Invoice Psychiatrist in United Kingdom Birmingham –Free Word Template Download with AI
140 Colmore Row, Suite 5B
Birmingham, B3 3AP
United Kingdom
Tel: +44 (0)121 456 7890
Email: [email protected]
Date of Issue: 24 October 2023
Due Date: 24 November 2023
Reference: Patient ID #8842-BHM Bill To Mr. James Sterling
42 Moseley Road
Edgbaston, Birmingham
B12 9AA
United Kingdom
Email: [email protected] From Vance Private Psychiatry Practice
Registered in England & Wales
Company No: 12345678
VAT Registration No: GB 987 6543 21
GMC Registration No: 1234567 Description of Services Rendered
| # | Description | Date | Unit Price (GBP) | Total (GBP) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Psychiatric Assessment Conducted at Vance Private Psychiatry Practice, Birmingham. Includes full clinical history, mental state examination, risk assessment, and formulation of diagnosis. Duration: 90 minutes. |
10 Oct 2023 | £350.00 | £350.00 |
| 2 |
Follow-up Psychiatric Consultation Review of treatment plan, medication efficacy, and side effect monitoring. Duration: 45 minutes. |
17 Oct 2023 | £200.00 | £200.00 |
| 3 |
Psychiatric Report for Employer Preparation of a detailed medical report regarding fitness to work and recommended workplace adjustments, compliant with UK Equality Act 2010 standards. |
20 Oct 2023 | £250.00 | £250.00 |
| 4 |
Medication Management & Prescription Administration of prescription and ongoing pharmacological management review. |
20 Oct 2023 | £50.00 | £50.00 |
Payment Instructions
Payment is due within 30 days of the invoice date. Please make all payments via Bank Transfer to the account detailed below. Please quote the Invoice Number (INV-2023-10-042) as the payment reference.
Bank Name: HSBC UK
Account Name: Vance Private Psychiatry Practice Ltd
Sort Code: 40-02-50
Account Number: 12345678
IBAN: GB29 HSBK 4002 5012 3456 78
BIC/SWIFT: HSBKGB2L
Terms and Conditions
- Professional Standards: All psychiatric services provided by Dr. Eleanor Vance are conducted in accordance with the guidelines set by the General Medical Council (GMC) and the Royal College of Psychiatrists.
- Confidentiality: Patient data is handled in strict compliance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018. Information is shared only with explicit consent or where legally required.
- Cancellation Policy: Appointments cancelled with less than 48 hours' notice may be subject to a 50% cancellation fee.
- Disputes: Any disputes regarding this invoice should be raised in writing within 14 days of the invoice date.
- Jurisdiction: These terms are governed by the laws of England and Wales.
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