Invoice Occupational Therapist in New Zealand Wellington –Free Word Template Download with AI
123 Lambton Quay, Te Aro
Wellington 6011, New Zealand
Phone: +64 4 555 0199
Email: [email protected]
ABN: 94 222 333 444
Invoice Number: INV-2023-10-045
Date Issued: 24 October 2023
Due Date: 07 November 2023
Bill To:
Mr. James Henderson
45 Oriental Parade
Thorndon, Wellington 6011
New Zealand
Service Details:
Service Period: 01 Oct 2023 - 31 Oct 2023
Referral Source: Dr. Sarah Miller, Wellington Hospital
Client ID: JH-8829
Accident Compensation Corp (ACC): Claim #ACC-998877
| Description of Occupational Therapy Services | Hours / Qty | Rate (NZD) | Amount (NZD) |
|---|---|---|---|
|
Initial Comprehensive Assessment Conducted at client's residence in Thorndon, Wellington. Included evaluation of upper limb mobility, cognitive function, and home safety audit. |
1.5 | $180.00 | $270.00 |
|
Therapeutic Intervention Session 1 Focus on fine motor skill rehabilitation and adaptive strategies for daily living activities (ADLs). |
1.0 | $160.00 | $160.00 |
|
Therapeutic Intervention Session 2 Ergonomic assessment of home workspace and implementation of energy conservation techniques. |
1.0 | $160.00 | $160.00 |
|
Provision of Adaptive Equipment Supply and fitting of reacher/grabber tool and dressing aid to support independence. |
1 | $85.00 | $85.00 |
|
Consultation with Whānau Family meeting to discuss care plan and caregiver training regarding transfer techniques. |
0.5 | $180.00 | $90.00 |
|
Progress Report to Referring Physician Detailed clinical report submitted to Wellington Hospital regarding client progress. |
1 | $75.00 | $75.00 |
Payment Instructions & Notes
Please make payment within 14 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: Wellington Occupational Therapy Services Ltd
Account Number: 01-0123-0456789-00
Reference: INV-2023-10-045
ACC Funding: If this invoice is being paid directly by the Accident Compensation Corporation (ACC), please ensure the claim number listed above is referenced on all correspondence.
Privacy: Your personal health information is handled in accordance with the Privacy Act 2020.
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