Invoice Psychologist in Indonesia Jakarta –Free Word Template Download with AI

Licensed Clinical Psychologist

Mental Health & Wellness Center Jakarta

Jl. Sudirman Kav. 52-53, SCBD Lot 10, Level 12

South Jakarta, DKI Jakarta 12190

Indonesia

Email: [email protected]

Phone: +62 21 5555 8899

NPWP: 01.234.567.8-901.000

Invoice Number: INV-JKT-2023-0892

Date Issued: October 24, 2023

Due Date: November 07, 2023

Payment Status: Pending

Bill To

Mr. Budi Santoso

PT. Maju Bersama Teknologi

Jl. Gatot Subroto Kav. 37

Central Jakarta, DKI Jakarta 10270

Indonesia

Tax ID (NPWP): 02.345.678.9-012.000

Description of Services Rendered

The following invoice details professional psychological services provided by Dr. Sarah Wijaya, a licensed Psychologist practicing in Indonesia Jakarta. These services include individual psychotherapy sessions, psychological assessments, and corporate wellness consultations conducted in accordance with the standards set by the Indonesian Psychological Association (HIMPSI).

#	Service Description	Date	Qty (Hours)	Amount (IDR)
1	Individual Cognitive Behavioral Therapy (CBT) Session One-on-one therapeutic session focusing on anxiety management and stress reduction techniques. Conducted at the South Jakarta clinic.	Oct 02, 2023	1.5	1,500,000
2	Psychological Assessment & Evaluation Comprehensive psychological testing including MMPI-2 and WAIS-IV administration, scoring, and interpretation. Report generation included.	Oct 05, 2023	3.0	4,500,000
3	Follow-up Psychotherapy Session Review of assessment results and formulation of a personalized treatment plan. Discussion of coping mechanisms tailored to the client's work environment in Jakarta.	Oct 12, 2023	1.5	1,500,000
4	Corporate Mental Health Consultation Advisory session for PT. Maju Bersama Teknologi regarding employee burnout prevention strategies. Delivered via secure video conference.	Oct 18, 2023	2.0	2,000,000
5	Emergency Crisis Intervention Session Urgent psychological support provided outside of regular hours due to acute stress reaction.	Oct 20, 2023	1.0	1,200,000

Subtotal: IDR 10,700,000 VAT (PPN) 11%: IDR 1,177,000 Total Due: IDR 11,877,000

Payment Instructions

Please make payment within 14 days of the invoice date to avoid late fees. Payments can be made via bank transfer to the following account:

Bank: Bank Central Asia (BCA)
Account Name: Dr. Sarah Wijaya
Account Number: 123-456-7890
SWIFT Code: CENAIDJA

Note: Please include the Invoice Number (INV-JKT-2023-0892) in the transfer description for proper reconciliation.

Terms and Conditions

All services provided are confidential and adhere to the ethical guidelines of the Indonesian Psychological Association (HIMPSI).
This Invoice is a legal document for tax purposes in Indonesia. The VAT (PPN) charged is compliant with current Indonesian tax regulations.
Late payments will incur a penalty of 2% per month on the outstanding balance.
Cancellation of appointments less than 24 hours in advance may be subject to a cancellation fee, which will be invoiced separately.
Disputes regarding this invoice must be raised within 7 days of receipt. After this period, the invoice is considered accepted.
This Psychologist operates under the jurisdiction of the laws of Indonesia, specifically within the administrative region of Jakarta.

Authorized Signature:

Dr. Sarah Wijaya, M.Psi.
Licensed Psychologist
Indonesia Jakarta ⬇️ Download as DOCX Edit online as DOCX

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