Invoice Physiotherapist in New Zealand Auckland –Free Word Template Download with AI
Level 4, 123 Queen Street
Auckland CBD, Auckland 1010
New Zealand
Phone: +64 9 309 5555
Email: [email protected]
Business Number: 94-298-374-1
Invoice Number: INV-2023-10-884
Date Issued: 24 October 2023
Due Date: 07 November 2023
From
Dr. Sarah Jenkins, Physiotherapist
Registered with Physiotherapy Board of New Zealand
Member of Physiotherapy New Zealand
Bill To
Mr. James Wilson
45 Karangahape Road
Ponsonby, Auckland 1011
New Zealand
Phone: +64 21 123 4567
| Description of Physiotherapy Services | Date | Qty | Unit Price (NZD) | Total (NZD) |
|---|---|---|---|---|
|
Initial Comprehensive Assessment Full musculoskeletal evaluation, gait analysis, and diagnosis of lower back strain. Includes discussion of treatment plan tailored for recovery in the Auckland climate and lifestyle. |
20 Oct 2023 | 1 | 185.00 | 185.00 |
|
Manual Therapy & Soft Tissue Mobilization Targeted treatment for lumbar region and gluteal muscles. Techniques include deep tissue massage and joint mobilization to reduce inflammation. |
22 Oct 2023 | 1 | 145.00 | 145.00 |
|
Therapeutic Exercise Prescription Core stabilization program and flexibility training. Includes home exercise program documentation and follow-up review. |
23 Oct 2023 | 1 | 135.00 | 135.00 |
|
Electrotherapy (TENS/Interferential) Pain management session utilizing electrotherapy modalities to assist with muscle recovery and pain relief. |
23 Oct 2023 | 1 | 45.00 | 45.00 |
Payment Terms and Conditions
Payment Methods: Payment is due within 14 days of the invoice date. We accept Bank Transfer (ANZ), Credit Card (Visa/Mastercard), and EFTPOS.
Bank Details:
Bank: ANZ New Zealand
Account Name: Auckland Spine & Sports Physiotherapy Ltd
Account Number: 01-0123-0456789-00
Reference: INV-2023-10-884
Insurance Claims: If you have private health insurance, please submit this invoice directly to your provider for reimbursement. We can provide a detailed clinical report if required by your insurer.
Accident Compensation Corporation (ACC): Services billed directly to ACC are excluded from this invoice. This invoice covers out-of-pocket expenses not covered by ACC or private insurance.
Late Fees: A late fee of 1.5% per month will be applied to overdue balances.
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