| Session date | INAMI code | Fee |
|---|---|---|
| 07/09/2026 | 712611 | 77,05 € |
| 14/09/2026 | 712611 | 77,05 € |
| 21/09/2026 | 712611 | 77,05 € |
| Total fees (3 sessions) | 231,15 € |
| Amount to be paid by the patient | 231,15 € |
Transfer of 231,15 € to account BE68 5390 0754 7034 in the name of Tom Exemple, with the structured reference +++202/6020/00416+++.
Or scan this code with your banking app: everything fills in by itself.
BIM patient: no. Enterprise no. 0234.567.873.
Healthcare services exempt from VAT (article 44, § 1, paragraph 1, 1°, of the VAT Code).
This invoice replaces invoice no. TE-2026-001, cancelled.
Tom Exemple, speech therapist, INAMI no. 6-00022-20-222, certifies having provided the services listed above.