Invoice Physiotherapist in United Kingdom Birmingham –Free Word Template Download with AI
123 High Street, Edgbaston
Birmingham, B15 2TT
United Kingdom
Tel: +44 (0)121 456 7890
Email: [email protected]
Company Reg: 12345678 | VAT No: GB 999 888 777
Bill ToMr. Jonathan Smith
45 Moseley Road
Moseley, Birmingham
B13 8HL
United Kingdom
NHS Number: 485 777 222 111
Service ProviderDr. Sarah Jenkins, MCSP
Senior Chartered Physiotherapist
Specialist in Musculoskeletal Rehabilitation
Registered with the Health and Care Professions Council (HCPC)
Member of the Chartered Society of Physiotherapy (CSP)
Description of Services Rendered| Ref | Service Description | Date | Qty | Unit Price | Total |
|---|---|---|---|---|---|
| 001 |
Initial Comprehensive Assessment Detailed clinical evaluation of lower back pain and sciatica symptoms. Includes postural analysis, range of motion testing, neurological screening, and formulation of a personalised treatment plan tailored to the patient's lifestyle in Birmingham. |
10/10/2023 | 1 | £85.00 | £85.00 |
| 002 |
Manual Therapy Session (45 mins) Application of soft tissue massage, joint mobilisations, and myofascial release techniques to alleviate lumbar stiffness. Conducted at our Edgbaston clinic in Birmingham, United Kingdom. |
12/10/2023 | 1 | £65.00 | £65.00 |
| 003 |
Therapeutic Exercise Prescription Guided session focusing on core stabilisation and McKenzie method exercises. Includes home exercise programme documentation and ergonomic advice for office work. |
14/10/2023 | 1 | £65.00 | £65.00 |
| 004 |
Follow-up Physiotherapy Consultation Progress review and adjustment of treatment plan. Re-assessment of pain levels and functional mobility. Discussion of recovery timeline and return-to-work strategy. |
17/10/2023 | 1 | £60.00 | £60.00 |
| 005 |
Electrotherapy Treatment Application of Transcutaneous Electrical Nerve Stimulation (TENS) and ultrasound therapy to reduce inflammation and manage acute pain episodes. |
19/10/2023 | 1 | £45.00 | £45.00 |
| 006 |
Medical Report for Insurance/Employer Detailed clinical report outlining diagnosis, treatment provided, and prognosis. Prepared in accordance with UK medical reporting standards for private health insurance claims. |
20/10/2023 | 1 | £50.00 | £50.00 |
Please ensure payment is made within 30 days of the invoice date to avoid late fees. Payments can be made via bank transfer, credit card, or cheque.
Bank Transfer Details:Bank Name: HSBC UK
Account Name: Birmingham Elite Physiotherapy Ltd
Sort Code: 40-05-18
Account Number: 12345678
Reference: INV-2023-10-045
IBAN: GB29 HSBK 4005 1812 3456 78
BIC: HSBKGB2L
Terms and Conditions
- Regulatory Compliance: All physiotherapy services provided by Birmingham Elite Physiotherapy are delivered by HCPC-registered practitioners in full compliance with UK healthcare regulations.
- Cancellation Policy: Appointments cancelled with less than 24 hours' notice may be subject to a 50% cancellation fee.
- Privacy: Your personal and medical data is processed in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018.
- Disputes: Any disputes regarding this invoice must be raised in writing within 14 days of the invoice date. Birmingham Elite Physiotherapy reserves the right to charge interest on overdue amounts at 4% above the Bank of England base rate.
- Insurance: If claiming through private health insurance, please submit this invoice along with the medical report to your provider. We are happy to assist with direct billing where applicable.
- Jurisdiction: This invoice is governed by the laws of England and Wales. Any legal proceedings will be subject to the exclusive jurisdiction of the courts of Birmingham, United Kingdom.
Create your own Word template with our GoGPT AI prompt:
GoGPT