Invoice Psychologist in Algeria Algiers –Free Word Template Download with AI
Licensed Clinical Psychologist
Order of Psychologists of Algeria - License #ALG-PSY-2023-884
12 Rue Didouche Mourad, Hydra
16000 Algiers, Algeria
Email: [email protected]
Phone: +213 21 60 12 34
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Currency: Algerian Dinar (DZD)
Bill ToClient Name: Ms. Sarah Khelifi
Address: 45 Boulevard Mohamed V, El Biar
City/Zip: 16000 Algiers, Algeria
National ID (CIN): 1234567890123456
Contact: +213 555 12 34 56
Description of Psychological Services Rendered| # | Service Description | Date | Qty | Unit Price (DZD) | Total (DZD) |
|---|---|---|---|---|---|
| 1 |
Initial Clinical Assessment & Intake Interview Comprehensive evaluation of psychological history, current symptoms, and diagnostic formulation in accordance with DSM-5 standards. Includes review of medical history and psychosocial factors relevant to the client's well-being in the context of Algerian cultural norms. |
Oct 01, 2023 | 1 | 8,000.00 | 8,000.00 |
| 2 |
Individual Psychotherapy Session (CBT) Cognitive Behavioral Therapy session focusing on anxiety management and cognitive restructuring. Conducted at the private clinic in Hydra, Algiers. |
Oct 08, 2023 | 1 | 6,000.00 | 6,000.00 |
| 3 |
Individual Psychotherapy Session (CBT) Continuation of treatment plan. Focus on behavioral activation and exposure techniques. |
Oct 15, 2023 | 1 | 6,000.00 | 6,000.00 |
| 4 |
Psychological Testing & Evaluation Administration and scoring of standardized psychological tests (Beck Depression Inventory, State-Trait Anxiety Inventory) to monitor progress and adjust therapeutic interventions. |
Oct 22, 2023 | 1 | 5,000.00 | 5,000.00 |
| 5 |
Teleconsultation Session Secure video consultation for follow-up and crisis management support, adhering to data privacy regulations applicable in Algeria. |
Oct 23, 2023 | 1 | 5,000.00 | 5,000.00 |
1. Payment Methods: Payment for these psychological services can be made via cash at the clinic in Algiers, bank transfer to CIB account ending in 4589, or via BaridiMob. Please reference the Invoice Number (INV-2023-10-045) in all transactions.
2. Due Date: The total amount of 35,700.00 Algerian Dinars is due within 14 days of the invoice date. Late payments may incur a processing fee as per Algerian commercial regulations.
3. Confidentiality: As a licensed Psychologist in Algeria, Dr. Benali adheres strictly to the code of ethics and confidentiality laws. This invoice contains only billing information and does not disclose specific medical diagnoses or sensitive clinical details, ensuring the privacy of the client.
4. Cancellation Policy: Appointments cancelled less than 24 hours in advance may be subject to a cancellation fee of 50% of the session rate.
5. Tax Information: This invoice is issued in compliance with the Algerian Tax Code. The VAT rate applied is 19%, which is standard for private healthcare services in the region.
6. Contact: For any questions regarding this invoice or your treatment plan, please contact the clinic office in Algiers during business hours (Sunday to Thursday, 09:00 - 17:00).
Authorized Signature
Dr. Amine Benali
Clinical Psychologist
Client Acknowledgment
Signature and Date
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