Free template · PDF
Medical invoice template
An invoice a patient can pay, keep and claim back from, in euro, with room for itemised fees.
Download the PDFFree, no sign-up. Fill it in on screen or print it.

What is on the form
- Practice details, invoice number, date and due date
- Bill to: name, email and address
- Itemised lines: description, quantity, unit price and amount in euro
- Subtotal, VAT and total
- Payment received
- How to claim this back: space for the insurer or tax-relief note the patient needs
Using it well
- Number invoices in sequence so they reconcile against the practice accounts.
- Whether a fee carries VAT depends on the service; ask your accountant which lines apply and leave the VAT line blank when none does.
- Use the claim-back box for what the patient needs to hand to their insurer, or to keep for health-expenses tax relief.
Less paperwork to fill in at all.
Ask Brigid raises invoices and takes patient card payments, including tap to pay in the room. Invoices and card payments for private rooms.
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