The Patient Receipt Template is designed for use in healthcare settings across England and Wales to document financial transactions and services provided to patients. This template ensures compliance with UK healthcare regulations, including the Health and Social Care Act 2012 and data protection legislation. It provides a standardized format for recording patient details, treatment information, and payment confirmation, serving as both a financial record and proof of service delivery. The template is particularly important for maintaining accurate financial records, supporting insurance claims, and meeting regulatory requirements for healthcare providers.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Patient Information: Full name, date of birth, NHS number, contact details of the patient
2. Service Details: Description of healthcare service(s) provided, including date of service
3. Payment Information: Amount paid, payment method, date of payment, and receipt number
4. Healthcare Provider Details: Provider name, registration number, contact information, and practice details
5. Data Protection Notice: Standard notice about how the receipt information will be processed and stored
1. Insurance Details: Information about insurance coverage, policy numbers, and claim details when payment is made through insurance
2. Prescription Details: Medication information, dosage, and costs when medications are dispensed as part of the service
3. Follow-up Information: Details of future appointments or treatments when ongoing care is planned
4. VAT Information: VAT breakdown and registration details where applicable for VAT-registered healthcare services
1. Schedule A - Itemized Cost Breakdown: Detailed breakdown of individual charges and services provided
2. Schedule B - Treatment Plan: Copy of agreed treatment plan and associated costs
3. Schedule C - Insurance Claim Details: Relevant insurance claim forms and coverage information
4. Schedule D - Terms and Conditions: Standard terms and conditions including payment policies and data protection information
Relevant legal definitions
Clauses
Relevant Industries
Relevant Teams
Relevant Roles
Find the exact document you need
Printable Mechanic Invoice
A legally compliant mechanic's invoice template for use in England and Wales, designed to document automotive repairs and services.
find out more
Patient Receipt
A legally compliant template for recording patient payments and healthcare services provided, governed by English and Welsh law.
find out more
HVAC Service Order Invoice
An English and Welsh law-compliant invoice template for HVAC services, including essential service details and billing information.
find out more
Invoice Statement
A legally compliant invoice template for use in England and Wales, structured to meet UK billing and VAT requirements.
find out more
Home Improvement Invoice
A legally compliant invoice template for home improvement works in England and Wales, structured to meet UK regulatory requirements.
find out more
Car Dealership Invoice
A standardized invoice template for vehicle sales transactions in England and Wales, compliant with UK automotive retail regulations.
find out more
Invoice With Signature
A legally compliant invoice template with signature requirement for use under English and Welsh law.
find out more
Computer Generated Invoice
A legally compliant computer-generated invoice template for use in England and Wales, meeting all UK billing and VAT requirements.
find out more
Check Receipt
A legally compliant template for acknowledging check payments under English and Welsh law.
find out more
Export Commercial Invoice
A legally compliant document under English and Welsh law that details international sales transactions for customs and tax purposes.
find out more
Auto Repair Invoice
A legally compliant template for billing automotive repair services in England and Wales.
find out more
Small Engine Repair Invoice
A legally compliant invoice template for small engine repairs under English and Welsh law, providing detailed service and cost breakdown.
find out more
Simple Rent Receipt
A legal document under English and Welsh law that provides proof of rent payment from tenant to landlord.
find out more
Sales Tax Invoice
A standardized sales invoice template compliant with England and Wales VAT legislation, incorporating all HMRC-required elements for tax reporting and payment collection.
find out more
Professional Services Invoice
A legally compliant template for billing professional services in England and Wales, meeting all UK regulatory requirements.
find out more
One Off Invoice
A legally compliant template for single-instance billing under English and Welsh law.
find out more
Independent Consultant Invoice
A legally compliant template for independent consultants to bill their services under English and Welsh law.
find out more
Gardening Services Invoice
A legally-compliant invoice template for gardening services under English and Welsh law, designed for professional billing of gardening and landscaping work.
find out more
Billing Statement
A legally compliant template for issuing bills and invoices under English and Welsh law.
find out more
Labor Receipt
A standardized template for documenting wage payments and deductions under English and Welsh employment law.
find out more
End Of Tenancy Cleaning Invoice
A standardized billing document for end of tenancy cleaning services, compliant with England and Wales legislation.
find out more
Car Proforma Invoice
A standardized template for preliminary vehicle sales documentation under English and Welsh law, detailing vehicle specifications and sale terms.
find out more
Gas Invoice
A legally compliant gas supply invoice template for use in England and Wales, incorporating all required billing elements and regulatory requirements.
find out more
Per Diem Invoice
A standardized template for claiming daily allowances under English and Welsh law, compliant with HMRC guidelines and business documentation requirements.
find out more
Grant Invoice
A standardized template for claiming grant payments under English and Welsh law, ensuring compliance with UK financial regulations and grant terms.
find out more
Water Invoice
A standardized template for water service billing in England and Wales, compliant with UK water industry regulations.
find out more
Car Recovery Invoice
A legally compliant template for vehicle recovery invoicing under England and Wales law.
find out more
Open Source Invoice
A legally compliant, open-source invoice template for use under English and Welsh law.
find out more
Travel Expenses Invoice
A template for claiming travel expenses, compliant with English and Welsh law and HMRC requirements.
find out more
Roadside Assistance Invoice
A legally compliant invoice template for roadside assistance services under English and Welsh law.
find out more
Line Item Invoice
A legally compliant invoice template under English and Welsh law for itemized billing of goods or services.
find out more
Classic Invoice
A standardized billing document compliant with English and Welsh law, used to request payment for goods or services.
find out more
Parts And Labor Invoice
A legally compliant template for billing parts and labor charges under English and Welsh law.
find out more
Cab Receipt
A legally compliant taxi receipt template for services in England and Wales, documenting journey details and payment information.
find out more
Masonry Invoice
A standardized billing template for masonry works in England and Wales, compliant with UK construction industry regulations and tax requirements.
find out more
Credit Card Invoice
A regulated credit card statement template under English and Welsh law for documenting monthly card activity and charges.
find out more
Chiropractic Invoice
A legally compliant invoice template for chiropractic services in England and Wales, meeting UK healthcare and financial regulations.
find out more
Home Repair Invoice
A legally compliant template for billing home repair services in England and Wales, incorporating essential business and customer information, work details, and payment terms.
find out more
Time And Material Invoice
A legally compliant template for billing time and materials under English and Welsh law, including detailed cost breakdowns and VAT requirements.
find out more
Tradesman Invoice
A legally-compliant invoice template for tradespeople in England and Wales, designed to facilitate proper billing and payment collection.
find out more
ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)