Invoice Occupational Therapist in Australia Melbourne –Free Word Template Download with AI
Lead Practitioner: Sarah Jenkins, OT Reg. (AHPRA)
Level 4, 123 Collins Street
Melbourne, VIC 3000
Australia
ABN: 12 345 678 901
Phone: +61 3 9000 1234
Email: [email protected]
Invoice Number: INV-2023-10-045
Date Issued: 24 October 2023
Due Date: 24 November 2023
Payment Terms: Net 30 Days
Bill To
Mr. James Anderson
45 Chapel Street
South Yarra, VIC 3141
Australia
Phone: 0412 345 678
Email: [email protected]
Patient Details
Name: Mr. James Anderson
Date of Birth: 15 May 1978
Medicare Number: [REDACTED FOR PRIVACY]
NDIS Plan Number: NDIS-987654321
Referring Doctor: Dr. Emily Chen, Royal Melbourne Hospital
| Item | Description of Occupational Therapy Services | Date of Service | Hours | Rate (AUD) | Amount (AUD) |
|---|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment: Conducted at client's residence in South Yarra. Evaluation of functional capacity, home safety audit, and analysis of daily living activities (ADLs) following recent orthopedic surgery. Development of a personalized therapy plan aligned with NDIS goals. | 01 Oct 2023 | 1.5 | $180.00 | $270.00 |
| 2 | Therapeutic Intervention Session 1: Focus on upper limb strengthening and fine motor skill rehabilitation. Implementation of adaptive strategies for dressing and grooming. Education provided on energy conservation techniques. | 08 Oct 2023 | 1.0 | $180.00 | $180.00 |
| 3 | Therapeutic Intervention Session 2: Cognitive rehabilitation exercises focusing on memory and executive function. Simulation of community navigation tasks to prepare for independent travel within Melbourne. | 15 Oct 2023 | 1.0 | $180.00 | $180.00 |
| 4 | Home Modification Consultation: Site visit to assess accessibility requirements. Recommendations provided for installation of grab rails in bathroom and ramp access at front entrance. Coordination with local tradespeople in Victoria. | 18 Oct 2023 | 1.0 | $180.00 | $180.00 |
| 5 | Assistive Technology Supply: Provision of a reacher/grabber tool and a long-handled shoe horn to facilitate independence in daily tasks. Includes fitting and training on correct usage. | 22 Oct 2023 | 0.5 | $180.00 | $90.00 |
| 6 | Progress Report Writing: Detailed clinical report submitted to the referring physician and NDIS planner outlining progress, updated goals, and justification for continued therapy services in Melbourne. | 23 Oct 2023 | 0.5 | $180.00 | $90.00 |
| Subtotal: | $990.00 |
| GST (10%): | $99.00 |
| Total Due: | $1,089.00 |
Payment Instructions
Please remit payment via Bank Transfer (BSB/Account) or Credit Card.
Bank Name: Commonwealth Bank of Australia
BSB: 062-000
Account Name: Melbourne Allied Health Group Pty Ltd
Account Number: 12345678
Reference: INV-2023-10-045
Note: If claiming through Medicare or NDIS, please ensure your provider number is registered. This invoice serves as a receipt for out-of-pocket expenses not covered by government schemes.
Terms and Conditions
1. Payment is due within 30 days of the invoice date. Late payments may incur interest charges at the rate prescribed by the Australian Consumer Law.
2. All services provided by our Occupational Therapist are conducted in accordance with the standards set by Occupational Therapy Australia and the Australian Health Practitioner Regulation Agency (AHPRA).
3. This invoice covers professional fees only. Costs for external equipment or home modifications are billed separately unless specified above.
4. Please contact our billing department in Melbourne immediately if you have any queries regarding this invoice.
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