GoGPT GoSearch New DOC New XLS New PPT

OffiDocs favicon

Invoice Doctor General Practitioner in New Zealand Auckland –Free Word Template Download with AI

Doctor General Practitioner Services

Level 2, 123 Queen Street

Auckland CBD, Auckland 1010

New Zealand

Phone: +64 9 555 0123

Email: [email protected]

Provider Code: 1234567

Invoice Number: INV-2023-10-045

Date of Issue: 24 October 2023

Due Date: 24 November 2023

Reference: AP-998877

Billed To (Patient Details)

Name: Mr. John Michael Smith

Address: 45 Ponsonby Road, Ponsonby, Auckland 1011, New Zealand

Phone: +64 21 123 4567

Email: [email protected]

NHI Number: A12345678

Date of Birth: 15 May 1985

Date of Service Description of Service Provider Code Amount (NZD)
20 Oct 2023 General Consultation - Initial Assessment Dr. Sarah Jenkins (GP) GP01 $85.00
20 Oct 2023 Health Assessment - Comprehensive Dr. Sarah Jenkins (GP) HA02 $120.00
21 Oct 2023 Prescription Renewal & Review Dr. Michael Brown (GP) PR05 $45.00
22 Oct 2023 Minor Procedure - Wound Dressing Nurse Practitioner NP10 $60.00
23 Oct 2023 Follow-up Consultation Dr. Sarah Jenkins (GP) GP02 $75.00
Subtotal: $385.00 ACC Contribution (if applicable): -$0.00 Private Health Insurance Rebate: -$150.00 Total Due: $235.00

Payment Instructions

Please make payment within 30 days of the invoice date. Payments can be made via:

  • Bank Transfer: ANZ Bank, Account Name: Auckland Central Medical Centre, Account Number: 01-0123-0123456-00
  • Credit Card: Please contact our office to arrange payment over the phone.
  • In-Person: Payments accepted at our reception desk in Auckland CBD.

Please include your Invoice Number (INV-2023-10-045) as the reference for all payments.

Important Information

This Invoice is issued by Auckland Central Medical Centre, a registered medical practice in New Zealand Auckland, providing comprehensive Doctor General Practitioner services. All fees are in New Zealand Dollars (NZD).

If you have private health insurance, please submit this Invoice to your provider for reimbursement. We can also process direct claims for certain insurers upon request.

For any queries regarding this Invoice or your medical services, please contact our billing department at [email protected] or call +64 9 555 0123 during business hours (Monday to Friday, 8:00 AM - 6:00 PM).

Thank you for choosing our Doctor General Practitioner services in New Zealand Auckland. We are committed to providing high-quality healthcare to our community.

Auckland Central Medical Centre | Level 2, 123 Queen Street, Auckland CBD, Auckland 1010, New Zealand

Phone: +64 9 555 0123 | Email: [email protected]

This document is a valid Invoice for medical services rendered.

⬇️ Download as DOCX Edit online as DOCX

Create your own Word template with our GoGPT AI prompt:

GoGPT
×
Advertisement
❤️Shop, book, or buy here — no cost, helps keep services free.