Invoice Psychologist in Israel Tel Aviv –Free Word Template Download with AI
Licensed Clinical Psychologist
Center for Cognitive Behavioral Therapy
12 HaYarkon Street, Tel Aviv-Yafo, Israel
VAT ID: 501234567
Email: [email protected]
Phone: +972-3-555-1234
Invoice Number: INV-2023-10-045
Date Issued: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. David Levi
45 Rothschild Boulevard
Tel Aviv-Yafo, 6688101, Israel
ID Number: 012345678
| Description of Services | Quantity | Unit Price (ILS) | Total (ILS) |
|---|---|---|---|
|
Initial Clinical Assessment & Diagnosis Comprehensive psychological evaluation conducted in Tel Aviv. Includes history taking, cognitive screening, and formulation of a treatment plan tailored to the client's specific needs within the Israeli healthcare context. |
1 | 650.00 | 650.00 |
|
Individual Psychotherapy Session (CBT) Standard 50-minute session focusing on anxiety management and cognitive restructuring. Conducted at the clinic in Tel Aviv-Yafo. |
3 | 450.00 | 1,350.00 |
|
Individual Psychotherapy Session (CBT) Standard 50-minute session focusing on behavioral activation and stress reduction techniques. |
2 | 450.00 | 900.00 |
|
Psychological Report Generation Detailed written report summarizing clinical findings and progress, suitable for submission to insurance providers or legal entities in Israel. |
1 | 800.00 | 800.00 |
Payment Instructions
Please remit payment within 14 days of the invoice date. Payments can be made via bank transfer to the following account:
Bank: Bank Hapoalim
Branch: Tel Aviv Central
Account Name: Dr. Sarah Cohen
Account Number: 9999-8888-7777
SWIFT Code: POALILIT
Please include Invoice Number INV-2023-10-045 in the transfer reference.
Terms and Conditions
This invoice represents the professional fees for psychological services rendered by a licensed Psychologist in Israel. All services were provided in accordance with the ethical guidelines set forth by the Israeli Psychological Association. The rates listed above are standard for private practice in Tel Aviv and reflect the specialized expertise required for clinical assessment and therapy.
Confidentiality: All client information remains strictly confidential in accordance with Israeli privacy laws. This invoice is a financial document and does not contain clinical details.
Late Payments: A late fee of 5% will be applied to any outstanding balance after the due date. In the event of non-payment, the Psychologist reserves the right to suspend further services until the account is settled.
Disputes: Any disputes regarding this invoice should be directed to the office in Tel Aviv within 7 days of receipt. We are committed to resolving any billing inquiries promptly and professionally.
Thank you for trusting our professional services. We appreciate your business and look forward to continuing our work together to support your mental well-being.
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