Invoice Psychologist in Myanmar Yangon –Free Word Template Download with AI
Licensed Clinical Psychologist Services
123 Bogyoke Aung San Road, Kamaryut Township
Yangon, Myanmar
Tax Registration No: 01-23456789
Email: [email protected]
Phone: +95 9 123 456 789
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 07, 2023
Bill To:
Mr. Aung Kyaw
45 Lanmadaw Street, Dagon Township
Yangon, Myanmar
Phone: +95 9 987 654 321
Service Description:
This invoice represents the professional fees for psychological assessment, counseling, and therapeutic interventions provided by a licensed Psychologist based in Yangon, Myanmar. The services rendered adhere to the ethical standards of the Myanmar Psychological Association and international clinical guidelines. The scope of work included individual cognitive-behavioral therapy sessions, psychometric testing, and comprehensive mental health evaluations conducted at our clinic in Yangon.
| Description of Service | Duration / Qty | Unit Price (MMK) | Total (MMK) |
|---|---|---|---|
|
Initial Clinical Intake & Assessment Comprehensive evaluation of mental health status, history taking, and formulation of treatment plan by senior Psychologist. |
1 Session (90 mins) | 150,000 | 150,000 |
|
Individual Psychotherapy (CBT) Cognitive Behavioral Therapy sessions focused on anxiety management and emotional regulation. |
4 Sessions (50 mins each) | 100,000 | 400,000 |
|
Psychometric Testing & Interpretation Administration and scoring of standardized psychological tests (e.g., MMPI-2, WAIS-IV) relevant to the client's condition. |
1 Package | 250,000 | 250,000 |
|
Family Counseling Session Joint session with immediate family members to discuss support strategies and psychoeducation. |
1 Session (60 mins) | 120,000 | 120,000 |
|
Professional Report Writing Detailed clinical report for personal records or referral purposes, written by the attending Psychologist. |
1 Report | 75,000 | 75,000 |
Terms, Conditions, and Payment Instructions:
1. Payment Methods: Payment for this invoice can be made via bank transfer to KBZ Bank (Account Name: Yangon Mind & Wellness Center, Account No: 0123456789) or via Wave Money/Kpay to the number listed above. Cash payments are accepted at our Yangon office during business hours.
2. Due Date: Payment is due within 14 days of the invoice date. Late payments may incur a 2% monthly interest charge.
3. Confidentiality: All services provided by our Psychologist are strictly confidential in accordance with Myanmar data protection laws and professional ethical codes. This invoice contains only billing information and no clinical details.
4. Cancellation Policy: Appointments canceled less than 24 hours in advance are subject to a 50% fee, as reflected in our standard service agreement.
5. Currency: All amounts are quoted in Myanmar Kyat (MMK). Exchange rates for foreign currency payments will be based on the central bank rate on the day of transaction.
6. Disputes: Any discrepancies regarding this invoice should be reported to our billing department within 7 days.
Authorized Signature
Dr. Thida Win
Lead Clinical Psychologist
Yangon Mind & Wellness Center
Client Acknowledgement
Signature:
Date:
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