received By (Client)
Date: _______________
Signature: _______________
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