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Invoice Doctor General Practitioner in Australia Melbourne –Free Word Template Download with AI

Dr. Jane Smith, MBBS, FRACGP

General Practitioner

123 Medical Centre Drive, South Yarra, Melbourne, VIC 3141, Australia

Phone: +61 3 9876 5432 | Email: [email protected]

ABN: 12 345 678 901 | Medicare Provider Number: 1234567890

John Doe

456 Residential Street

Richmond, VIC 3121

Australia

Medicare Card Number: XXXX XXXX XXXX

Invoice Number: INV-2023-10-001

Date of Service: October 15, 2023

Invoice Date: October 16, 2023

Due Date: October 31, 2023

Description Medicare Item Number Quantity Unit Price (AUD) Total (AUD)
General Practitioner Consultation - Standard 23 1 $75.00 $75.00
General Practitioner Consultation - Extended 24 1 $100.00 $100.00
Chronic Disease Management Plan 721 1 $150.00 $150.00
Health Assessment - Preventive 701 1 $120.00 $120.00
Referral to Specialist N/A 1 $25.00 $25.00
Prescription Fee N/A 2 $10.00 $20.00

Subtotal: $590.00 AUD

Medicare Rebate (Estimated): -$350.00 AUD

Total Due: $240.00 AUD

Payment Instructions:

Please make payment within 14 days of the invoice date. Payment can be made via:

  • Credit Card (Visa, MasterCard, Amex)
  • Direct Bank Transfer
  • Cash or Cheque (in person at our Melbourne clinic)

For bank transfer details, please contact our office.

Medicare Information:

This invoice includes services eligible for Medicare rebates. Please ensure your Medicare card is presented at the time of service. The estimated rebate amount is based on current Medicare schedules and may vary.

Privacy Notice:

Your personal and medical information is handled in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles. For more information, please refer to our Privacy Policy available at our clinic or on our website.

Contact Information:

If you have any questions regarding this invoice, please contact our office at +61 3 9876 5432 or email [email protected]. Our office hours are Monday to Friday, 8:00 AM to 6:00 PM, and Saturday, 9:00 AM to 1:00 PM.

Thank you for choosing our General Practitioner services in Melbourne, Australia.

Dr. Jane Smith, MBBS, FRACGP

General Practitioner

123 Medical Centre Drive, South Yarra, Melbourne, VIC 3141, Australia

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