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Invoice Psychologist in Australia Brisbane –Free Word Template Download with AI

Dr. Sarah Jenkins, MAPS

Level 4, 123 Queen Street

Spring Hill, Queensland 4000

Australia Brisbane

ABN: 12 345 678 901

Phone: +61 7 3000 0000

Email: [email protected]

Payment Due on Receipt

Bill To:

Mr. James Anderson

45 River Terrace

New Farm, Queensland 4005

Australia Brisbane

Client ID: BA-2023-899

Invoice Details:

Invoice Number: INV-2023-10-045

Date Issued: 24 October 2023

Due Date: 24 October 2023

Service Period: 17 Oct 2023 - 24 Oct 2023

Description of Psychological Services Date MBS Item Amount (AUD)
Initial Psychological Assessment
Comprehensive clinical interview and cognitive assessment conducted in Brisbane. Includes formulation of treatment plan and diagnostic evaluation.
17/10/2023 Item 2727 $285.00
Individual Psychology Session (Standard)
Cognitive Behavioral Therapy (CBT) session focusing on anxiety management strategies.
20/10/2023 Item 10000 $245.00
Individual Psychology Session (Standard)
Continuation of CBT protocol and homework review.
24/10/2023 Item 10000 $245.00
Subtotal $775.00
GST (10%) $77.50
TOTAL DUE $852.50
Payment Instructions & Medicare Rebate Information:
Please note that this invoice is for services provided by a registered Psychologist in Australia Brisbane.

Medicare Rebates: If you have a valid Mental Health Treatment Plan from your GP, you may be eligible for a Medicare rebate. The rebate amount is deducted from the total fee at the time of service if you provide your Medicare card. The amount shown above represents the out-of-pocket expense remaining after any applicable rebates have been applied.

Payment Methods:
  • Bank Transfer: Brisbane Clinical Psychology, BSB: 062-000, Account: 12345678
  • Credit Card: Visa, Mastercard, and Amex accepted via secure payment portal.

Terms and Conditions:

This invoice represents a formal request for payment for professional psychological services rendered. As a registered Psychologist operating under the Psychology Board of Australia, all services are provided in accordance with the Australian Health Practitioner Regulation Agency (AHPRA) standards.

Please ensure that your payment is made within the due date to avoid any administrative delays in your ongoing care. If you have any questions regarding this invoice, the MBS item numbers listed, or the services provided in our Brisbane clinic, please contact our administration team immediately.

Thank you for trusting Brisbane Clinical Psychology with your mental health journey. We are committed to providing high-quality, evidence-based care to the community of Australia Brisbane.

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