Invoice Psychologist in France Marseille –Free Word Template Download with AI
Psychologist & Psychotherapist
12 Rue Paradis, 13001 Marseille, France
SIRET: 123 456 789 00012 | TVA Intracommunautaire: FR 12 123456789
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Bill From
Dr. Sophie Martin
Cabinet de Psychologie Méditerranée
12 Rue Paradis
13001 Marseille, France
Email: [email protected]
Phone: +33 4 91 00 00 00
Bill To
Mr. Jean Dupont
45 Avenue du Prado
13008 Marseille, France
Email: [email protected]
Patient ID: PAT-8821
| Description of Services | Date | Duration | Rate (€) | Amount (€) |
|---|---|---|---|---|
|
Initial Clinical Assessment Comprehensive psychological evaluation conducted in Marseille. Includes diagnostic interview, history taking, and preliminary formulation regarding anxiety disorders. |
Oct 02, 2023 | 60 min | 90.00 | 90.00 |
|
Cognitive Behavioral Therapy (CBT) Session Individual psychotherapy session focusing on cognitive restructuring and exposure techniques. |
Oct 09, 2023 | 50 min | 80.00 | 80.00 |
|
Cognitive Behavioral Therapy (CBT) Session Continuation of therapeutic plan. Review of homework assignments and behavioral activation strategies. |
Oct 16, 2023 | 50 min | 80.00 | 80.00 |
|
Psychological Report Writing Preparation of a detailed clinical report for the referring physician. Includes diagnostic impressions and treatment recommendations compliant with French medical standards. |
Oct 20, 2023 | Flat Fee | 120.00 | 120.00 |
Payment Instructions & Terms
Please remit payment within 30 days of the invoice date. Late payments may incur a statutory interest charge in accordance with French law.
Bank Transfer (Virement Bancaire):
Bank Name: Crédit Agricole Provence Côte d'Azur
IBAN: FR76 1234 5678 9012 3456 7890 123
BIC: CMCIFR2A
Reference: INV-2023-10-045
Service Context
This invoice reflects professional psychological services rendered by a licensed Psychologist operating within the jurisdiction of Marseille, France. The services provided adhere to the ethical guidelines of the French National Council of Psychologists. While some psychological services in France may be reimbursed by the Social Security system (Sécurité Sociale) and complementary health insurance (Mutuelle), this invoice represents the full professional fee. Please retain this document for your personal records and for any potential reimbursement claims with your insurance provider.
Confidentiality
All information contained within this invoice and the associated clinical records is protected by professional secrecy (secret professionnel) as mandated by the French Public Health Code. This document is intended solely for the use of the addressee named above.
Dr. Sophie Martin is a registered member of the Ordre des Psychologues. Services provided in accordance with the Code de la Santé Publique.
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