Invoice Speech Therapist in Vietnam Ho Chi Minh City –Free Word Template Download with AI
Dr. Nguyen Thi Lan, M.S. CCC-SLP
Speech Therapist & Clinical Director
Ho Chi Minh City Speech & Language Center
128 Nguyen Hue Boulevard, District 1
Vietnam Ho Chi Minh City, 700000
Tel: +84 28 3822 4567
Email: [email protected]
Tax Code (MST): 0312345678
Billed To
Tran Van Minh
Residential Address:
45 Le Duan Street, Apartment 12B
Phu Nhuan District
Vietnam Ho Chi Minh City, 600000
Tel: +84 90 123 4567
Email: [email protected]
Service Details
Service Type: Speech Therapy
Therapist: Dr. Nguyen Thi Lan (Speech Therapist)
Location: Vietnam Ho Chi Minh City
Period Covered: May 1 – May 31, 2025
Referral: Dr. Pham Quoc Bao, Pediatrician
Insurance Ref: N/A (Self-Pay)
| Item # | Service Description | Date | Duration | Rate (VND) | Amount (VND) |
|---|---|---|---|---|---|
| 01 | Initial Speech Therapy Assessment & Diagnostic Evaluation – Conducted by licensed Speech Therapist in Vietnam Ho Chi Minh City | May 02, 2025 | 90 min | 1,200,000 | 1,200,000 |
| 02 | Articulation & Phonology Therapy Session – Individual Speech Therapist intervention for childhood apraxia of speech | May 05, 2025 | 60 min | 850,000 | 850,000 |
| 03 | Articulation & Phonology Therapy Session – Follow-up Speech Therapist session with progress tracking | May 09, 2025 | 60 min | 850,000 | 850,000 |
| 04 | Language Development & Comprehension Therapy – Speech Therapist-led group session (max 4 participants) at Vietnam Ho Chi Minh City center | May 12, 2025 | 75 min | 600,000 | 600,000 |
| 05 | Oral-Motor Therapy & Feeding Intervention – Specialized Speech Therapist treatment for dysphagia management | May 16, 2025 | 60 min | 900,000 | 900,000 |
| 06 | Articulation & Phonology Therapy Session – Speech Therapist individual session with home program review | May 19, 2025 | 60 min | 850,000 | 850,000 |
| 07 | Parent Training & Home Practice Guidance – Speech Therapist consultation for caregivers in Vietnam Ho Chi Minh City | May 22, 2025 | 45 min | 500,000 | 500,000 |
| 08 | Language Development & Comprehension Therapy – Speech Therapist individual session targeting expressive language milestones | May 26, 2025 | 60 min | 850,000 | 850,000 |
| 09 | Monthly Progress Report & Treatment Plan Update – Prepared by Speech Therapist for Vietnam Ho Chi Minh City medical records | May 30, 2025 | 30 min | 350,000 | 350,000 |
| 10 | Articulation & Phonology Therapy Session – Final Speech Therapist session for the month with re-evaluation | May 31, 2025 | 60 min | 850,000 | 850,000 |
| Subtotal | 8,600,000 VND |
| VAT (10%) | 860,000 VND |
| Discount (Loyalty – 5%) | -430,000 VND |
| Grand Total Due | 9,030,000 VND |
Invoice Notes & Payment Terms
This Invoice is issued by the Ho Chi Minh City Speech & Language Center, a registered medical practice in Vietnam Ho Chi Minh City, for professional Speech Therapist services rendered to the patient listed above. All Speech Therapist sessions were conducted in compliance with the Vietnamese Ministry of Health regulations governing speech-language pathology practice in Vietnam Ho Chi Minh City.
Payment for this Invoice is due within thirty (30) days of the issue date. Accepted payment methods include bank transfer to Account No. 1020 2345 6789 at Vietcombank, District 1, Vietnam Ho Chi Minh City; cash payment at our Speech Therapist clinic reception; or via VNPay and MoMo digital wallet services. Please reference Invoice No. VNM-SPT-2025-04872 when making your payment.
A late payment fee of 5% per month will be applied to any outstanding balance after the due date of July 15, 2025. This Invoice does not constitute a guarantee of specific therapeutic outcomes. The Speech Therapist in Vietnam Ho Chi Minh City provides evidence-based interventions, and individual progress may vary. Should you have any questions regarding this Invoice or the Speech Therapist services provided, please contact our billing department at +84 28 3822 4567 or [email protected].
Thank you for choosing our Speech Therapist services in Vietnam Ho Chi Minh City. We are committed to providing the highest standard of speech-language care to our patients and their families.
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