Invoice Psychologist in United Kingdom Birmingham –Free Word Template Download with AI
BSc (Hons) Psychology, MSc Clinical Psychology, DClinPsy
Registered with the Health and Care Professions Council (HCPC)
Member of the British Psychological Society (BPS)
15 Colmore Row, Birmingham, B3 2BH, United Kingdom Birmingham
Tel: +44 (0)121 456 7890
Email: [email protected]
Website: www.birminghampsychology.co.uk
Invoice Number: INV-2024-0847
Date Issued: 15th October 2024
Due Date: 15th November 2024
Payment Status: PENDING
Bill To:
Mr. James Thompson
42 Edgbaston Park Road
Edgbaston, Birmingham, B15 2RS
United Kingdom Birmingham
Email: [email protected]
Phone: +44 (0)7700 900123
Service Location:
Private Consultation Room
15 Colmore Row, Birmingham, B3 2BH
United Kingdom Birmingham
NHS Reference (if applicable): N/A
Insurance Provider: Bupa UK
Policy Number: BUPA-789456123
| # | Description of Psychological Services | Date of Service | Hours | Rate (£) | Amount (£) |
|---|---|---|---|---|---|
| 1 |
Initial Clinical Assessment Comprehensive psychological evaluation including clinical interview, cognitive assessment, and formulation of treatment plan. Conducted at Birmingham practice. |
01/10/2024 | 1.5 | 150.00 | 225.00 |
| 2 |
Individual Cognitive Behavioral Therapy (CBT) Session One-to-one therapy session focusing on anxiety management techniques and cognitive restructuring. |
08/10/2024 | 1.0 | 120.00 | 120.00 |
| 3 |
Individual Cognitive Behavioral Therapy (CBT) Session Continuation of therapy focusing on exposure exercises and behavioral activation strategies. |
15/10/2024 | 1.0 | 120.00 | 120.00 |
| 4 |
Psychological Report Writing Preparation of detailed clinical report for insurance purposes, including diagnosis, treatment summary, and prognosis. |
18/10/2024 | 2.0 | 100.00 | 200.00 |
| 5 |
Telephone Consultation Brief follow-up consultation regarding medication review coordination with GP in Birmingham. |
22/10/2024 | 0.5 | 80.00 | 40.00 |
| Subtotal: | £685.00 |
| VAT (20%): | £137.00 |
| Discount (Early Payment): | -£0.00 |
| TOTAL AMOUNT DUE: | £822.00 |
Payment Instructions
Please make payment within 30 days of the invoice date to avoid late fees.
Bank Transfer (Preferred):
Bank Name: Barclays Bank UK PLC
Account Name: Dr. Sarah Mitchell Psychology Services
Sort Code: 20-00-00
Account Number: 12345678
IBAN: GB29 BARC 2000 0012 3456 78
Reference: INV-2024-0847
Alternative Payment Methods: Cheque payable to "Dr. Sarah Mitchell" or credit card via secure online portal.
Terms and Conditions
1. This invoice is issued by a registered Psychologist practicing in Birmingham, United Kingdom Birmingham, in accordance with HCPC standards.
2. Payment is due within 30 days of the invoice date. Late payments may incur a 5% late fee after 60 days.
3. All psychological services provided are confidential and comply with UK data protection laws (GDPR).
4. If you have any questions regarding this invoice or the services provided, please contact the Psychologist directly at the Birmingham office.
5. Insurance claims: This invoice can be submitted to your insurance provider for reimbursement. Please retain a copy for your records.
6. VAT Registration Number: GB 123 4567 89
7. Company Registration Number: 12345678 (England & Wales)
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT