Medical Invoice Template

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A medical invoice template is designated for any licensed professional that cares for patients in any health-related field. Such designations include, but are not limited to, doctors (physicians), dentists, physical therapists, psychologists, psychiatrists, nurses, chiropractors, and any other medical professional.

Medical Debt Relief Act of 2018 – Requires medical bills that have been transferred to collections to notify the patient for one-hundred and eighty (180) days before it can be reported to a credit agency. If paid by the patient the debt must be removed from the credit report within forty-five (45) days.

Invoice Types


Ambulance Service Invoice Template

The ambulance service invoice is a bill sent to a patient by a health care facility requesting payment for costs associated with EMS services. An ambulance provides medical attention in the form of out-of-hospital treatment and transport ranging from basic

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161 Downloads

Caregiver Invoice Template

The caregiver invoice template is a document indicating a charge which must be paid by a customer or client for the services they received from a caregiver. The charge can be for a variety of services ranging from attending to

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122 Downloads

Chiropractor Invoice Template

The chiropractor invoice template is used to request payment for medical services performed by a professional chiropractor. In most scenarios, the invoice will be produced by the chiropractor or their medical staff and given to the patient after having provided

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118 Downloads

Dental Invoice Template

Download the dental invoice template, which may be used to bill patients who receive many types of dental services, including routine cleanings, whitenings, fillings, and other procedures. Document all the materials and equipment you use for each procedure to be

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896 Downloads

Doctor (Physician) Invoice Template

The doctor (physician) invoice can be used by any licensed physician to bill a patient for services completed based on their medical practice. The invoice should be very detailed in regard to the descriptions of procedures, examinations, tests, reviews, and

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257 Downloads

Hospital Bill Invoice Template

The hospital bill invoice is used to bill patients for hospital visits, including tests, assessments, surgeries and any other procedures performed during a patient’s stay. The hospital will include a brief description of all medical care administered to the patient

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247 Downloads

Medical Expert Witness Invoice Template

The medical expert witness invoice is issued by a health care consultant, usually hired for their testimony or deposition, who has been consulted for their knowledge in a particular medical field. This type of witness consulting is common in malpractice

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144 Downloads

Medical Insurance Invoice Template

The medical insurance invoice is an overview of a person’s insurance plan and the premiums that they must pay to the insurance company. Included on the invoice will be the company and client information as well as the type of

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124 Downloads

Medical Records Request Invoice Template

The medical records invoice is sent to bill a patient for the request and transfer of their health care history. In accordance with § 45 CFR 164.524(c)(4), a medical office may charge a patient for the labor, supplies, postage, and preparing

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124 Downloads

Nurse Invoice Template

The nurse invoice template serves as a bill for any type of health care service provided by a nurse. Such services may include the administration of medication, physical examinations, wound treatment, patient history review, and health counseling. The invoice should provide

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85 Downloads

Pharmacy Invoice Template

The pharmacy invoice template states an amount of money which must be paid by a customer to a pharmacy. The charge can be for any medication or goods obtained by the customer as well as a service fee (if applicable).

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151 Downloads

Psychiatrist Invoice Template

The psychiatrist invoice template is a request for payment of a sum owed to a psychiatrist by a patient. The invoice provides space for a description of the treatment which should be recorded next to the appropriate charge. If the

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85 Downloads

Psychologist Invoice Template

The psychologist invoice is a bill sent to a psychologist’s client requesting payment for counseling, therapy, or other mental health treatments or appointments. A psychologist will almost always charge an hourly rate for their services but may bill their clients

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87 Downloads

Therapist Invoice Template

The therapist invoice describes the charges which must be paid by a patient after having received therapy. The invoice may be used for a wide range of services including family or couples therapy, physiotherapy, psychotherapy, and dialectical behavior therapy. After

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118 Downloads