Invoice Physiotherapist in United Arab Emirates Dubai –Free Word Template Download with AI
License No: DHA-PT-2023-8842
VAT Registration No: 100 234 567 800003
Office 402, Business Bay Tower, Dubai, United Arab Emirates
P.O. Box: 12345, Dubai, UAE
Tel: +971 4 123 4567 | Email: [email protected]
Invoice No: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Mr. Ahmed Al-Mansoori
Resident of Dubai Marina, Dubai, United Arab Emirates
Emirates ID: 784-1990-1234567-8
Phone: +971 50 987 6543
Email: [email protected]
Insurance Provider: Daman Insurance (Policy: DM-998877)
Value Added Tax (VAT) Notice: In accordance with the Federal Decree-Law No. (8) of 2017 on Value Added Tax in the United Arab Emirates, a VAT rate of 5% is applied to all taxable supplies of physiotherapy services rendered in Dubai. This invoice serves as a valid tax document for reimbursement and accounting purposes within the UAE jurisdiction.| # | Description of Physiotherapy Services | Date | Qty | Unit Price (AED) | Total (AED) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed musculoskeletal evaluation, posture analysis, and range of motion testing conducted by a licensed Physiotherapist in Dubai. Includes diagnosis and personalized treatment plan formulation. |
Oct 10, 2023 | 1 | 350.00 | 350.00 |
| 2 |
Manual Therapy Session (Lumbar Spine) Soft tissue mobilization and joint manipulation techniques to alleviate lower back pain. Performed in compliance with Dubai Health Authority (DHA) clinical standards. |
Oct 12, 2023 | 1 | 250.00 | 250.00 |
| 3 |
Therapeutic Exercise Program Supervised core strengthening and flexibility exercises tailored for post-injury rehabilitation. Includes patient education on home exercise routines. |
Oct 15, 2023 | 1 | 200.00 | 200.00 |
| 4 |
Electrotherapy (TENS & Ultrasound) Application of Transcutaneous Electrical Nerve Stimulation and therapeutic ultrasound to reduce inflammation and manage pain in the affected region. |
Oct 17, 2023 | 1 | 150.00 | 150.00 |
| 5 |
Follow-up Consultation & Progress Review Assessment of treatment efficacy, adjustment of rehabilitation protocol, and preparation of progress report for referring physician or insurance provider. |
Oct 20, 2023 | 1 | 150.00 | 150.00 |
| 6 |
Postural Correction & Ergonomic Advice Specialized session focusing on workplace ergonomics and daily activity modification to prevent recurrence of injury. |
Oct 22, 2023 | 1 | 200.00 | 200.00 |
(One Thousand Three Hundred Sixty-Five United Arab Emirates Dirhams)
Payment Instructions
Please remit payment within 14 days of the invoice date to avoid late fees. Payments can be made via bank transfer or credit card.
Bank Name: Emirates NBD
Account Name: Apex Physiotherapy & Rehabilitation Center LLC
IBAN: AE07 0331 2345 6789 0123 456
SWIFT Code: EBILAEAD
Reference: Please use Invoice Number INV-2023-10-045 as the payment reference.
Terms and Conditions
- All services rendered are subject to the laws and regulations of the United Arab Emirates, specifically the Dubai Health Authority (DHA) guidelines for physiotherapy practice.
- This invoice is valid for reimbursement by insurance companies operating in Dubai, provided that pre-authorization was obtained where required.
- Late payments may incur a penalty of 1% per month on the outstanding balance, in accordance with UAE commercial law.
- Any disputes regarding the services provided must be raised within 7 days of the invoice date.
- Personal data collected for this invoice will be processed in compliance with the UAE Data Protection Law.
- Prices are inclusive of all professional fees but exclusive of VAT, which is calculated separately as per federal law.
Authorized Signature
Dr. Sarah Johnson, MPT
Lead Physiotherapist
License No: DHA-PT-55432
Client Acknowledgment
Signature:
Date:
Thank you for choosing Apex Physiotherapy & Rehabilitation Center in Dubai.
This is a computer-generated invoice and does not require a physical stamp.
© 2023 Apex Physiotherapy & Rehabilitation Center LLC. All Rights Reserved.
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