Invoice Ophthalmologist in United Kingdom London –Free Word Template Download with AI
Consultant Ophthalmologists & Eye Surgeons
Registered in England & Wales No. 12345678
Address: 42 Harley Street, Marylebone, London, W1G 9QD, United Kingdom
Invoice Number: INV-2023-8942
Date of Issue: 24 October 2023
Due Date: 24 November 2023
Reference: NHS/Private Hybrid Consultation
From (Service Provider)
Dr. Eleanor Sterling, FRCS (Ophth)
Consultant Ophthalmologist
London Vision Specialists
42 Harley Street
London, W1G 9QD
United Kingdom
Email: [email protected]
Phone: +44 (0)20 7123 4567
Bill To (Patient)
Mr. Arthur Pendelton
15 Kensington Gardens Square
Kensington, London, W2 4BH
United Kingdom
NHS Number: 485 777 222 999
Private Insurance: Bupa Health (Policy: BP-998877)
| Description of Ophthalmological Services | Quantity | Unit Price (GBP) | Total (GBP) |
|---|---|---|---|
|
Initial Specialist Ophthalmology Consultation Comprehensive eye examination including visual acuity testing, slit-lamp biomicroscopy, and dilated fundus examination. Conducted by a Consultant Ophthalmologist in London. |
1 | £250.00 | £250.00 |
|
Optical Coherence Tomography (OCT) Scan High-resolution cross-sectional imaging of the retina to assess macular health and optic nerve structure. Essential for diagnosing retinal pathologies. |
1 | £180.00 | £180.00 |
|
Visual Field Analysis (Perimetry) Automated perimetry test to map the peripheral vision and detect blind spots associated with glaucoma or neurological conditions. |
1 | £120.00 | £120.00 |
|
Pre-Operative Assessment for Cataract Surgery Detailed biometry and corneal topography to calculate intraocular lens (IOL) power. Includes discussion of surgical risks and benefits in accordance with UK medical standards. |
1 | £150.00 | £150.00 |
|
Prescription for Corrective Lenses Provision of a detailed prescription for glasses or contact lenses following the ophthalmological assessment. |
1 | £25.00 | £25.00 |
|
Administrative & Record Keeping Fee Processing of medical records, correspondence with GP in London, and insurance claim documentation. |
1 | £35.00 | £35.00 |
Payment Terms and Conditions
This invoice is issued by London Vision Specialists, a registered practice of Consultant Ophthalmologists operating in the United Kingdom. Payment is due within 30 days of the invoice date. Late payments may incur interest charges in accordance with the Late Payment of Commercial Debts (Interest) Act 1998.
Bank Transfer Details:
Bank Name: Barclays Bank UK PLC
Account Name: London Vision Specialists Ltd
Sort Code: 20-00-00
Account Number: 12345678
Reference: INV-2023-8942
Please note that as an Ophthalmologist providing private care in London, we adhere to the strict confidentiality standards set by the General Medical Council (GMC). This document contains sensitive medical and financial information. If you have received this invoice in error, please notify us immediately and destroy this document.
For any queries regarding this invoice or your ophthalmological treatment plan, please contact our billing department at [email protected] or call +44 (0)20 7123 4567 during business hours (Monday to Friday, 9:00 AM - 5:00 PM GMT).
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