Invoice Psychiatrist in Switzerland Zurich –Free Word Template Download with AI
Lindenhofstrasse 45
8001 Zurich, Switzerland
Tel: +41 44 261 55 00
Email: [email protected]
MWST Nr. CHE-123.456.789 MWST
INVOICE
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Reference: Patient ID #998877
BILL TO (PATIENT)
Mr. Thomas Müller
Bahnhofstrasse 100, Apt 12
8001 Zurich, Switzerland
AHV Number: 756.1234.5678.95
INSURANCE PROVIDER
Swiss Life Assurance
Health Insurance Division
Policy Number: SL-HEALTH-88421
Insurance Card No: 1234567890
| Date | TARMED Code | Description of Services | Duration | Amount (CHF) |
|---|---|---|---|---|
| 2023-10-02 | 20000 | Initial psychiatric consultation and comprehensive diagnostic assessment. Evaluation of patient history, current mental state, and formulation of a preliminary treatment plan in accordance with Swiss medical standards. | 60 min | 280.00 |
| 2023-10-09 | 20001 | Follow-up psychiatric consultation. Review of medication efficacy, monitoring of side effects, and adjustment of therapeutic strategy. Detailed documentation provided for insurance records. | 30 min | 160.00 |
| 2023-10-16 | 20001 | Psychiatric consultation focusing on cognitive behavioral therapy integration. Discussion of progress regarding anxiety management techniques and reinforcement of coping mechanisms. | 30 min | 160.00 |
| 2023-10-23 | 20000 | Extended psychiatric consultation. Comprehensive review of treatment progress over the past month. Coordination with external specialists in Zurich regarding holistic care approach. | 60 min | 280.00 |
| 2023-10-23 | 32020 | Psychological testing and evaluation. Administration and interpretation of standardized diagnostic tools to assess current psychological status and guide future psychiatric interventions. | 90 min | 350.00 |
Payment Instructions and Important Notes
Please remit payment by the due date indicated above. Payments can be made via bank transfer to the following account:
Bank: UBS Zurich
IBAN: CH93 0076 2011 6238 5295 7
BIC: UBSWCHZH80A
Reference: INV-2023-10-045
Insurance Claim Information:
This invoice is issued in compliance with the Swiss Federal Law on Health Insurance (KVG/LAMal). As a specialist psychiatrist practicing in Zurich, all services rendered are billed according to the official TARMED tariff system. Please forward this invoice to your insurance provider for reimbursement if it has not been processed directly. Ensure that your insurance card details are accurate.
Confidentiality:
In accordance with Swiss medical confidentiality laws (Art. 321bis of the Swiss Criminal Code), all patient information contained within this invoice and associated medical records is strictly confidential. This document is intended solely for the patient and the designated insurance provider.
Disputes:
Should you have any questions regarding the charges listed on this invoice, please contact our billing department within 14 days of the invoice date. We are committed to ensuring transparency in all financial matters related to your psychiatric care.
Specialist FMH for Psychiatry
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