Invoice Physiotherapist in Japan Tokyo –Free Word Template Download with AI
1-2-3 Shibuya, Shibuya-ku, Tokyo 150-0002, Japan
Tel: +81-3-1234-5678 | Email: [email protected]
Corporate Number: T1234567890123
Professional Physiotherapy Services
Bill To:Mr. Kenji Tanaka
4-5-6 Minami-Aoyama, Minato-ku
Tokyo 107-0062, Japan
| Description of Physiotherapy Services | Date | Qty | Unit Price | Total |
|---|---|---|---|---|
|
Initial Comprehensive Assessment Full musculoskeletal evaluation, posture analysis, and gait assessment conducted at our Tokyo clinic. Includes detailed medical history review and diagnosis formulation. |
Oct 10, 2023 | 1 | ¥15,000 | ¥15,000 |
|
Manual Therapy Session (Lumbar Focus) Hands-on treatment including soft tissue mobilization and joint manipulation to alleviate lower back pain and improve mobility. |
Oct 12, 2023 | 1 | ¥10,000 | ¥10,000 |
|
Therapeutic Exercise Program Guided strengthening and flexibility exercises tailored for core stability and spinal alignment. |
Oct 14, 2023 | 1 | ¥8,000 | ¥8,000 |
|
Electrotherapy (TENS/EMS) Application of electrical stimulation for pain management and muscle re-education. |
Oct 17, 2023 | 1 | ¥5,000 | ¥5,000 |
|
Follow-up Consultation & Progress Review Assessment of treatment efficacy and adjustment of the rehabilitation plan. |
Oct 20, 2023 | 1 | ¥7,000 | ¥7,000 |
1. Payment Terms: Payment is due within 30 days of the invoice date. Late payments may incur a 1.5% monthly interest charge.
2. Bank Transfer Details:
Bank Name: Mizuho Bank, Ltd.
Branch: Shibuya Branch (0012)
Account Type: Ordinary (Futsu)
Account Number: 1234567
Account Name: Shibuya Advanced Physiotherapy Clinic
3. Tax Information: In accordance with Japanese law, medical services provided by a licensed Physiotherapist are exempt from Consumption Tax. However, non-medical items such as therapeutic tape and ice packs are subject to the standard 10% Consumption Tax.
4. Insurance: This invoice is for private pay services. If you have private health insurance, please submit this document to your provider for reimbursement.
Dr. Sarah Jenkins, PT, DPT
Licensed Physiotherapist
License No: T-PT-98765 Client Acknowledgement
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