Invoice Physiotherapist in Ghana Accra –Free Word Template Download with AI
Lead Physiotherapist: Dr. Kwame Mensah, MSc, CGP
14 Independence Avenue, Ridge
Accra, Greater Accra Region, Ghana
Tel: +233 30 277 1234 | Email: [email protected]
TIN: GH-9988776655
Invoice Number: INV-GH-2023-0892
Date Issued: October 24, 2023
Due Date: November 07, 2023
Payment Status: Pending
Bill To:
Mr. Samuel Osei
Apartment 4B, Cantonments View
Cantonments, Accra, Ghana
Phone: +233 24 555 0199
Email: [email protected]
Service Period:
From: October 01, 2023
To: October 23, 2023
Referral Code: R-ACCRA-PT-44
Insurance Provider: SSNIT / Private Health Scheme
| # | Description of Physiotherapy Services | Date | Qty / Hours | Amount (GHS) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment & Diagnosis Full musculoskeletal evaluation, gait analysis, and range of motion testing conducted at our Accra clinic. Includes detailed history taking and formulation of a personalized rehabilitation plan. |
Oct 01 | 1 | 450.00 |
| 2 |
Manual Therapy & Soft Tissue Mobilization (Session 1-4) Targeted treatment for lower back strain and sciatic nerve compression. Techniques include deep tissue massage, myofascial release, and joint mobilization to reduce inflammation and improve mobility. |
Oct 03-10 | 4 | 1,200.00 |
| 3 |
Therapeutic Exercise Program (Session 1-4) Supervised strengthening and stabilization exercises focusing on core muscles and lumbar support. Includes instruction on home exercise routines to be performed in Ghana. |
Oct 03-10 | 4 | 800.00 |
| 4 |
Electrotherapy & Ultrasound Treatment Application of TENS (Transcutaneous Electrical Nerve Stimulation) and therapeutic ultrasound to accelerate tissue healing and manage acute pain levels. |
Oct 05-12 | 4 | 600.00 |
| 5 |
Postural Correction & Ergonomic Consultation Assessment of workplace ergonomics for office-based work in Accra. Recommendations provided for desk setup and lifting techniques to prevent recurrence of injury. |
Oct 15 | 1 | 350.00 |
| 6 |
Progress Review & Treatment Plan Adjustment Mid-treatment evaluation to assess recovery milestones. Adjustment of manual therapy intensity and exercise load based on patient response. |
Oct 17 | 1 | 300.00 |
| 7 |
Advanced Manual Therapy & Stretching (Session 5-8) Continued focus on restoring full range of motion. Implementation of advanced stretching protocols and proprioceptive training. |
Oct 18-23 | 4 | 1,200.00 |
| 8 |
Final Discharge Report & Certification Comprehensive summary of treatment provided, final assessment of functional status, and official medical certificate for employer or insurance purposes. |
Oct 23 | 1 | 200.00 |
Payment Instructions:
Please make payment within 14 days of the invoice date. Payments can be made via Mobile Money (MTN/Vodafone/AirtelTigo), Bank Transfer, or Cash at our Accra office.
Bank Details:
Bank: Ecobank Ghana Ltd
Account Name: Accra Spine & Motion Clinic Ltd
Account Number: 1234567890
Branch: Ridge Branch, Accra
Mobile Money:
Number: 024 123 4567
Name: Accra Spine Clinic
Terms and Conditions:
1. This invoice represents services rendered by a licensed Physiotherapist in accordance with the Ghana Health Service regulations.
2. Late payments may incur a penalty fee of 2% per month.
3. Please quote the Invoice Number (INV-GH-2023-0892) when making payment.
4. For any discrepancies regarding the charges or treatment details, please contact our billing department immediately.
5. This document serves as an official receipt for tax and insurance reimbursement purposes in Ghana.
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