Invoice Psychiatrist in New Zealand Auckland –Free Word Template Download with AI
Specialist Psychiatry Services
Level 4, 123 Queen Street
Auckland CBD, Auckland 1010
New Zealand
Phone: +64 9 555 0123
Email: [email protected]
ABN: 123-456-789
Date: 24 May 2024
Due Date: 07 June 2024
| Invoice Number: | INV-2024-05-089 |
| Reference: | Psychiatric Consultation - May 2024 |
| Provider: | Dr. Sarah Jenkins, FRANZCP Board Certified Psychiatrist |
Bill To
Mr. James Wilson
45 Ponsonby Road
Ponsonby, Auckland 1011
New Zealand
Phone: +64 21 555 9876
Email: [email protected]
NHI Number: 123456789
| Description of Services | Date | Duration | Unit Price (NZD) | Amount (NZD) |
|---|---|---|---|---|
|
Initial Psychiatric Assessment Comprehensive evaluation including clinical history, mental state examination, and diagnostic formulation. Conducted at Auckland Mind & Behaviour Clinic. |
01 May 2024 | 60 mins | $350.00 | $350.00 |
|
Follow-up Psychiatric Consultation Medication review, symptom monitoring, and treatment plan adjustment. Standard psychiatric follow-up session. |
15 May 2024 | 30 mins | $220.00 | $220.00 |
|
Psychiatric Report Writing Preparation of detailed clinical report for referring GP and/or insurance purposes. Includes diagnostic summary and recommendations. |
20 May 2024 | Flat fee | $180.00 | $180.00 |
|
Medication Management Review Specialized review of psychotropic medication regimen, including dosage adjustments and side-effect management consultation. |
22 May 2024 | 20 mins | $150.00 | $150.00 |
Payment Instructions
Please make payment within 14 days of the invoice date. Late payments may incur a 1.5% monthly interest charge as per New Zealand commercial standards.
Bank Transfer Details:
Bank: ANZ New Zealand
Account Name: Auckland Mind & Behaviour Clinic Ltd
Account Number: 01-0555-0123456-00
Reference: INV-2024-05-089
Credit Card: Payments accepted via secure online portal at pay.aucklandmindclinic.co.nz
Cheque: Payable to "Auckland Mind & Behaviour Clinic Ltd", post to the address above.
Important Notes
This Invoice is issued by a registered Psychiatrist practicing in Auckland, New Zealand, in accordance with the Medical Council of New Zealand guidelines and the Health and Disability Commissioner Code of Rights.
All fees quoted are in New Zealand Dollars (NZD) and include Goods and Services Tax (GST) at the current rate of 15%, as required by New Zealand tax law. GST Registration Number: 123-456-789.
Services provided are professional psychiatric services including assessment, diagnosis, treatment planning, and medication management. This Invoice covers consultations conducted both in-person at our Auckland CBD clinic and via secure telehealth platforms where applicable.
If you have private health insurance, please submit this Invoice to your provider for potential reimbursement. We can provide additional documentation upon request.
For any queries regarding this Invoice, please contact our billing department at [email protected] or call +64 9 555 0123 during business hours (Monday to Friday, 8:30 AM to 5:00 PM NZST).
Thank you for choosing Auckland Mind & Behaviour Clinic for your psychiatric care needs. We are committed to providing high-quality mental health services throughout Auckland and the wider New Zealand region.
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