Invoice template for self-pay patients

Healthcode's free medical billing template can be used directly to bill self-pay patients. The template form is from The Industry's Guide to Billing, a set of guidelines which enable medical professionals to bill to a common standard.

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Download template

For self-pay patients, the below template can be used to directly bill the patient - please see download version below Should indicate when the treatment was carried out. Description of the service carried out and procedure information if the treatment was procedural. Whether the care is delivered as an inpatient, outpatient, day case, or consulting room.

Download template

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