Invoice Psychologist in Ghana Accra –Free Word Template Download with AI
Licensed Clinical Psychology Practice
Plot 45, Airport Residential Area
Accra, Greater Accra Region, Ghana
Tel: +233 30 277 1234 | Email: [email protected]
TIN: GH-9876543210
Invoice Number: INV-ACC-2023-0892
Date Issued: October 24, 2023
Due Date: November 07, 2023
Payment Status: Pending
Bill To (Client)
Kwame Mensah
12 Osu Oxford Street
Osu, Accra, Ghana
Phone: +233 24 555 0199
Email: [email protected]
Service Provider
Dr. Ama Serwaa Osei, PhD
Senior Clinical Psychologist
Registered with the Ghana Psychological Association
License No: GPA-CLIN-4589
| # | Description of Psychological Services | Date of Service | Qty / Hours | Amount (GHS) |
|---|---|---|---|---|
| 1 |
Initial Clinical Intake Assessment Comprehensive psychological evaluation conducted at our Accra clinic. Includes history taking, symptom assessment, and preliminary diagnostic formulation in accordance with Ghanaian mental health standards. |
Oct 02, 2023 | 1 Session | 450.00 |
| 2 |
Individual Psychotherapy (CBT) Cognitive Behavioral Therapy session focused on anxiety management and coping strategies. One-on-one session with licensed Psychologist Dr. Ama Osei. |
Oct 09, 2023 | 1 Hour | 300.00 |
| 3 |
Individual Psychotherapy (CBT) Continued therapeutic intervention. Review of homework assignments and cognitive restructuring exercises. |
Oct 16, 2023 | 1 Hour | 300.00 |
| 4 |
Psychological Testing & Interpretation Administration and scoring of standardized psychological instruments (Beck Depression Inventory, GAD-7). Includes detailed written report and feedback session. |
Oct 18, 2023 | 1 Package | 600.00 |
| 5 |
Family Consultation Session Joint session with client and immediate family members to discuss support systems and psychoeducation regarding mental health wellness in the Ghanaian context. |
Oct 21, 2023 | 1.5 Hours | 500.00 |
Payment Instructions
Please remit payment within 14 days of the invoice date. Payments can be made via Mobile Money (MTN/Vodafone/AirtelTigo) or Bank Transfer.
- Bank Name: Ecobank Ghana Limited
- Branch: Airport City Branch, Accra
- Account Name: Accra Mind & Wellness Clinic Ltd
- Account Number: 1002345678901
- Mobile Money: +233 24 123 4567 (Dr. Ama Osei)
Note: Please reference Invoice Number INV-ACC-2023-0892 in your payment description.
Terms and Conditions
1. Confidentiality: All psychological services provided by this Psychologist in Accra are strictly confidential, in accordance with the Data Protection Act, 2012 (Act 843) of Ghana and the ethical guidelines of the Ghana Psychological Association.
2. Cancellation Policy: Appointments cancelled with less than 24 hours notice may be subject to a 50% fee charge to cover reserved professional time.
3. Validity: This invoice is valid for 30 days from the date of issue. Late payments may incur a penalty fee of 2% per month.
4. Disputes: Any discrepancies regarding this invoice should be reported to the billing department within 7 days of receipt.
5. Professional Scope: Services rendered are for psychological counseling and therapy only. This invoice does not cover psychiatric medication management, which must be obtained from a licensed medical doctor.
Authorized Signature
Dr. Ama Serwaa OseiLead Psychologist
Accra Mind & Wellness Clinic ⬇️ Download as DOCX Edit online as DOCX
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