Invoice Psychiatrist in Malaysia Kuala Lumpur –Free Word Template Download with AI
Dr. Sarah Lim, MBBS, MRCPsych
Consultant Psychiatrist
Level 12, Menara KL Medical, Jalan Tun Razak
50400 Kuala Lumpur, Malaysia
Tel: +603-2188 9900 | Email: [email protected]
ROC No: 201801023456 (W)
Invoice No: INV-KL-2023-0892
Date: 24 October 2023
Due Date: 24 November 2023
Bill To:
Mr. Tan Wei Ming
12A, Jalan Bukit Bintang
55100 Kuala Lumpur, Malaysia
IC No: 850912-10-XXXX
Email: [email protected]
| # | Description of Psychiatrist Services | Date of Service | Unit Price (MYR) | Total (MYR) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Psychiatric Assessment Detailed clinical interview, history taking, and mental state examination conducted by Consultant Psychiatrist in Kuala Lumpur. Includes formulation of diagnosis and initial treatment plan. |
10 Oct 2023 | RM 450.00 | RM 450.00 |
| 2 |
Follow-up Psychiatric Consultation (Session 1) Review of medication efficacy, side effects monitoring, and adjustment of therapeutic strategy. Standard 30-minute consultation at our KL clinic. |
17 Oct 2023 | RM 300.00 | RM 300.00 |
| 3 |
Psychological Testing & Interpretation Administration and scoring of standardized psychological assessment tools (e.g., PHQ-9, GAD-7, MMPI-2) to aid in psychiatric diagnosis. Includes written report. |
10 Oct 2023 | RM 600.00 | RM 600.00 |
| 4 |
Medical Certificate (MC) Issuance Official Medical Certificate issued by a registered Psychiatrist in Malaysia for sick leave purposes, valid under Malaysian Ministry of Health guidelines. |
10 Oct 2023 | RM 50.00 | RM 50.00 |
| 5 |
Prescription Management & Medication Counseling Detailed counseling regarding prescribed psychotropic medications, dosage instructions, and potential interactions. |
17 Oct 2023 | RM 100.00 | RM 100.00 |
Terms and Conditions & Important Notes:
- Payment Terms: Payment is due within 30 days from the date of this Invoice. Late payments may incur a penalty interest of 1.5% per month.
- Currency: All amounts are quoted in Malaysian Ringgit (MYR). This Invoice is valid for transactions within Kuala Lumpur and Malaysia.
- Insurance Claims: This Invoice can be used for reimbursement claims with your private insurance provider or Takaful operator. Please ensure your policy covers psychiatric services.
- Confidentiality: All patient information and billing details are handled in strict accordance with the Malaysian Personal Data Protection Act 2010.
- Disputes: Any discrepancies regarding this Invoice must be reported within 7 days of receipt. Please contact our billing department at [email protected].
- Consultant Status: Services rendered are by a fully registered Psychiatrist with the Malaysian Medical Council (MMC). This ensures the highest standard of psychiatric care in Kuala Lumpur.
- Refund Policy: Refunds for cancelled appointments are subject to our clinic's cancellation policy. No-shows will be charged the full consultation fee.
- Legal Jurisdiction: This Invoice is governed by the laws of Malaysia. Any legal disputes arising from this transaction shall be subject to the jurisdiction of the courts in Kuala Lumpur.
Thank you for choosing KL Mental Wellness & Psychiatry Centre for your mental health needs. We are committed to providing compassionate and professional psychiatric care in the heart of Kuala Lumpur.
Authorized Signature:
Dr. Sarah LimConsultant Psychiatrist
KL Mental Wellness Sdn Bhd ⬇️ Download as DOCX Edit online as DOCX
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