Invoice Speech Therapist in Colombia Bogotá –Free Word Template Download with AI
Speech Therapist Practice
Carrera 15 # 85-42, Oficina 301
Chapinero, Colombia Bogotá, Cundinamarca
NIT: 901.234.567-8 | RUT: 901.234.567-8
Phone: +57 (601) 743-2890 | Email: [email protected]
Invoice No.: VC-2025-0487
Date of Issue: June 15, 2025
Due Date: July 15, 2025
PENDING PAYMENT
Billed To (Client)
María Fernanda Restrepo Gutiérrez
CC: 1.023.456.789 de Bogotá
Calle 72 # 10-35, Apto 502
La Candelaria, Colombia Bogotá
Phone: +57 310 555 7821
Email: [email protected]
Service Provider
Dr. Andrés Felipe Cárdenas Molina
Speech Therapist (Fonaudiólogo)
Professional License: 45.678-9
Registered with: Colegio de Fonoaudiólogos de Colombia
Location: Colombia Bogotá, Cundinamarca
Specialty: Pediatric & Adult Speech Therapy
| # | Service Description | Date of Service | Sessions | Rate (COP) | Amount (COP) |
|---|---|---|---|---|---|
| 01 | Initial Speech Therapy Assessment & Diagnostic Evaluation – Comprehensive evaluation of articulation, phonology, and language processing for pediatric patient (age 6). Conducted by licensed Speech Therapist in Colombia Bogotá. | May 05, 2025 | 1 | $350.000 | $350.000 |
| 02 | Individual Speech Therapy Session – Articulation and phonological remediation. Targeted exercises for /r/, /l/, and /s/ sound production. One-on-one session with Speech Therapist at VozClara clinic, Colombia Bogotá. | May 12, 2025 | 4 | $220.000 | $880.000 |
| 03 | Individual Speech Therapy Session – Language comprehension and expressive language development. Structured activities for vocabulary expansion and sentence formulation. Delivered by Speech Therapist in Colombia Bogotá. | May 19, 2025 | 4 | $220.000 | $880.000 |
| 04 | Group Speech Therapy Session – Social communication and pragmatic language skills. Small group (4 children) session focusing on turn-taking, eye contact, and conversational strategies. Led by Speech Therapist at VozClara, Colombia Bogotá. | May 26, 2025 | 2 | $150.000 | $300.000 |
| 05 | Parent Consultation & Home Program Guidance – Session with parents/caregivers to review progress, provide home-based speech therapy exercises, and adjust the treatment plan. Conducted by the attending Speech Therapist in Colombia Bogotá. | June 02, 2025 | 1 | $180.000 | $180.000 |
| 06 | Progress Report & Treatment Plan Update – Written clinical report documenting speech therapy progress, updated goals, and recommendations for the next billing cycle. Prepared by Speech Therapist, Colombia Bogotá. | June 10, 2025 | 1 | $120.000 | $120.000 |
| Subtotal (COP) | $2.710.000 |
| IVA (19% – Colombian Value Added Tax) | $514.900 |
| Discount – Insurance Plan (Sura Salud) | -$406.500 |
| TOTAL DUE (COP) | $2.818.400 |
Invoice Notes & Payment Terms
Payment Method: Bank transfer to Banco de Bogotá, Account No. 016-456789-01, or payment via PSE at www.vozclara.co. This Invoice is valid for 30 days from the date of issue.
Insurance: This Invoice has been partially processed through Sura Salud (Policy No. SS-2025-889012). The client is responsible for the co-payment amount indicated above. Please retain this Invoice document for any future insurance claims or reimbursement requests in Colombia Bogotá.
Speech Therapist Certification: All services rendered by Dr. Andrés Felipe Cárdenas Molina are performed in accordance with the professional standards established by the Colombian Ministry of Health (Ministerio de Salud y Protección Social) and the regulations governing Speech Therapist practice in Colombia Bogotá. The professional license number is verifiable through the national registry.
Tax Information: This Invoice is issued in compliance with Colombian tax regulations (DIAN). The IVA of 19% has been applied as mandated by the Colombian tax code. For any questions regarding this Invoice or the speech therapy services provided, please contact our billing department in Colombia Bogotá.
Next Appointment: The next series of speech therapy sessions is scheduled for July 2025. A follow-up Invoice will be generated upon completion of the next billing cycle. The Speech Therapist will continue to monitor progress and adjust the treatment plan as needed.
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