Invoice Physiotherapist in Switzerland Zurich –Free Word Template Download with AI
Dr. med. Sarah Müller, Dipl. Physiotherapeutin HF
Bahnhofstrasse 45, 8001 Zurich, Switzerland
Phone: +41 44 123 45 67 | Email: [email protected]
VAT ID: CHE-123.456.789 MWST
License No: ZH-PT-2023-889
Invoice No: INV-2023-10-045
Date: October 24, 2023
Due Date: November 24, 2023
Payment Method: Bank Transfer / TWINT
Billed To (Patient)
Mr. Lukas Weber
Seefeldstrasse 112
8008 Zurich, Switzerland
AVS/AHV Number: 756.1234.5678.95
Insurance Details
Swiss Health Insurance (Krankenkasse)
Provider: Helsana AG
Policy Number: 9876543210
Group Number: ZH-GRP-55
Note: Please submit this invoice to your insurer for reimbursement.
| No. | Description of Physiotherapy Services | Tariff Code (TARMED) | Qty | Unit Price (CHF) | Total (CHF) |
|---|---|---|---|---|---|
| 1 |
Initial Assessment & Diagnosis Comprehensive evaluation of musculoskeletal condition in Zurich clinic. Includes history taking, range of motion testing, and functional analysis. |
20001 | 1 | 120.00 | 120.00 |
| 2 |
Manual Therapy Session Soft tissue mobilization and joint manipulation for lower back pain relief. Performed by certified Physiotherapist. |
20002 | 4 | 95.00 | 380.00 |
| 3 |
Therapeutic Exercise Program Guided rehabilitation exercises focusing on core stability and posture correction. Includes home exercise plan. |
20003 | 4 | 85.00 | 340.00 |
| 4 |
Electrotherapy (TENS/EMS) Application of electrical stimulation for pain management and muscle activation. |
20004 | 2 | 45.00 | 90.00 |
| 5 |
Progress Review & Treatment Plan Adjustment Follow-up consultation to assess recovery progress and modify therapy protocol. |
20005 | 1 | 75.00 | 75.00 |
Payment Instructions & Important Information
Bank Details:
Zurich Physiotherapy Center
Bank: UBS Switzerland AG
IBAN: CH93 0076 2011 6238 5295 7
Reference: INV-2023-10-045
Terms: Payment is due within 30 days of the invoice date. Late payments may incur a 5% surcharge in accordance with Swiss debt collection law.
Insurance Reimbursement: This invoice is compliant with the Swiss Federal Health Insurance Act (KVG/LAMal). Please forward this document to your health insurance provider (Krankenkasse) for processing. Ensure your policy covers physiotherapy services in Zurich.
Physiotherapist Certification: All services rendered are performed by licensed Physiotherapists registered with the Swiss Association of Physiotherapists (SVF/APSF). Our clinic adheres to the highest standards of care in Zurich, Switzerland.
Questions? For any inquiries regarding this invoice or your treatment plan, please contact our billing department at +41 44 123 45 67 or email [email protected].
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