Invoice Physiotherapist in Singapore Singapore –Free Word Template Download with AI
123 Orchard Road, #05-01, Singapore Singapore 238858
Tel: +65 6789 1234 | Email: [email protected]
UEN: 202312345K
Official Tax Invoice
Bill To
Mr. Jonathan Tan Wei Ming
456 Bukit Timah Road
Singapore Singapore 259725
NRIC: S9876543A
| # | Description of Physiotherapy Services | Date | Qty | Amount (SGD) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Full musculoskeletal evaluation, gait analysis, and treatment plan formulation conducted by a senior Physiotherapist. |
02 Oct 2023 | 1 | 180.00 |
| 2 |
Manual Therapy & Soft Tissue Mobilization Targeted treatment for lower back pain and lumbar stiffness. Includes myofascial release techniques. |
05 Oct 2023 | 1 | 120.00 |
| 3 |
Therapeutic Exercise Program Supervised core strengthening and stabilization exercises tailored for post-injury rehabilitation. |
09 Oct 2023 | 1 | 110.00 |
| 4 |
Electrotherapy (TENS & Ultrasound) Pain management and tissue healing acceleration using clinical-grade electrotherapy modalities. |
12 Oct 2023 | 1 | 95.00 |
| 5 |
Follow-up Consultation & Progress Review Review of recovery progress, adjustment of home exercise program, and manual therapy maintenance. |
16 Oct 2023 | 1 | 110.00 |
| 6 |
Postural Correction & Ergonomic Advice Detailed assessment of workstation setup and provision of ergonomic guidelines to prevent recurrence. |
20 Oct 2023 | 1 | 85.00 |
| 7 |
Advanced Joint Mobilization Grade III and IV mobilization techniques for lumbar spine to improve range of motion. |
24 Oct 2023 | 1 | 120.00 |
| 8 |
Rehabilitation Progress Report Comprehensive written report for referring physician detailing treatment outcomes and future recommendations. |
25 Oct 2023 | 1 | 50.00 |
Payment Terms & Conditions
This Invoice represents the professional fees for physiotherapy services rendered by Singapore Singapore Physiotherapy Clinic. Payment is due within 14 days of the invoice date. Late payments may incur a penalty interest of 1.5% per month on the outstanding balance.
Payment Methods:
1. Bank Transfer: DBS Bank, Account Name: Singapore Singapore Physiotherapy Pte Ltd, Account No: 004-123456-7.
2. Credit Card: Visa, Mastercard, and Amex accepted via our secure online portal.
3. Cash: Accepted at our clinic reception during business hours.
MediSave & Insurance:
This clinic is a registered provider for MediSave claims in Singapore Singapore. The amount deducted above reflects the successful claim processed on behalf of the patient.
Please retain this Invoice for your personal records and for submission to your private insurance provider if applicable.
Our Physiotherapist team adheres strictly to the guidelines set by the Allied Health Professions Council (AHPC).
Authorized By:
Dr. Sarah Lim
Dr. Sarah Lim, MSc Physio
Senior Physiotherapist
Singapore Singapore Physiotherapy Clinic
Received By (Patient):
Name: _________________________
Date: _________________________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT