Invoice Psychologist in India New Delhi –Free Word Template Download with AI
Registered Clinical Psychologist & Therapist
Reg No: RCI-DL-2018-4592
Connaught Place, New Delhi, India
#INV-2023-10-042
From
Dr. Ananya Sharma, Ph.D.
Senior Clinical Psychologist
Office No. 402, The Heritage Building
Barakhamba Road, New Delhi, India
Pin Code: 110001
Email: [email protected]
Phone: +91-11-4567-8900
GSTIN: 07AABCU9603R1ZM
Bill To
Mr. Vikram Singh
Senior Manager, Tech Solutions Ltd.
Sector 29, Gurugram (NCR Region)
New Delhi, India
Pin Code: 122001
Email: [email protected]
Date of Issue: October 24, 2023 Due Date: November 07, 2023| # | Description of Psychological Services | Date | Qty / Hours | Amount (INR) |
|---|---|---|---|---|
| 1 |
Initial Clinical Intake Assessment Comprehensive psychological evaluation conducted at the New Delhi clinic. Includes history taking, symptom analysis, and preliminary diagnosis formulation. |
Oct 02, 2023 | 1.5 Hrs | ₹ 4,500.00 |
| 2 |
Cognitive Behavioral Therapy (CBT) Session Individual therapy session focusing on anxiety management and cognitive restructuring techniques. |
Oct 09, 2023 | 1 Hr | ₹ 3,000.00 |
| 3 |
Cognitive Behavioral Therapy (CBT) Session Follow-up session addressing behavioral activation and exposure therapy protocols. |
Oct 16, 2023 | 1 Hr | ₹ 3,000.00 |
| 4 |
Psychometric Testing & Interpretation Administration and scoring of standardized psychological tests (Beck Anxiety Inventory, MMPI-2). Includes detailed report generation. |
Oct 20, 2023 | 2 Hrs | ₹ 5,000.00 |
| 5 |
Tele-Consultation Session Remote therapy session conducted via secure video link for continuity of care. |
Oct 23, 2023 | 1 Hr | ₹ 2,500.00 |
Payment Instructions
Please make the payment within 14 days of the invoice date. Payments can be made via the following methods:
- Bank Transfer (NEFT/RTGS):
Bank Name: HDFC Bank
Account Name: Mindful Horizons Psychology
Account Number: 50200012345678
IFSC Code: HDFC0001234
Branch: Connaught Place, New Delhi - UPI ID: mindfulhorizons@hdfcbank
Note: Please mention the Invoice Number (#INV-2023-10-042) in the transaction remarks.
Terms and Conditions
- This invoice is issued in accordance with the Goods and Services Tax (GST) laws of India.
- All psychological services provided are confidential and adhere to the ethical guidelines set by the Rehabilitation Council of India (RCI).
- Cancellation of appointments must be made at least 24 hours in advance to avoid full session charges.
- In case of any discrepancy in this invoice, please contact the billing department within 7 days.
- Late payments may incur a penalty of 2% per month on the outstanding amount.
- This document serves as a valid receipt for insurance claims and tax deductions under Section 80D of the Income Tax Act, India.
Thank you for trusting Mindful Horizons Psychology with your mental health journey.
Dr. Ananya Sharma Authorized SignatureDr. Ananya Sharma
Clinical Psychologist
New Delhi, India
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