Invoice Doctor General Practitioner in United Kingdom Manchester –Free Word Template Download with AI
123 Deansgate, Manchester
Greater Manchester, M3 2BW
United Kingdom
Tel: +44 (0)161 123 4567
Email: [email protected]
VAT Registration No: GB 123 4567 89
CQC Registration No: 1-123456789
Mr. John Smith
45 Portland Street
Manchester
M1 3LA
United Kingdom
NHS Number: 485 777 345 6
DOB: 15/05/1980
Bupa Global Health
Claims Department
100 Victoria Street
London
SW1E 5JL
United Kingdom
Policy Number: BUPA-UK-998877
Group ID: MAN-CORP-01
This Invoice is issued for private medical consultations and services provided outside of the standard NHS contract. As a Doctor General Practitioner operating in Manchester, we adhere to the highest standards of clinical care regulated by the General Medical Council (GMC). Please note that while we are an NHS-registered practice, the services detailed below are billed privately. Payment is required within 30 days of the invoice date. Description of Services
| Ref | Description of Service | Date | Unit Price (£) | Total (£) |
|---|---|---|---|---|
| 1 |
Private Consultation - Doctor General Practitioner Comprehensive initial assessment including medical history review, physical examination, and formulation of a management plan. Conducted by Dr. Sarah Jenkins, GMC Registered Doctor General Practitioner. |
20/10/2023 | 120.00 | 120.00 |
| 2 |
Private Blood Test Request & Interpretation Request for full blood count, lipid profile, and HbA1c. Includes consultation time for explaining results and implications. |
20/10/2023 | 45.00 | 45.00 |
| 3 |
Private Medical Certificate Issuance of a fit note for employment purposes following clinical assessment. Valid for the period specified. |
21/10/2023 | 35.00 | 35.00 |
| 4 |
Follow-up Consultation Review of blood test results and adjustment of medication. Discussion of lifestyle changes and long-term health strategy. |
23/10/2023 | 80.00 | 80.00 |
| 5 |
Administrative Fee Processing of private insurance claim documentation and correspondence with Bupa Global Health. |
24/10/2023 | 15.00 | 15.00 |
| Subtotal | £295.00 |
| VAT (20%) | £59.00 |
| Total Due | £354.00 |
Please make payment within 30 days of the invoice date. Late payments may incur interest charges in accordance with the Late Payment of Commercial Debts (Interest) Act 1998.
Bank Transfer Details:
Bank Name: Barclays Bank UK PLC
Account Name: Manchester Central Medical Practice Ltd
Sort Code: 20-00-00
Account Number: 12345678
Reference: INV-2023-10-0042
Online Payment:
You may also pay securely via our patient portal at https://secure.manchestercentralgp.co.uk/pay using your NHS number or Invoice Number.
- All services are provided by qualified Doctor General Practitioner staff registered with the General Medical Council.
- This Invoice covers private services only. NHS services are funded by the National Health Service and are not included here.
- Prices are inclusive of VAT where applicable, in accordance with United Kingdom tax law.
- Payment is due within 30 days of the invoice date unless otherwise agreed in writing.
- Any disputes regarding this Invoice must be raised within 14 days of receipt.
- We are committed to protecting your personal data in line with the UK General Data Protection Regulation (UK GDPR).
- Medical records and correspondence related to these services will be retained in accordance with NHS and GMC guidelines.
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