Invoice Psychologist in Israel Jerusalem –Free Word Template Download with AI
Licensed Clinical Psychologist
Private Practice
123 King George Street
Jerusalem, Israel 94101
Phone: +972-2-555-1234
Email: [email protected]
VAT ID: 123456789
Invoice Number: INV-2024-0042
Date Issued: October 15, 2024
Due Date: November 15, 2024
Payment Terms: Net 30 Days
Billed To:
Mr. David Levi
456 Jaffa Road
Jerusalem, Israel 94200
Phone: +972-50-123-4567
Email: [email protected]
| Service Description | Date of Service | Quantity | Unit Price (ILS) | Total (ILS) |
|---|---|---|---|---|
| Initial Psychological Assessment and Diagnostic Interview | September 10, 2024 | 1 | 600.00 | 600.00 |
| Cognitive Behavioral Therapy (CBT) Session - Individual | September 17, 2024 | 1 | 450.00 | 450.00 |
| Cognitive Behavioral Therapy (CBT) Session - Individual | September 24, 2024 | 1 | 450.00 | 450.00 |
| Cognitive Behavioral Therapy (CBT) Session - Individual | October 1, 2024 | 1 | 450.00 | 450.00 |
| Cognitive Behavioral Therapy (CBT) Session - Individual | October 8, 2024 | 1 | 450.00 | 450.00 |
| Psychological Report Preparation and Documentation | October 12, 2024 | 1 | 300.00 | 300.00 |
Subtotal: 2,700.00 ILS
VAT (17%): 459.00 ILS
Total Amount Due: 3,159.00 ILS
Important Notes and Payment Instructions:
This invoice is issued in accordance with the regulations of the Israeli Ministry of Health and the Israel Psychological Association. All services provided are confidential and adhere to the highest ethical standards of the profession.
Payment can be made via bank transfer to the following account:
Bank: Bank Hapoalim
Branch: Jerusalem Central
Account Number: 123456-789012
SWIFT Code: POALILIT
Please include the invoice number (INV-2024-0042) as a reference when making the payment.
For any questions regarding this invoice or the services provided, please contact Dr. Cohen directly at the phone number or email listed above. We appreciate your prompt payment and look forward to continuing to support your mental health journey in Jerusalem, Israel.
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