Invoice Physiotherapist in Saudi Arabia Jeddah –Free Word Template Download with AI
Professional Rehabilitation Services
Address: Al Rawdah District, King Abdulaziz Road
Jeddah, Makkah Province, Saudi Arabia
Phone: +966 12 345 6789
Email: [email protected]
VAT Registration Number: 300123456700003
Commercial Registration: 1010023456
Invoice Number: INV-2024-0892
Date of Issue: January 15, 2024
Due Date: February 15, 2024
Service Period: January 1, 2024 - January 15, 2024
Bill To:
Client Name: Ahmed Mohammed Al-Fahad
Address: Al Shati District, Prince Sultan Street
Jeddah, Makkah Province, Saudi Arabia
National ID / Iqama Number: 1098765432
Phone: +966 50 123 4567
Email: [email protected]
Insurance Information (If Applicable):
Insurance Provider: Bupa Arabia
Policy Number: BUP-2024-789456
Group Number: GRP-12345
Authorization Reference: AUTH-2024-01-001
| # | Description of Physiotherapy Services | Date | Qty | Unit Price (SAR) | Total (SAR) | VAT (15%) |
|---|---|---|---|---|---|---|
| 1 | Initial Comprehensive Physiotherapy Assessment and Evaluation | Jan 02, 2024 | 1 | 350.00 | 350.00 | 52.50 |
| 2 | Manual Therapy Session - Soft Tissue Mobilization and Joint Manipulation | Jan 04, 2024 | 1 | 250.00 | 250.00 | 37.50 |
| 3 | Therapeutic Exercise Program - Core Strengthening and Flexibility Training | Jan 06, 2024 | 1 | 200.00 | 200.00 | 30.00 |
| 4 | Electrotherapy Treatment - TENS and Ultrasound Therapy | Jan 08, 2024 | 1 | 180.00 | 180.00 | 27.00 |
| 5 | Postural Correction and Ergonomic Assessment Consultation | Jan 10, 2024 | 1 | 220.00 | 220.00 | 33.00 |
| 6 | Progressive Rehabilitation Session - Gait Training and Balance Exercises | Jan 12, 2024 | 1 | 230.00 | 230.00 | 34.50 |
| 7 | Follow-up Physiotherapy Assessment and Treatment Plan Adjustment | Jan 15, 2024 | 1 | 280.00 | 280.00 | 42.00 |
| Subtotal: | 1,710.00 SAR |
| VAT (15%): | 256.50 SAR |
| Grand Total: | 1,966.50 SAR |
This invoice complies with the Value Added Tax Law of the Kingdom of Saudi Arabia. The VAT rate of 15% has been applied to all taxable physiotherapy services rendered. Our VAT registration number is displayed above for your records. This invoice serves as a valid tax document for reimbursement purposes with insurance providers and for corporate expense claims within Saudi Arabia.
Payment Terms and Conditions:
- Payment is due within 30 days from the date of invoice issuance.
- Accepted payment methods include bank transfer, credit card, and cash at our Jeddah clinic.
- For bank transfers, please reference the invoice number in your payment description.
- Late payments may incur a penalty of 2% per month on the outstanding balance.
- This invoice is valid for insurance claims submission to all major insurance providers operating in Saudi Arabia.
- Please retain this invoice for your personal records and tax documentation purposes.
- All physiotherapy services were provided by licensed physiotherapists registered with the Saudi Commission for Health Specialties (SCFHS).
- Our clinic adheres to all healthcare regulations and standards set by the Ministry of Health in Saudi Arabia.
Bank Details for Payment:
Bank Name: Al Rajhi Bank
Account Name: Jeddah Advanced Physiotherapy Center
IBAN: SA03 8000 0000 6080 1016 7519
SWIFT Code: NBSASARIXXX
Branch: Al Rawdah Branch, Jeddah
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