Invoice Physiotherapist in Kenya Nairobi –Free Word Template Download with AI
Lead Physiotherapist: Dr. Sarah Kamau, MSc PT
P.O. Box 12345 - 00100
Westlands Business Park, 4th Floor
Waiyaki Way, Nairobi, Kenya
Tel: +254 700 123 456 | Email: [email protected]
KRA PIN: P001234567Z
Invoice Number: INV-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Period: October 01, 2023 - October 20, 2023
Bill To:
Client Name: Mr. James Omondi
Address: Apt 4B, Kilimani Shoppers Centre, Nairobi, Kenya
Phone: +254 722 987 654
Email: [email protected]
Insurance Provider: Jubilee Health Insurance (Policy #JH-998877)
| # | Description of Physiotherapy Services | Date | Qty | Unit Price (KES) | Total (KES) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of musculoskeletal condition, posture analysis, and range of motion testing conducted at our Nairobi clinic. Includes diagnosis and customized treatment plan formulation. |
Oct 02 | 1 | 5,500.00 | 5,500.00 |
| 2 |
Manual Therapy Session (Lumbar Spine) Hands-on treatment including joint mobilization and soft tissue massage to alleviate lower back pain. Performed by a certified Physiotherapist in accordance with Kenyan medical standards. |
Oct 05 | 1 | 3,500.00 | 3,500.00 |
| 3 |
Therapeutic Exercise Program Guided strengthening and flexibility exercises targeting core stability. Includes patient education on proper body mechanics for daily activities in Nairobi. |
Oct 08 | 1 | 3,000.00 | 3,000.00 |
| 4 |
Electrotherapy (TENS & Ultrasound) Application of Transcutaneous Electrical Nerve Stimulation and therapeutic ultrasound to reduce inflammation and manage pain levels effectively. |
Oct 10 | 1 | 2,500.00 | 2,500.00 |
| 5 |
Follow-up Consultation & Progress Review Assessment of treatment efficacy and adjustment of the rehabilitation protocol. Discussion of recovery milestones with the attending Physiotherapist. |
Oct 15 | 1 | 2,000.00 | 2,000.00 |
| 6 |
Home Exercise Program (HEP) Prescription Detailed written and digital guide for exercises to be performed at home. Includes video demonstrations and safety instructions tailored for the patient's condition. |
Oct 15 | 1 | 1,500.00 | 1,500.00 |
| 7 |
Advanced Manual Therapy (Kinesiology Taping) Application of therapeutic tape to support injured muscles and joints, enhance proprioception, and facilitate lymphatic drainage. |
Oct 18 | 1 | 2,000.00 | 2,000.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. We accept the following methods common in Kenya:
- M-Pesa Paybill: 123456 (Account: INV-2023-0892)
- Bank Transfer: Equity Bank, Nairobi Branch
Account Name: Nairobi Spine & Motion Clinic Ltd
Account Number: 0123456789 - Cheque: Payable to "Nairobi Spine & Motion Clinic"
Note: For insurance claims, please forward this invoice along with the clinical report to your provider.
Terms and Conditions
1. This invoice is issued by a registered Physiotherapy practice in Nairobi, Kenya, compliant with the Physiotherapists and Chiropodists Board of Kenya regulations.
2. Payment is due within 14 days. Late payments may incur a penalty of 1.5% per month.
3. All services rendered are subject to the availability of the treating Physiotherapist.
4. In case of any discrepancies, please contact our billing department within 7 days of receiving this invoice.
5. This document serves as an official receipt upon confirmation of payment.
6. We reserve the right to adjust fees based on changes in government tax policies or operational costs in Nairobi.
7. Patient confidentiality is maintained in accordance with Kenyan data protection laws.
8. This invoice is valid for tax deduction purposes as per KRA guidelines.
Authorized Signature
Dr. Sarah Kamau
Lead Physiotherapist
Client Acknowledgement
Signature: _________________________
Date: _________________________
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