Invoice Physiotherapist in South Korea Seoul –Free Word Template Download with AI
123 Gangnam-daero, Gangnam-gu
Seoul, South Korea 06000
Tel: +82-2-1234-5678
Email: [email protected]
Business Registration No: 123-45-67890
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Payment Terms: Net 30 Days
BILL TO
Mr. James Anderson Global Health Insurance Ltd. 45-2 Mapo-gu, Seoul, South Korea GH-987654321 +82-10-9876-5432 990101-1234567SERVICES RENDERED
The following physiotherapy services were provided by licensed professionals at our Seoul facility in accordance with the treatment plan approved for the patient.
| # | Description of Physiotherapy Service | Date of Service | Qty | Unit Price (KRW) | Total (KRW) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment & Rehabilitation Plan Formulation | 2023-10-01 | 1 | 150,000 | 150,000 |
| 2 | Manual Therapy for Lumbar Spine Mobilization | 2023-10-03 | 1 | 80,000 | 80,000 |
| 3 | Therapeutic Exercise Program (Core Stability Focus) | 2023-10-05 | 1 | 70,000 | 70,000 |
| 4 | Electrotherapy (TENS/EMS) for Pain Management | 2023-10-07 | 1 | 60,000 | 60,000 |
| 5 | Soft Tissue Massage & Myofascial Release | 2023-10-10 | 1 | 75,000 | 75,000 |
| 6 | Postural Correction Training & Ergonomic Consultation | 2023-10-12 | 1 | 85,000 | 85,000 |
| 7 | Progress Evaluation & Treatment Plan Adjustment | 2023-10-15 | 1 | 100,000 | 100,000 |
| 8 | Advanced Gait Analysis & Biomechanical Correction | 2023-10-18 | 1 | 120,000 | 120,000 |
| 9 | Home Exercise Program Instruction & Material Provision | 2023-10-20 | 1 | 50,000 | 50,000 |
| 10 | Final Discharge Assessment & Report to Referring Physician | 2023-10-22 | 1 | 110,000 | 110,000 |
| Subtotal: | 900,000 KRW |
| VAT (10%): | 90,000 KRW |
| Discount (Insurance Coverage): | -450,000 KRW |
| TOTAL AMOUNT DUE: | 540,000 KRW |
PAYMENT INSTRUCTIONS
Please remit payment within 30 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank Name: Shinhan Bank
Branch: Gangnam Branch
Account Name: Seoul Advanced Physiotherapy Clinic Co., Ltd.
Account Number: 100-000-000000
SWIFT Code: SHBKKRSE
Please include the Invoice Number (INV-2023-10-045) as the reference for your payment.
TERMS AND CONDITIONS
- All services listed on this invoice were performed by licensed physiotherapists registered with the Korean Physiotherapy Association.
- This invoice is issued in accordance with the tax laws of South Korea. The VAT rate applied is 10%.
- Payment is due within 30 days from the date of issue. Late payments may incur a penalty interest of 1.5% per month.
- Any disputes regarding the charges must be raised within 14 days of receiving this invoice.
- Insurance claims should be submitted directly to the provider using the attached detailed treatment report.
- Personal data is processed in compliance with the Personal Information Protection Act of South Korea.
Authorized Signature
Dr. Min-Ji Kim, PT, DPT
Clinic Director
Client Acknowledgement
Signature:
Date:
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