Invoice Speech Therapist in Ethiopia Addis Ababa –Free Word Template Download with AI
Licensed Speech Therapist Practice
Bole Road, Near Friendship Hotel
Addis Ababa, Ethiopia
Tel: +251-11-555-0142 | Email: [email protected]
TIN: ET-045218736
Bill To (Client)
Name: Selamawit Tadesse
Address: 4th Kirkos, Woreda 03, House No. 217
Addis Ababa, Ethiopia
Phone: +251-91-234-5678
Email: [email protected]
Referral: St. Paul's Hospital, Addis Ababa
Provided By (Speech Therapist)
Therapist: Ms. Hanna Bekele, M.A. CCC-SLP
License No: ETH-ST-2019-00342
Specialization: Pediatric & Adult Speech Therapy
Practice Location: Bole Sub-City, Addis Ababa
Country: Ethiopia
Professional Body: Ethiopian Association of Speech-Language Pathologists
| Item No. | Service Description | Date(s) | Duration | Rate (ETB) | Amount (ETB) |
|---|---|---|---|---|---|
| 01 | Initial Speech Therapy Assessment and Diagnostic Evaluation (comprehensive articulation, language, and fluency screening) | May 02, 2025 | 90 min | 3,500.00 | 3,500.00 |
| 02 | Individual Speech Therapy Session – Articulation and Phonological Intervention (Session 1 of 8) | May 05, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 03 | Individual Speech Therapy Session – Articulation and Phonological Intervention (Session 2 of 8) | May 09, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 04 | Individual Speech Therapy Session – Language Comprehension and Expression Training (Session 3 of 8) | May 12, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 05 | Individual Speech Therapy Session – Fluency and Stuttering Management (Session 4 of 8) | May 16, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 06 | Individual Speech Therapy Session – Oral Motor and Resonance Exercises (Session 5 of 8) | May 19, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 07 | Individual Speech Therapy Session – Pragmatic Language and Social Communication (Session 6 of 8) | May 23, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 08 | Individual Speech Therapy Session – Generalization and Home Program Review (Session 7 of 8) | May 26, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 09 | Individual Speech Therapy Session – Progress Review and Goal Adjustment (Session 8 of 8) | May 30, 2025 | 60 min | 2,000.00 | 2,000.00 |
| 10 | Parent/Caregiver Training Workshop – Home Speech Therapy Techniques and Daily Communication Strategies | May 28, 2025 | 120 min | 2,500.00 | 2,500.00 |
| 11 | Written Progress Report and Therapeutic Recommendations (Amharic and English) | May 31, 2025 | — | 1,500.00 | 1,500.00 |
| 12 | Customized Home Exercise Program Materials and Printed Handouts (Speech Therapy Workbook) | May 31, 2025 | — | 800.00 | 800.00 |
| Subtotal | 22,500.00 ETB |
| VAT (15% – Ethiopian Tax Authority) | 3,375.00 ETB |
| Insurance Co-payment (Nyala Insurance Ref: NYL-88234) | -5,000.00 ETB |
| Grand Total Due | 20,875.00 ETB |
Payment Instructions
Method 1 – Bank Transfer: CBE (Commercial Bank of Ethiopia), Account Name: ClearVoice Speech Therapy Center, Account No: 1000-4521-8736, Branch: Bole, Addis Ababa, Ethiopia.
Method 2 – Telebirr / CBE Birr: +251-91-555-0142 (registered under ClearVoice Speech Therapy Center).
Method 3 – Cash Payment: At the practice office, Bole Road, Addis Ababa, Ethiopia. Receipt will be issued upon payment.
Please reference Invoice No. CV-2025-00487 in all payment communications. This Invoice is valid for payment within 15 calendar days from the Invoice date. Late payments may incur a 2% monthly surcharge as per Ethiopian commercial practice.
Important Notes Regarding This Invoice
1. This Invoice covers all Speech Therapy services rendered by the licensed Speech Therapist at ClearVoice Speech Therapy Center, Addis Ababa, Ethiopia, during the period of May 1 through May 31, 2025.
2. All Speech Therapy sessions were conducted in person at the practice facility located in Bole Sub-City, Addis Ababa. The Speech Therapist adhered to the clinical standards set by the Ethiopian Ministry of Health and the Ethiopian Association of Speech-Language Pathologists.
3. The diagnostic assessment (Item 01) included standardized tools adapted for the Ethiopian context, including Amharic-language articulation tests and language comprehension batteries. The Speech Therapist documented all findings in both Amharic and English for the client's records.
4. The parent/caregiver training workshop (Item 10) was conducted in Amharic to ensure full comprehension and effective implementation of home-based Speech Therapy strategies within the family environment in Addis Ababa.
5. The written progress report (Item 11) has been submitted to the referring physician at St. Paul's Hospital, Addis Ababa, with the client's written consent. A copy is also available for the client's personal medical file.
6. The next cycle of Speech Therapy sessions is scheduled to begin in July 2025. A separate Invoice will be generated for that period. The Speech Therapist recommends continued weekly sessions to maintain progress in articulation and fluency goals.
7. This Invoice is issued in accordance with the Ethiopian Revenue and Customs Authority regulations for professional service billing. The VAT number and TIN are registered under Ethiopian law.
Prepared By (Speech Therapist)Ms. Hanna Bekele, M.A. CCC-SLP
License: ETH-ST-2019-00342
Date: June 15, 2025 Received By (Client / Authorized Representative)
Name: _________________________
Signature: _________________________
Date: _________________________ ⬇️ Download as DOCX Edit online as DOCX
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