Invoice Midwife in Australia Melbourne –Free Word Template Download with AI
Provider: Sarah Jenkins, Registered Midwife (NMBA)
123 Collins Street, Melbourne VIC 3000, Australia
Phone: +61 3 9000 1234 | Email: [email protected]
ABN: 12 345 678 901
AHPRA Registration: MID1234567
Invoice Number: INV-2023-10-045
Date Issued: 24 October 2023
Due Date: 07 November 2023
Service Period: 01 September 2023 - 24 October 2023
Bill To:
Client Name: Mrs. Emily Thompson
Address: 45 Chapel Street, South Yarra, Melbourne VIC 3141, Australia
Phone: +61 400 123 456
Email: [email protected]
Medicare Card Number: XXX-XXXX-XXX
Private Health Fund: Bupa Private Health (Policy #987654321)
Service Context: This invoice details the professional fees for continuous midwifery care provided in accordance with the standards set by the Nursing and Midwifery Board of Australia (NMBA). Services rendered include antenatal consultations, birth planning, and postnatal support within the Melbourne metropolitan area. As a private midwife operating in Australia Melbourne, these services are designed to provide personalized, evidence-based care tailored to the specific needs of the client and their family. Please note that while some services may be eligible for Medicare rebates or private health insurance claims, this invoice represents the total professional fee prior to any applicable government rebates.| # | Description of Midwifery Services | Date | Quantity | Amount (AUD) |
|---|---|---|---|---|
| 1 |
Initial Consultation & Care Plan Development Comprehensive assessment of medical history, risk factors, and birth preferences. Development of a personalized care plan aligned with Australian midwifery guidelines. |
05 Sep 2023 | 1 | $250.00 |
| 2 |
Antenatal Home Visits (Package of 4) Regular monitoring of fetal growth, maternal blood pressure, and general well-being. Includes education on labor signs, pain management options, and newborn care. |
12 Sep - 03 Oct 2023 | 4 | $800.00 |
| 3 |
Birth Plan Workshop Collaborative session to finalize the birth plan, discussing scenarios for both hospital and home birth settings within Melbourne. |
15 Oct 2023 | 1 | $150.00 |
| 4 |
Postnatal Support Visit Assessment of maternal recovery and newborn health. Includes breastfeeding support and guidance on infant care. |
20 Oct 2023 | 1 | $200.00 |
| 5 |
Administrative & Documentation Fee Preparation of clinical notes, referral letters to obstetricians if required, and submission of Medicare claims on behalf of the client. |
24 Oct 2023 | 1 | $100.00 |
Payment Instructions
Please ensure payment is made by the due date to avoid any interruption in care services. We accept the following payment methods:
- Bank Transfer (Preferred):
Bank: Commonwealth Bank of Australia
BSB: 062-000
Account Name: Melbourne Holistic Midwifery Pty Ltd
Account Number: 12345678
Please include Invoice Number INV-2023-10-045 in the reference field. - Credit Card: Visa, Mastercard, and Amex accepted via secure online portal.
- Cheque: Payable to "Melbourne Holistic Midwifery" and mailed to the address above.
Note: If you have private health insurance, please contact your provider directly for claim forms. We can provide a detailed receipt upon request.
Authorized Signature (Midwife)Sarah Jenkins, RM
Date: 24/10/2023 Client Acknowledgement
__________________________
Date: ________________ ⬇️ Download as DOCX Edit online as DOCX
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