Invoice Psychologist in New Zealand Auckland –Free Word Template Download with AI
Dr. Sarah Jenkins, PhD, Psychologist
Member of the New Zealand Psychological Society (NZPS)
Level 4, 123 Queen Street
Auckland CBD, Auckland 1010
New Zealand
Phone: +64 9 555 0123
Email: [email protected]
IRD Number: 123-456-789
Invoice Number: INV-2023-10-045
Date Issued: 24 October 2023
Due Date: 07 November 2023
Payment Terms: Net 14 Days
Bill To:
Mr. James Thompson
45 Ponsonby Road
Ponsonby, Auckland 1011
New Zealand
Phone: +64 21 555 9876
Email: [email protected]
Service Location:
Consultation conducted at:
Auckland Mind & Wellness Centre
Auckland CBD, New Zealand
Client Reference: JTH-2023-PSY
Accredited Provider: Yes (Accredited for ACC & Private Health)
| # | Description of Psychological Services | Date of Service | Quantity (Hours) | Rate (NZD) | Amount (NZD) |
|---|---|---|---|---|---|
| 1 |
Initial Clinical Assessment & Intake Interview Comprehensive psychological evaluation conducted by a registered Psychologist in Auckland. Includes history taking, symptom assessment, and formulation of initial treatment plan. |
01 Oct 2023 | 1.5 | $280.00 | $420.00 |
| 2 |
Cognitive Behavioural Therapy (CBT) Session Individual therapy session focusing on anxiety management techniques and cognitive restructuring. |
08 Oct 2023 | 1.0 | $280.00 | $280.00 |
| 3 |
Cognitive Behavioural Therapy (CBT) Session Continuation of individual therapy, focusing on exposure exercises and coping strategies. |
15 Oct 2023 | 1.0 | $280.00 | $280.00 |
| 4 |
Psychological Report Writing Preparation of a detailed clinical report summarizing assessment findings and recommendations for ongoing care. |
20 Oct 2023 | 2.0 | $280.00 | $560.00 |
| 5 |
Administrative & Record Keeping Time spent on clinical documentation, secure file management, and coordination with referring GP in Auckland. |
22 Oct 2023 | 0.5 | $280.00 | $140.00 |
| Subtotal: | $1,680.00 |
| GST (15%): | $252.00 |
| Total Due (NZD): | $1,932.00 |
Payment Instructions
Please make payment via bank transfer to the following account:
Bank: ANZ New Zealand
Account Name: Auckland Mind & Wellness Centre Ltd
Account Number: 01-0123-0456789-00
Reference: INV-2023-10-045
Note: Please include your invoice number as the payment reference to ensure timely allocation.
Important Notes & Terms of Service
This invoice is issued by a registered Psychologist operating within Auckland, New Zealand, in accordance with the Health Practitioners Competence Assurance Act 2003. All services provided are confidential and adhere to the ethical guidelines set by the New Zealand Psychological Society.
GST: Goods and Services Tax (GST) at 15% is applicable as per New Zealand tax law. This invoice is GST-compliant and can be used for tax deduction purposes where eligible.
Payment Terms: Payment is due within 14 days of the invoice date. Late payments may incur a late fee of 5% after 30 days. Please contact our billing department if you are experiencing financial hardship; we may be able to discuss payment plans or ACC (Accident Compensation Corporation) eligibility.
ACC & Health Insurance: If your treatment is related to an accident, please ensure you have an ACC claim number. This invoice can be submitted to ACC or your private health insurer for reimbursement. Please retain a copy of this invoice for your records.
Queries: For any questions regarding this invoice, please contact us at [email protected] or call +64 9 555 0123 during business hours (Monday–Friday, 9:00 AM – 5:00 PM NZST).
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