Invoice Surgeon in New Zealand Auckland –Free Word Template Download with AI
Dr. James H. Wilson, FRACS
Level 12, SkyCity Tower
8 Federal Street, Auckland CBD
Auckland 1010, New Zealand
Phone: +64 9 309 5500 | Email: [email protected]
BN: 942-881-223 | GST Reg: 942-881-223-000
Invoice Number: INV-AKL-2023-8942
Date Issued: 24 October 2023
Due Date: 24 November 2023
Reference: SURG-OP-4491
Bill To
Ms. Sarah Jenkins
142 Remuera Road
Remuera, Auckland 1050
New Zealand
Email: [email protected]
Patient Details
Patient Name: Ms. Sarah Jenkins
Date of Birth: 15 March 1985
NHI Number: JENK85A15F12345
Procedure Date: 10 October 2023
Facility: Auckland City Hospital
| # | Description of Surgical Services | Code / Ref | Unit Price (NZD) | Total (NZD) |
|---|---|---|---|---|
| 1 |
Pre-Operative Surgical Consultation Comprehensive assessment in Auckland clinic, including medical history review, physical examination, and surgical planning discussion. |
CONS-001 | 450.00 | 450.00 |
| 2 |
Primary Surgical Procedure: Laparoscopic Cholecystectomy Performance of keyhole surgery by qualified Surgeon Dr. J.H. Wilson. Includes anesthesia coordination, operative time, and surgical technique fees. |
SURG-4491 | 4,200.00 | 4,200.00 |
| 3 |
Surgeon's Professional Fee - Anesthesia Liaison Coordination with anesthesiologist regarding patient safety protocols specific to the procedure performed in Auckland. |
ANES-LIA | 350.00 | 350.00 |
| 4 |
Post-Operative Recovery Monitoring (Surgeon's Time) Immediate post-surgical assessment and monitoring in the recovery ward to ensure patient stability following the operation. |
POST-REC | 600.00 | 600.00 |
| 5 |
Surgical Supplies and Implants (Surgeon's Selection) Cost of specialized laparoscopic instruments, clips, and sutures utilized during the procedure. |
SUPP-005 | 850.00 | 850.00 |
| 6 |
Follow-Up Consultation (Week 2) Post-operative wound check, suture removal (if applicable), and review of recovery progress at Auckland Surgical Specialists clinic. |
FOLL-002 | 300.00 | 300.00 |
| 7 |
Medical Certification and Documentation Preparation of surgical report, discharge summary, and sick leave certificates required for employer or insurance purposes in New Zealand. |
DOC-001 | 150.00 | 150.00 |
Payment Instructions
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer or credit card.
Bank Transfer Details:
Bank: ANZ New Zealand
Account Name: Auckland Surgical Specialists Ltd
Account Number: 01-0123-0456789-00
Reference: INV-AKL-2023-8942
Important Notes
This invoice represents the professional fees charged by the Surgeon for services rendered. It does not include hospital facility fees, which are billed separately by Auckland City Hospital.
All amounts are quoted in New Zealand Dollars (NZD). GST is calculated in accordance with New Zealand tax laws.
If you have private health insurance, please submit this invoice to your provider for reimbursement of eligible expenses. ACC contributions have been deducted where applicable for covered injuries.
For any queries regarding this invoice, please contact our billing department in Auckland during business hours (Monday-Friday, 8:30 AM - 4:30 PM NZST).
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