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Invoice Optometrist in Australia Sydney –Free Word Template Download with AI

Level 4, 123 George Street, Sydney NSW 2000, Australia

Phone: +61 2 9123 4567 | Email: [email protected]

ABN: 12 345 678 901

Optometrist Registration: AHPRA Reg. No. 123456789

Invoice Number: INV-2023-8942

Date Issued: 24 October 2023

Due Date: 24 November 2023

Bill To

Mr. James Anderson

45 Harbour View Drive

Paddington, NSW 2021

Australia

Phone: 0412 345 678

Email: [email protected]

Payment Details

Bank: Commonwealth Bank of Australia

BSB: 062-000

Account Name: Sydney Vision Optometrists Pty Ltd

Account Number: 123456789

Reference: INV-2023-8942

Services and Products Rendered
Description Quantity Unit Price (AUD) Total (AUD)
Comprehensive Eye Examination
Includes visual acuity testing, refraction, ocular health assessment, and intraocular pressure measurement. Performed by a registered Optometrist in Sydney.
1 $180.00 $180.00
Advanced Retinal Imaging (Optos)
Wide-field retinal photography to detect early signs of diabetic retinopathy, glaucoma, and macular degeneration.
1 $75.00 $75.00
Prescription Eyewear - Frames
Brand: Ray-Ban | Model: RB3025 Aviator | Color: Gold/Green. Includes fitting and adjustment by Sydney Vision Optometrists.
1 $320.00 $320.00
Premium Anti-Reflective Coated Lenses
High-index 1.67 lenses with anti-reflective, anti-scratch, and UV protection coatings. Custom ground to prescription.
1 $250.00 $250.00
Blue Light Filtering Coating
Add-on coating to reduce eye strain from digital screens.
1 $45.00 $45.00
Protective Eyewear Case & Cleaning Kit
Hard-shell case and microfiber cleaning cloth.
1 $25.00 $25.00
Subtotal: $895.00 Medicare Rebate (Claimed Directly): -$0.00 Private Health Insurance Rebate (Claimed Directly): -$150.00 GST (10%): $74.50 TOTAL DUE (AUD): $819.50 Terms and Conditions
  • Payment Terms: Payment is due within 30 days of the invoice date. Please quote the invoice number (INV-2023-8942) with all payments.
  • Optometrist Services: All clinical services provided by Sydney Vision Optometrists are performed by fully qualified and registered Optometrists in accordance with the standards set by the Optometry Board of Australia.
  • Medicare & Insurance: Where applicable, Medicare and Private Health Insurance rebates have been claimed directly on your behalf. The amount shown as "Total Due" reflects the out-of-pocket expense after these rebates.
  • Warranty: Frames and lenses are covered by a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse, accidents, or normal wear and tear.
  • Prescription Validity: Your eyeglass prescription is valid for two years from the date of examination, in line with Australian optometry regulations.
  • Privacy: Your personal and health information is handled in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles.
  • Disputes: If you have any questions or disputes regarding this invoice, please contact our billing department at [email protected] or call +61 2 9123 4567 within 7 days of receiving this invoice.
  • Location: This invoice is issued by Sydney Vision Optometrists, located in the heart of Sydney, Australia. We are committed to providing world-class eye care to the Sydney community.

Thank you for choosing Sydney Vision Optometrists for your eye care needs.

This is a computer-generated invoice and does not require a signature.

© 2023 Sydney Vision Optometrists Pty Ltd. All rights reserved.

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