Free template
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 it asks for
What is on the formThe secretary completes
- 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.
Open it in the sample practice
The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.
Sources
- The shipped template's field list (Brigid stationery v12), read 24 October 2026
Checked against the sources above on 23 September 2026. Issuers change their forms; check the official page before you rely on a detail here.
In Ask Brigid this paperwork sits beside the diary and the record: Invoices and card payments for private rooms.