Invoice Physiotherapist in Israel Jerusalem –Free Word Template Download with AI
12 King David Street, Talpiot
Jerusalem, 9412345, Israel
Tel: +972-2-555-0199
Email: [email protected]
VAT ID: 512345678Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Bill To:
Mr. David Cohen
45 Yehuda Hamaccabi Street
Jerusalem, 9100000, Israel
ID Number: 001-234567-8
Insurance Provider: Maccabi Healthcare Services
Policy Number: MAC-99887766
| Description of Physiotherapy Services | Quantity | Unit Price (ILS) | Total (ILS) |
|---|---|---|---|
|
Initial Comprehensive Assessment Full musculoskeletal evaluation, gait analysis, and treatment plan formulation for lower back pain. Includes diagnostic palpation and range of motion testing. |
1 | 450.00 | 450.00 |
|
Manual Therapy Session (60 mins) Soft tissue mobilization, myofascial release, and joint manipulation techniques targeting lumbar spine and sacroiliac joint. Performed by licensed physiotherapist. |
4 | 350.00 | 1,400.00 |
|
Therapeutic Exercise Program Supervised core stabilization exercises, McKenzie method extensions, and flexibility training. Includes home exercise program instruction. |
4 | 300.00 | 1,200.00 |
|
Electrotherapy (TENS/Interferential) Pain management using transcutaneous electrical nerve stimulation to reduce inflammation and muscle spasms in the lower back region. |
4 | 150.00 | 600.00 |
|
Postural Education & Ergonomic Consultation Assessment of workstation setup and daily activities. Guidance on proper body mechanics to prevent recurrence of injury. |
1 | 250.00 | 250.00 |
|
Follow-up Evaluation Progress assessment after 4 sessions. Adjustment of treatment plan and preparation for discharge or continuation of care. |
1 | 300.00 | 300.00 |
Important Notes & Payment Terms:
- This invoice is issued in accordance with Israeli tax regulations and the Value Added Tax Law, 1975.
- Payment is due within 30 days from the date of issue. Late payments may incur a monthly interest charge of 1.5% as per Israeli law.
- Accepted payment methods: Bank transfer (preferred), credit card (Visa, Mastercard), or cash at our Jerusalem clinic.
- Bank Details for Transfer:
Bank: Bank Hapoalim
Branch: 010
Account Number: 123456-78
SWIFT: POALILIT - Please reference Invoice Number INV-2023-10-045 when making payment.
- This physiotherapy treatment plan was developed based on clinical assessment and is intended for the specific condition diagnosed. Any changes to the treatment plan will be communicated and documented separately.
- For insurance claims, please submit this invoice along with the treatment summary to your health fund (Kupat Holim). Our clinic can provide additional documentation if required.
- If you have any questions regarding this invoice or your physiotherapy treatment, please contact our billing department at +972-2-555-0199 or email [email protected].
- Jerusalem Advanced Physiotherapy Center is committed to providing high-quality, evidence-based physiotherapy services in Jerusalem, Israel. All our physiotherapists are licensed by the Israeli Ministry of Health.
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