Invoice Physiotherapist in Morocco Casablanca –Free Word Template Download with AI
Physiotherapy & Rehabilitation Center
123 Boulevard Mohammed V, Maarif
Casablanca 20250, Morocco
Tel: +212 522 123 456
Email: [email protected]
ICE: 001234567890123 | IF: 123456789
Invoice Number: INV-2024-0892
Date: October 15, 2024
Due Date: October 30, 2024
Payment Terms: Net 15 Days
Bill To:
Patient Name: Ahmed Benali
Address: 45 Rue Ibn Sina, Anfa, Casablanca, Morocco
Phone: +212 661 987 654
Email: [email protected]
Insurance Provider: CNSS / RAMED (If applicable)
Policy Number: CNSS-987654321
Physiotherapy Services Rendered
This invoice details the professional physiotherapy services provided by our licensed physiotherapists at our clinic in Casablanca, Morocco. All treatments were conducted in accordance with Moroccan healthcare regulations and international physiotherapy standards.
| Description of Service | Date of Service | Quantity | Unit Price (MAD) | Total (MAD) |
|---|---|---|---|---|
| Initial Physiotherapy Assessment & Evaluation | October 1, 2024 | 1 | 350.00 | 350.00 |
| Manual Therapy Session (Spinal Manipulation) | October 3, 2024 | 1 | 250.00 | 250.00 |
| Therapeutic Exercise Program (Lower Back Pain) | October 5, 2024 | 1 | 200.00 | 200.00 |
| Electrotherapy (TENS & Ultrasound) | October 8, 2024 | 1 | 180.00 | 180.00 |
| Postural Correction & Ergonomic Advice | October 10, 2024 | 1 | 220.00 | 220.00 |
| Follow-up Physiotherapy Session | October 12, 2024 | 1 | 200.00 | 200.00 |
| Home Exercise Program Documentation | October 12, 2024 | 1 | 100.00 | 100.00 |
| Subtotal: | 1,500.00 MAD |
| VAT (20%): | 300.00 MAD |
| Total Amount Due: | 1,800.00 MAD |
Important Notes & Payment Information:
1. This invoice is issued in accordance with Moroccan tax laws and regulations governing healthcare services in Casablanca.
2. Payment can be made via bank transfer, cash, or credit card at our clinic located in Casablanca, Morocco.
3. Bank Details: Attijariwafa Bank, Account Number: 001234567890123456789012, IBAN: MA01 0012 3456 7890 1234 5678 9012
4. Please include the invoice number (INV-2024-0892) as a reference when making payment.
5. Late payments may incur a penalty fee of 1.5% per month as per Moroccan commercial law.
6. This invoice serves as an official receipt for physiotherapy services rendered and can be used for insurance claims or tax purposes.
7. Our physiotherapists are licensed by the Moroccan Ministry of Health and adhere to the highest standards of patient care.
8. If you have any questions regarding this invoice or the services provided, please contact our billing department at +212 522 123 456.
9. All treatments were personalized based on the patient's specific needs and medical history.
10. Thank you for choosing our physiotherapy clinic in Casablanca for your rehabilitation needs.
Physiotherapist Signature:
Dr. Fatima Zahra El Amrani
Licensed Physiotherapist
Order Number: 12345
Patient Signature:
Ahmed Benali
Date: _______________
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