Invoice Psychologist in New Zealand Wellington –Free Word Template Download with AI
Registered Clinical Psychologist
Member of the New Zealand Psychological Society
Serving the Wellington Region with Compassion and Expertise
Invoice Number: INV-WLG-2023-089
Date Issued: 24 October 2023
Due Date: 07 November 2023
From (Service Provider)
Dr. Sarah Jenkins, PhD
Registered Psychologist
Suite 4B, Lambton Quay Business Centre
123 Lambton Quay
Wellington Central, Wellington 6011
New Zealand
Phone: +64 4 555 0199
Email: [email protected]
IRD Number: 12-345-678
Bill To (Client)
Mr. James T. Anderson
45 Oriental Parade
Oriental Bay
Wellington 6011
New Zealand
Reference: Private Health Insurance Claim #998877
| Description of Psychological Services | Date | Duration | Rate (NZD) | Amount (NZD) |
|---|---|---|---|---|
|
Initial Clinical Assessment & Intake Comprehensive psychological evaluation conducted in Wellington. Includes history taking, symptom assessment, and formulation of a treatment plan tailored to the client's needs within the New Zealand healthcare context. |
10 Oct 2023 | 90 mins | $280.00 | $280.00 |
|
Individual Psychotherapy Session (CBT) Cognitive Behavioral Therapy session focusing on anxiety management strategies. Conducted at the Wellington Central clinic. |
17 Oct 2023 | 50 mins | $220.00 | $220.00 |
|
Individual Psychotherapy Session (CBT) Continuation of treatment plan. Review of coping mechanisms and homework assignments. |
24 Oct 2023 | 50 mins | $220.00 | $220.00 |
|
Psychological Report Writing Preparation of a detailed clinical report for the client's GP or insurance provider, adhering to New Zealand Psychological Society standards. |
25 Oct 2023 | Flat Fee | $350.00 | $350.00 |
Payment Instructions & Terms
Please ensure payment is made within 14 days of the invoice date. As a registered Psychologist operating in New Zealand Wellington, all fees are quoted in New Zealand Dollars (NZD) and include the mandatory 15% Goods and Services Tax (GST) as required by Inland Revenue (IRD).
Bank Transfer Details:
Bank: ANZ New Zealand
Account Name: Wellington Mind & Wellness Ltd
Account Number: 01-0123-0456789-00
Reference: INV-WLG-2023-089
Health Insurance: This invoice is formatted to meet the requirements of most major New Zealand health insurance providers (e.g., Southern Cross, AA Health, VHI). Please retain this document for your reimbursement claims. If you require a specific format for your insurer, please contact the clinic.
Cancellation Policy: Please note that our Wellington clinic requires 24 hours' notice for cancellations. Late cancellations or no-shows may incur a fee of 50% of the session cost.
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