Invoice Occupational Therapist in New Zealand Auckland –Free Word Template Download with AI
Level 4, 123 Queen Street
Auckland CBD, Auckland 1010
New Zealand
Phone: +64 9 555 0123
Email: [email protected]
Provider Number: 123456789
Service Provider
Dr. Sarah Jenkins, OT
Registered Occupational Therapist
Registration No: OT-98765
Member of the New Zealand Occupational Therapy Board
Bill To
Mr. James Wilson
45 Ponsonby Road
Ponsonby, Auckland 1011
New Zealand
Phone: +64 21 555 9876
Email: [email protected]
| # | Description of Occupational Therapy Services | Date | Hours | Amount (NZD) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Assessment Detailed evaluation of functional capacity, home environment safety audit, and establishment of rehabilitation goals tailored to the client's specific needs within the Auckland region. Includes review of medical history and coordination with referring physician. |
10 Oct 2023 | 1.5 | $375.00 |
| 2 |
Therapeutic Intervention Session 1 One-on-one Occupational Therapy session focusing on fine motor skill development and adaptive strategies for Activities of Daily Living (ADLs). Implementation of ergonomic adjustments for the client's workspace in Auckland. |
17 Oct 2023 | 1.0 | $250.00 |
| 3 |
Therapeutic Intervention Session 2 Continuation of rehabilitation program. Focus on cognitive strategies for task management and energy conservation techniques. Review of progress against initial goals set during the assessment phase. |
24 Oct 2023 | 1.0 | $250.00 |
| 4 |
Home Modification Consultation Site visit to client's residence in Ponsonby, Auckland. Assessment of accessibility barriers and recommendation of assistive technologies and structural modifications to promote independence and safety. |
20 Oct 2023 | 1.0 | $250.00 |
| 5 |
Professional Reporting Preparation of a detailed clinical progress report for the referring medical practitioner and ACC (Accident Compensation Corporation), outlining treatment outcomes and future recommendations. |
23 Oct 2023 | 0.5 | $125.00 |
Payment Instructions & Terms
Please ensure payment is made within 30 days of the invoice date. Late payments may incur interest charges in accordance with the Interest on Moneyow Act 1978.
Bank Transfer Details:
Bank: ANZ New Zealand
Account Name: Auckland Allied Health Group Ltd
Account Number: 01-0123-0456789-00
Reference: INV-2023-10-045
Service Context:
These services were provided by a fully registered Occupational Therapist in accordance with the standards set by the Health and Disability Commissioner Code of Health and Disability Services Consumers' Rights. The therapy sessions were conducted at our clinic in Auckland CBD and at the client's residence in Ponsonby, Auckland.
GST Information:
This Invoice includes Goods and Services Tax (GST) as required by New Zealand tax law. Our GST Registration Number is 123-456-789.
If you have any questions regarding this Invoice or the Occupational Therapy services provided, please contact our billing department at [email protected] or call us at +64 9 555 0123.
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