Invoice Psychologist in Kazakhstan Almaty –Free Word Template Download with AI

Bill To (Client)

Name: Aigerim Nurpeisova

Address: 12 Kabanbay Batyr Street, Almaty, Kazakhstan

Phone: +7 (777) 987-65-43

Email: [email protected]

Service Provider (Psychologist)

Name: Dr. Serikzhan Tulepbergenov

Title: Senior Clinical Psychologist

Certification: Certified by the Ministry of Health of the Republic of Kazakhstan

Specialization: Cognitive Behavioral Therapy (CBT), Anxiety Management

This document serves as an official Invoice for professional psychological services rendered in Kazakhstan Almaty. The services provided below were conducted by a licensed Psychologist adhering to the ethical standards and legal requirements of the Republic of Kazakhstan.

#	Description of Psychological Services	Date of Service	Quantity / Hours	Amount (KZT)
1	Initial Clinical Assessment & Intake Session Comprehensive evaluation of mental health status, history taking, and formulation of a treatment plan. Conducted at the Almaty Mind & Wellness Center clinic.	Oct 10, 2023	1 Session (90 min)	25,000.00
2	Individual Psychotherapy Session (CBT) One-on-one therapy session focusing on cognitive restructuring and behavioral activation techniques.	Oct 17, 2023	1 Session (60 min)	18,000.00
3	Individual Psychotherapy Session (CBT) Continuation of therapeutic intervention, monitoring progress, and adjustment of coping strategies.	Oct 24, 2023	1 Session (60 min)	18,000.00
4	Psychological Testing & Evaluation Administration and interpretation of standardized psychological tests (e.g., Beck Depression Inventory, GAD-7) to assist in diagnosis.	Oct 10, 2023	1 Package	15,000.00
5	Telehealth Consultation Secure video consultation regarding medication adherence and crisis management planning, compliant with Kazakhstan data privacy laws.	Oct 20, 2023	1 Session (30 min)	10,000.00

Subtotal: 86,000.00 KZT VAT (12%): 10,320.00 KZT Discount (Loyalty Member): -5,000.00 KZT TOTAL DUE: 91,320.00 KZT

Payment Instructions

Please remit payment within 14 days of the invoice date. Payments can be made via bank transfer to the following account details:

Bank Name: Halyk Bank JSC, Almaty Branch

Account Name: Almaty Mind & Wellness Center LLP

Account Number (IBAN): KZ85 125K ZT50 0100 1234

SWIFT Code: HLBBKZKA

Reference: Please use Invoice Number INV-2023-ALM-0892 as the payment reference.

Note: Cash payments are accepted at our Almaty office during business hours.

Terms and Conditions

Confidentiality: All services provided by the Psychologist are strictly confidential in accordance with the Law of the Republic of Kazakhstan "On Medical Activity and Medical Services."
Cancellation Policy: Appointments cancelled less than 24 hours in advance may be subject to a 50% cancellation fee.
Payment Terms: Payment is due within 14 days. Late payments may incur a penalty of 0.1% per day on the outstanding balance.
Validity: This Invoice is valid for 30 days from the date of issue.
Jurisdiction: Any disputes arising from this invoice shall be settled in the courts of Kazakhstan Almaty.

Authorized Signature (Provider)

Dr. Serikzhan Tulepbergenov

Senior Clinical Psychologist

Received By (Client)

Aigerim Nurpeisova

Date: _______________

This invoice is generated in compliance with the tax regulations of the Republic of Kazakhstan. Almaty Mind & Wellness Center is a registered legal entity operating in Almaty, Kazakhstan. The services described herein are provided by qualified mental health professionals licensed to practice psychology in Kazakhstan. This document confirms the financial transaction between the service provider and the client for the specified psychological care. By accepting this invoice, the client acknowledges receipt of the services and agrees to the payment terms outlined above. For any questions regarding this invoice or the services provided, please contact our billing department in Almaty.

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