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1. Practice Information: Legal business name, address, contact details, and professional registration numbers
2. Patient Information: Patient's full name, address, contact details, and unique reference number
3. Service Details: Description of treatment provided, date of service, duration, and treatment codes if applicable
4. Financial Summary: Itemized list of charges, subtotal, any applicable taxes, and total amount due
5. Payment Terms: Due date, accepted payment methods, and bank details where applicable
1. VAT Details: VAT registration number and breakdown (required only if practice is VAT registered)
2. Insurance Information: Insurance provider details, policy number, and claim information (include when billing to insurance companies)
3. Referral Information: Referring practitioner's details and reference numbers (include when patient was referred by another healthcare provider)
4. Additional Notes: Any special instructions, follow-up appointment details, or other relevant information
1. Treatment Record: Detailed breakdown of treatments provided including specific procedures and clinical notes
2. Payment Terms and Conditions: Full terms including late payment policies, cancellation fees, and dispute resolution procedures
3. Insurance Documentation: Required forms and supporting documentation for insurance claims processing
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