Invoice Physiotherapist in Germany Berlin –Free Word Template Download with AI
Dr. med. physio. Elena Weber
Friedrichstraße 123, 10117 Berlin, Germany
Phone: +49 30 12345678
Email: [email protected]
VAT ID (USt-IdNr.): DE123456789
License No. (Berliner Heilberufekammer): BHK-98765
Invoice No: INV-2023-10-045
Date: October 24, 2023
Due Date: November 24, 2023
Reference: Patient ID #88421
Bill To:
Max Mustermann
Kantstraße 45, 10623 Berlin, Germany
Insurance Provider: AOK Berlin
Insurance Number: AOK-9988776655
| # | Description of Physiotherapy Services | GOÄ / EBM Code | Quantity | Unit Price (EUR) | Total (EUR) |
|---|---|---|---|---|---|
| 1 |
Initial Diagnostic Assessment Comprehensive evaluation of musculoskeletal condition, posture analysis, and range of motion testing conducted in Berlin clinic. |
EBM 01.001 | 1 | 45.00 | 45.00 |
| 2 |
Manual Therapy Session Soft tissue mobilization and joint manipulation targeting lumbar spine dysfunction. Performed by licensed Physiotherapist. |
EBM 02.005 | 4 | 35.00 | 140.00 |
| 3 |
Therapeutic Exercise Program Supervised core stabilization and strengthening exercises tailored for lower back rehabilitation. |
EBM 03.010 | 4 | 30.00 | 120.00 |
| 4 |
Electrotherapy (TENS) Application of Transcutaneous Electrical Nerve Stimulation for pain management during acute phase. |
EBM 04.002 | 2 | 15.00 | 30.00 |
| 5 |
Progress Evaluation & Plan Adjustment Mid-treatment review to assess recovery progress and modify therapy protocol accordingly. |
EBM 01.003 | 1 | 25.00 | 25.00 |
| Subtotal: | 360.00 EUR |
| VAT (19%): | 68.40 EUR |
| Total Amount Due: | 428.40 EUR |
Payment Instructions
Please transfer the total amount of 428.40 EUR to the following bank account within 30 days of the invoice date. Late payments may incur interest charges in accordance with German commercial law (§ 288 BGB).
Bank Name: Deutsche Bank AG Berlin
Account Holder: Berlin Spine & Motion Physiotherapy GmbH
IBAN: DE89 1007 0010 0123 4567 89
BIC: DEUTDEDBBER
Reference: INV-2023-10-045 / Max Mustermann
Important Notes Regarding Physiotherapy Services in Germany
This invoice reflects services rendered by a certified Physiotherapist operating under the regulations of the Federal Republic of Germany. All treatments were conducted in compliance with the German Medical Devices Act (MPG) and the guidelines set forth by the Berlin Chamber of Physiotherapists (Berliner Heilberufekammer). The codes listed (EBM) correspond to the Uniform Evaluation Standard (Einheitlicher Bewertungsmaßstab) used for billing statutory health insurance providers in Germany.
If this invoice is being submitted to a private health insurance provider or employer for reimbursement, please ensure that all documentation is complete. In the event of a dispute regarding the charges, please contact our billing department within 14 days. We adhere strictly to data protection laws (GDPR/DSGVO) regarding your personal and medical information.
Thank you for choosing Berlin Spine & Motion Physiotherapy for your rehabilitation needs. We are committed to providing high-quality, evidence-based care to help you regain mobility and improve your quality of life in Berlin and beyond.
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