Invoice Physiotherapist in Vietnam Ho Chi Minh City –Free Word Template Download with AI
123 Nguyen Hue Boulevard, District 1
Ho Chi Minh City, Vietnam
Tax Code (MST): 0312345678
Phone: +84 28 3822 1234 | Email: [email protected]
Professional Physiotherapy Services
Bill To:Mr. Nguyen Van A
45 Le Loi Street, Ward 1
District 1, Ho Chi Minh City
Vietnam
This document serves as an official Invoice for the comprehensive rehabilitation and therapeutic services rendered by our licensed Physiotherapist team. These services were conducted at our primary clinic located in the heart of Vietnam Ho Chi Minh City, adhering to the highest standards of medical care and regulatory compliance within the Vietnamese healthcare system.
The following charges reflect the professional time, specialized equipment usage, and clinical expertise provided to address the patient's specific musculoskeletal conditions. As a leading provider in Vietnam Ho Chi Minh City, our Physiotherapist staff utilizes evidence-based techniques to ensure optimal recovery outcomes.
| # | Description of Physiotherapy Service | Qty | Unit Price (VND) | Total (VND) |
|---|---|---|---|---|
| 1 |
Initial Clinical Assessment & Diagnosis Comprehensive evaluation by Senior Physiotherapist including gait analysis, range of motion testing, and treatment plan formulation. |
1 | 1,500,000 | 1,500,000 |
| 2 |
Manual Therapy & Soft Tissue Mobilization Targeted deep tissue massage and joint mobilization techniques to alleviate chronic lower back pain. |
8 | 800,000 | 6,400,000 |
| 3 |
Electrotherapy (TENS & Ultrasound) Application of therapeutic electrical stimulation and ultrasound to reduce inflammation and promote tissue healing. |
8 | 400,000 | 3,200,000 |
| 4 |
Therapeutic Exercise Program Supervised strengthening and flexibility exercises tailored for post-injury rehabilitation. |
8 | 600,000 | 4,800,000 |
| 5 |
Progress Review & Plan Adjustment Mid-treatment assessment by the lead Physiotherapist to adjust protocols based on patient recovery in Ho Chi Minh City clinic. |
1 | 800,000 | 800,000 |
(Eighteen Million Three Hundred Seventy Thousand Vietnamese Dong)
Payment Terms & Conditions
- Payment Method: Payment can be made via bank transfer to our account at Vietcombank, Ho Chi Minh City Branch, or via cash at the clinic reception.
- Bank Details: Account Name: Saigon Advanced Physiotherapy Center JSC | Account No: 0071001234567 | Bank: Vietcombank HCMC.
- Due Date: Payment is due within 10 days of the invoice date. Late payments may incur a penalty fee of 1.5% per month.
- Insurance: If this Invoice is being submitted for health insurance reimbursement, please ensure all original medical records accompany this document.
- Validity: This Invoice is valid for tax purposes in accordance with the laws of Vietnam.
Service Notes
The patient has received consistent care from our dedicated Physiotherapist team. The treatment plan outlined in this Invoice focuses on restoring mobility and reducing pain. We recommend continuing the prescribed home exercise program to maintain progress. Our clinic in Vietnam Ho Chi Minh City remains available for follow-up consultations should any concerns arise during the recovery process.
Authorized Signature
Dr. Tran Thi B
Head of Physiotherapy Department
Received By
Date: _______________
Signature: _______________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT