Invoice Psychiatrist in Turkey Istanbul –Free Word Template Download with AI
Department of Psychiatry & Neurology
Nispetiye Mahallesi, Büyükdere Caddesi No: 185
Sarıyer, 34394 Istanbul, Turkey
Tax ID (Vergi No): 123 456 78 90
Tax Office (Vergi Dairesi): Sarıyer
Email: [email protected]
Phone: +90 (212) 555 0199
Invoice No: INV-TR-2023-8942
Date: October 24, 2023
Due Date: November 07, 2023
Reference: Psychiatric Consultation Series
Bill To:
Mr. John Doe
Levent Mahallesi, Eski Büyükdere Caddesi No: 45
Beşiktaş, 34330 Istanbul, Turkey
Tax ID (Vergi No): 987 654 32 10
Tax Office (Vergi Dairesi): Beşiktaş
| # | Description of Psychiatric Services | Date of Service | Unit Price (TRY) | Total (TRY) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Psychiatric Evaluation Detailed clinical interview conducted by a board-certified Psychiatrist in Istanbul. Includes assessment of mental status, history taking, and diagnostic formulation according to DSM-5 and ICD-11 standards. |
Oct 10, 2023 | 2,500.00 | 2,500.00 |
| 2 |
Follow-up Psychiatric Consultation (Session 1) Medication management review and therapeutic dialogue. Monitoring of patient response to initial pharmacological intervention. |
Oct 17, 2023 | 1,800.00 | 1,800.00 |
| 3 |
Psychological Testing & Neuropsychological Assessment Administration and interpretation of standardized tests for anxiety and depression levels (Beck Depression Inventory, GAD-7) performed under the supervision of the attending Psychiatrist. |
Oct 10, 2023 | 1,200.00 | 1,200.00 |
| 4 |
Emergency Psychiatric Consultation Urgent tele-psychiatry session provided outside of standard hours to address acute symptom exacerbation. |
Oct 20, 2023 | 2,000.00 | 2,000.00 |
Terms and Conditions & Important Notes:
1. Payment Methods: Payment can be made via bank transfer to Garanti BBVA (IBAN: TR12 0006 2000 1234 5678 9012 34), credit card at the clinic in Istanbul, or via approved private health insurance providers. Please reference the Invoice Number on all payments.
2. Currency: All amounts are listed in Turkish Lira (TRY). While our Psychiatrist accepts international cards, the final charge will be converted based on the exchange rate at the time of transaction.
3. Medical Disclaimer: This invoice documents financial transactions for services rendered by a licensed Psychiatrist. It does not constitute a medical diagnosis or treatment plan. For medical inquiries, please contact the clinic directly.
4. Privacy: In accordance with Turkish Law No. 6698 on the Protection of Personal Data (KVKK), your medical and financial data is kept strictly confidential.
5. Late Payments: Invoices not paid by the due date may be subject to a late fee as per Turkish commercial law regulations.
6. Insurance: If you are using private health insurance, please ensure your policy covers psychiatric care in Turkey. We can provide supplementary medical reports upon request for insurance claims.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT