Invoice Physiotherapist in Turkey Ankara –Free Word Template Download with AI
Address: Çankaya Mahallesi, Atatürk Bulvarı No: 123, Kat: 2
City: Çankaya, Ankara, Turkey
Phone: +90 (312) 555-0199
Email: [email protected]
Tax ID (Vergi No): 1234567890
Tax Office: Çankaya Vergi Dairesi
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Patient Name: John Doe
Address: Kızılay Mahallesi, İnönü Caddesi No: 45, Daire: 12
City: Çankaya, Ankara, Turkey
Phone: +90 (532) 111-2233
Email: [email protected]
Insurance Provider: Anadolu Sigorta A.Ş.
Policy Number: POL-TR-987654321
| Description of Physiotherapy Services | Quantity | Unit Price (TRY) | Total (TRY) |
|---|---|---|---|
|
Initial Comprehensive Assessment Full physical examination, posture analysis, and movement screening conducted in Ankara clinic. |
1 | 1,500.00 | 1,500.00 |
|
Manual Therapy Session (45 mins) Soft tissue mobilization and joint manipulation for lower back pain. |
4 | 1,200.00 | 4,800.00 |
|
Therapeutic Exercise Program Customized strengthening and flexibility exercises supervised by licensed physiotherapist. |
4 | 900.00 | 3,600.00 |
|
Electrotherapy (TENS/Interferential) Pain management and muscle stimulation treatment. |
4 | 600.00 | 2,400.00 |
|
Ultrasound Therapy Deep tissue heating for injury recovery and inflammation reduction. |
3 | 700.00 | 2,100.00 |
|
Post-Treatment Consultation Review of progress and home exercise plan adjustment. |
1 | 800.00 | 800.00 |
Payment Terms and Important Information
Payment Methods: This invoice may be settled via bank transfer, credit card, or cash at our Ankara clinic. For bank transfers, please use the account details provided below and reference the Invoice Number.
Bank Details:
Bank Name: Ziraat Bankası A.Ş.
Branch: Çankaya Şubesi
Account Name: Ankara Advanced Physiotherapy Center
IBAN: TR12 0001 0001 2345 6789 0123 45
Due Date: Payment is due within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge as per Turkish commercial regulations.
Insurance Claims: If you are submitting this invoice to your insurance provider, please ensure all documents are signed and stamped. Our clinic is registered with major insurance companies operating in Turkey.
Physiotherapy Services: All treatments listed have been performed by licensed physiotherapists in accordance with the standards set by the Turkish Physiotherapy and Rehabilitation Association. Each session was tailored to the patient’s specific needs and medical history.
Location: All services were rendered at our clinic located in Çankaya, Ankara, Turkey. This invoice serves as an official record of the physiotherapy services provided.
Questions: For any inquiries regarding this invoice, please contact our billing department at +90 (312) 555-0199 or email [email protected].
Authorized Signature
Dr. Ayşe Yılmaz, DPT
Lead Physiotherapist
Patient Acknowledgment
Signature: ______________________
Date: ______________________
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