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Panama Tax Information

7% ITBMS

ITBMS is 7% (10% for alcohol/tobacco). No income tax on foreign income. RUC required.

Mental Health Counselor Services to Invoice

  • Intake assessment
  • Individual counseling
  • Group therapy
  • Family counseling
  • Crisis intervention
  • Telehealth session
  • Consultation

Invoice Requirements in Panama

RUC number
DGI registration
Client RUC
Invoice number
ITBMS (7%)
Total in PAB/USD

Payment Terms

Payment at session start. Monthly statements for insurance reimbursement.

Contado15 días30 díasCrédito

Payment Methods in Panama

Bank TransferBanco GeneralBanistmoCredit CardCash USD

Mental Health Counselor Invoice Tips

  • Ensure HIPAA compliance
  • Use generic descriptions
  • Include provider NPI
  • Note session length
  • Reference dates

Frequently Asked Questions

What tax rate applies to mental health counselor invoices in Panama?

Panama has 7% ITBMS. ITBMS is 7% (10% for alcohol/tobacco). No income tax on foreign income. RUC required.

What payment methods are common for mental health counselors in Panama?

Common payment methods in Panama include: Bank Transfer, Banco General, Banistmo, Credit Card, Cash USD. Payment at session start. Monthly statements for insurance reimbursement.

What should mental health counselor invoices include in Panama?

Your invoice should include: RUC number, DGI registration, Client RUC, Invoice number. For mental health counselor services specifically, also include: Intake assessment, Individual counseling, Group therapy.

Confidentiality in invoices?

Limit clinical details. Use standard codes (e.g., 90837) and dates only.

Sliding scale billing?

Document agreed rate clearly. Apply consistently based on policy.

What is Panama's ITBMS rate?

Panama applies 7% ITBMS on most goods and services. Higher rates for alcohol, tobacco, hotels. Exports exempt.