Invoice Psychologist in Turkey Istanbul –Free Word Template Download with AI
Licensed Clinical Psychologist Services
Levent Mahallesi, Büyükdere Caddesi No: 185
Şişli, 34394 Istanbul, Turkey
Tax ID (Vergi No): 123 456 78 90
Tax Office (Vergi Dairesi): Şişli
Email: [email protected]
Phone: +90 (212) 555 01 99
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Service Period: October 01, 2023 - October 23, 2023
Bill To (Client Information)
Ahmet Yılmaz
Kadıköy Mahallesi, Moda Caddesi No: 42
Kadıköy, 34710 Istanbul, Turkey
Tax ID (Vergi No): 987 654 32 10
Tax Office (Vergi Dairesi): Kadıköy
Email: [email protected]
Payment Method Details
Bank Name: İş Bankası A.Ş.
Branch: Levent Şubesi
Account Name: Istanbul Mind & Wellness Center
IBAN: TR12 0006 8890 0000 1234 5678 90
SWIFT/BIC: ISBKTRIS
Please reference Invoice Number INV-2023-10-045 in payment description.
| # | Description of Psychological Services | Date | Qty (Hrs) | Unit Price (TRY) | Total (TRY) |
|---|---|---|---|---|---|
| 1 |
Individual Cognitive Behavioral Therapy (CBT) Session One-on-one clinical session focused on anxiety management and cognitive restructuring techniques. Conducted at the Levent clinic in Istanbul. |
Oct 02 | 1 | 2,500.00 | 2,500.00 |
| 2 |
Psychological Assessment & Diagnostic Evaluation Comprehensive initial assessment including standardized psychometric testing (Beck Depression Inventory, GAD-7) and clinical interview to establish baseline mental health status. |
Oct 05 | 2 | 3,000.00 | 6,000.00 |
| 3 |
Individual Psychotherapy Session (Psychodynamic Approach) Therapeutic session addressing underlying emotional patterns and interpersonal relationships. Includes post-session clinical notes documentation. |
Oct 09 | 1 | 2,500.00 | 2,500.00 |
| 4 |
Telehealth Psychological Consultation Secure Video Session Remote therapy session conducted via encrypted platform compliant with Turkish data protection regulations (KVKK). Focus on stress management strategies. |
Oct 16 | 1 | 2,200.00 | 2,200.00 |
| 5 |
Crisis Intervention & Emergency Support Urgent psychological support session provided outside of regular hours to address acute emotional distress. Includes safety planning and resource coordination. |
Oct 18 | 1.5 | 3,500.00 | 5,250.00 |
| 6 |
Progress Report & Clinical Documentation Preparation of detailed clinical progress report summarizing treatment outcomes, therapeutic interventions utilized, and recommendations for continued care. |
Oct 23 | 1 | 1,500.00 | 1,500.00 |
| Subtotal: | 19,950.00 TRY |
| Value Added Tax (KDV) 1%: | 199.50 TRY |
| Stamp Duty (Damga Vergisi): | 45.00 TRY |
| TOTAL AMOUNT DUE: | 20,194.50 TRY |
Important Notes & Terms of Service
This invoice represents professional psychological services rendered in accordance with the regulations set forth by the Turkish Ministry of Health and the Turkish Psychological Association. All services were provided by licensed clinical psychologists operating within the Istanbul metropolitan area.
- Payment Terms: Payment is due within 14 days of the invoice date. Late payments may incur a monthly interest charge of 2% as per Turkish commercial law.
- Currency: All amounts are quoted in Turkish Lira (TRY). Exchange rate fluctuations do not affect the invoiced amount.
- Confidentiality: All client information and clinical data are protected under strict confidentiality agreements and comply with the Turkish Law on Protection of Personal Data (KVKK - 6698).
- Cancellation Policy: Appointments cancelled with less than 24 hours notice are subject to a 50% session fee, as reflected in our service agreement.
- Insurance: If you are using private health insurance, please submit this invoice along with the clinical report to your provider for reimbursement. Our clinic accepts direct billing with select insurance companies operating in Turkey.
- Tax Compliance: This invoice includes the applicable 1% Value Added Tax (KDV) for healthcare services and the mandatory Stamp Duty (Damga Vergisi) as required by the Turkish Revenue Administration.
- Disputes: Any disputes regarding this invoice should be directed to our billing department within 7 days of receipt. All legal matters are subject to the jurisdiction of the Istanbul courts.
Thank you for trusting Istanbul Mind & Wellness Center with your mental health care. We are committed to providing compassionate, evidence-based psychological services to our community in Istanbul, Turkey.
Authorized Signature
Dr. Elif Kaya, Ph.D.
Licensed Clinical Psychologist
License No: 12345
Client Acknowledgment
Signature:
Date:
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