Invoice Psychologist in Russia Moscow –Free Word Template Download with AI
Legal Entity: Individual Entrepreneur Ivanov A.S.
Address: 123001, Russia, Moscow, Tverskaya Street, Building 15, Office 402
Phone: +7 (495) 123-45-67
Email: [email protected]
INN (Tax ID): 770123456789
KPP: 770101001
Invoice Number: #INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Period: October 2023
Bill To (Client Information)
Client Name Sergei Petrovich Volkov Client Address 119049, Russia, Moscow, Arbat Street, Apt 12 Contact Email [email protected] Contact Phone +7 (999) 876-54-32| # | Description of Services | Quantity | Unit Price (RUB) | Total (RUB) | VAT |
|---|---|---|---|---|---|
| 1 |
Individual Cognitive Behavioral Therapy (CBT) Session Conducted by Dr. Elena Smirnova, Ph.D. in Clinical Psychology. Session duration: 60 minutes. Focus on anxiety management and stress reduction techniques tailored for the Moscow metropolitan lifestyle. |
4 | 5,000.00 | 20,000.00 | 0% |
| 2 |
Psychological Assessment and Diagnostic Evaluation Comprehensive psychological testing including MMPI-2 and Rorschach Inkblot Test analysis. Includes written report and consultation regarding results. |
1 | 12,000.00 | 12,000.00 | 0% |
| 3 |
Online Teletherapy Consultation Secure video conference session via encrypted platform. Follow-up session regarding progress on therapeutic goals. |
2 | 4,000.00 | 8,000.00 | 0% |
| 4 |
Emergency Crisis Intervention Support Extended session provided outside of standard hours to address acute psychological distress. |
1 | 7,500.00 | 7,500.00 | 0% |
Payment Instructions
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer to the following account details:
Bank Name Sberbank of Russia, JSC Account Number 40702810000000012345 BIC (SWIFT) 044525225 Correspondent Account 30101810400000000225Payment Reference: Please include Invoice Number #INV-2023-10-045 in the payment description.
Terms and Conditions
- All services provided are subject to the professional standards of the Russian Psychological Society.
- Confidentiality is strictly maintained in accordance with Federal Law No. 323-FZ "On the Basics of Health Protection of Citizens in the Russian Federation".
- Cancellation of appointments must be made at least 24 hours in advance to avoid cancellation fees.
- This invoice is valid for payment in Russian Rubles (RUB) only.
- Disputes regarding this invoice shall be resolved in the courts of Moscow, Russia.
Authorized Signature
Dr. Elena Smirnova
Lead Psychologist
Client Acceptance
Sergei Petrovich Volkov
Date: _______________
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