Invoice Nurse in Canada Montreal –Free Word Template Download with AI

Bill To:

Montreal General Health Authority

Attn: Accounts Payable Department

3850 Saint-Urbain Street

Montreal, Quebec, Canada H2W 1T8

Service Location:

Private Patient Residence

4500 Avenue du Parc

Montreal, Quebec, Canada H2V 4E9

Ref: Patient Case #8842-MTL

#	Description of Nursing Services	Date(s)	Hours	Rate (CAD)	Amount (CAD)
1	Registered Nurse (RN) - Post-Operative Care Comprehensive monitoring of vital signs, wound care management, and medication administration for post-surgical recovery. Services rendered in accordance with the standards set by the Ordre des infirmières et infirmiers du Québec (OIIQ).	Oct 10 - Oct 12	24.0	85.00	2,040.00
2	Specialized Wound Care Treatment Advanced dressing changes and assessment of healing progress. Includes supply usage (sterile gauze, antiseptics) and documentation for the primary care physician in Montreal.	Oct 13	3.5	95.00	332.50
3	Home Health Nursing Assessment Initial home safety evaluation and care plan development. Coordination with local Montreal healthcare providers to ensure continuity of care.	Oct 09	2.0	85.00	170.00
4	Travel Surcharge Mileage and transit costs associated with travel within the Greater Montreal Area for on-site patient visits.	Oct 09 - Oct 13	-	-	45.00

Subtotal: $2,587.50 QST (Quebec Sales Tax - 9.975%): $258.10 GST (Goods and Services Tax - 5%): $129.38 Total Due (CAD): $2,974.98

Important Notes & Terms of Service:

1. Regulatory Compliance: All nursing services provided under this invoice are performed by licensed professionals registered with the Ordre des infirmières et infirmiers du Québec (OIIQ). We adhere strictly to the professional code of ethics and standards of practice applicable in Canada.

2. Payment Instructions: Please remit payment via Interac e-Transfer to [email protected] or by cheque payable to "Montreal Elite Nursing Services" mailed to the address listed in the header.

3. Late Fees: Invoices not paid by the due date (November 24, 2023) will incur a late fee of 1.5% per month on the outstanding balance, in accordance with Quebec commercial law.

4. Disputes: If there are any discrepancies regarding the hours billed or services rendered, please contact our administrative office within 10 business days of receiving this invoice.

5. Privacy: Patient information included in this document is confidential and protected under the Act respecting the protection of personal information in the private sector (Quebec) and federal Canadian privacy laws.

Authorized Signature (Provider)

Jane Doe, RN, BScN

Director of Clinical Operations

Received By (Client)

__________________________

Date: ____________________

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