Health & Wellness
Mental Health & Counseling

Teletherapy Invoice Template

Professional invoice template for online therapy sessions, mental health counseling, and telepsychology services with HIPAA compliance

Total Fields
26

What's Included in This Template

Dr. Sarah Johnson, Licensed Therapist
123 Wellness Center Suite 200 Austin, TX 78701
Tel: (512) 555-0123
Email: dr.johnson@mentalwellness.com
INVOICE
Invoice #:TH-2024-0456
Date:2024-01-15
Due Date:2024-01-29
Bill To:
John Smith
DescriptionQtyRateAmount
Individual therapy session (60 minutes) - Cognitive Behavioral Therapy1£120.00£120.00
Subtotal:£120.00
0
Total:£120.00
Payment Information
Payment Terms: Payment due within 14 days. Late cancellations (less than 24 hours notice) will be charged full session fee.
Session conducted via secure HIPAA-compliant video platform. For insurance reimbursement, please submit this invoice to your provider with your client ID.

Invoice Fields & Customization

Customize your Teletherapy Invoice Template with essential and optional fields to match your business needs.

Required Fields

These fields must be filled in for a complete, professional invoice.

Invoice Number
text

Unique invoice identifier

Example: INV-001
Invoice Date
date

Date the invoice was issued

Due Date
date

Payment due date

Business Name
text

Name of your health/wellness practice

Example: Your Practice Name
Business Address
textarea

Your business address

Example: 123 Main Street City, State ZIP
Business Email
email

Your business email address

Example: practice@example.com
Client Name
text

Name of the client receiving services

Example: Client Name
Service Date
date

Date the service was provided

Session Duration (minutes)
number

Duration of therapy/coaching session in minutes

Example: 60
Line Items
lineItems

Services and charges

Subtotal
number

Total before tax

Total Amount
number

Final amount due

Optional Fields

Additional fields you can include based on your specific business requirements.

Business Phone
phone

Your business phone number

Example: (555) 123-4567
Professional License Number
text

Professional license or registration number

Example: LIC-123456
Session Type
text

Type of session (individual, couples, group, etc.)

Example: Individual Therapy
Package Details
textarea

Details about session packages or remaining sessions

Example: 10-session package, 3 sessions remaining
Company Registration Number
text

Company registration number

Example: 12345678
VAT Number
text

VAT registration number

Example: GB123456789
Client Address
textarea

Client address

Example: 456 Oak Avenue City, State ZIP
Client Email
email

Client email address

Example: client@example.com
VAT Amount
number

VAT/tax amount (many healthcare services are VAT-exempt)

Bank Name
text

Name of your bank

Example: Bank Name
Account Number
text

Bank account number

Example: 12345678
Sort Code
text

Bank sort code

Example: 12-34-56
Payment Terms
textarea

Payment terms and conditions

Example: Payment due within 14 days
Notes
textarea

Any additional notes or instructions

Example: Additional notes or information

Health & Wellness Industry Compliance Standards

Important compliance requirements for health & wellness

REQUIREDHIPAA Compliance

Ensure invoice does not contain sensitive health information or diagnosis details. Only include service dates, durations, and general service descriptions.

REQUIREDProfessional Credentials

Include therapist license number and credentials (LCSW, LMFT, PhD, PsyD, etc.) to demonstrate professional qualifications.

REQUIREDSession Documentation

Record session date, duration, and type (individual, couples, family, group therapy) for proper documentation and insurance purposes.

RECOMMENDEDCancellation Policy

Reference cancellation and no-show fee policy in invoice terms to set clear expectations and protect practice revenue.

Download Options

🎁 Free Account: Sign up to get unlimited template downloads at no cost.

More Health & Wellness Templates

View All Templates

Invoice Template Benefits

Key advantages of using our free invoice template generator for Mental Health & Counseling professionals.

Teletherapy Billing Optimization

Streamlined invoicing for video counseling and online therapy sessions with session duration tracking

HIPAA Compliance Built-In

Privacy-protected invoice template safeguards client confidentiality and reduces legal liability

Licensed Credentials Display

Professional format showcases therapist qualifications (LMFT, LCSW, LPC, PsyD) building client trust

Insurance Reimbursement Support

Clear documentation with CPT codes facilitates out-of-network insurance claims and superbills

Multi-Session Pricing

Flexible billing for individual therapy, couples counseling, family sessions, and group therapy rates

Cancellation Policy Protection

Built-in late cancellation and no-show fee references protect practice revenue

Therapy Modality Tracking

Supports billing for CBT, DBT, EMDR, psychodynamic therapy, and specialized treatment approaches

Session Documentation Accuracy

Easy tracking of 30-min, 45-min, and 60-min sessions ensures proper billing codes

Professional Practice Image

Polished invoice format reflects high-quality mental health services and attracts premium clients

Administrative Time Savings

Pre-formatted template reduces therapist paperwork burden, allowing more time for client care

Dual Payment Workflows

Accommodates both private pay clients and insurance billing with customizable line items

Cash Flow Improvement

Clear payment terms and session package pricing reduce late payments and billing disputes

Insurance Code Integration

Customizable notes section for diagnosis codes (ICD-10), CPT codes, and prior authorization references

Common Use Cases

What Mental Health & Counseling businesses use our professional invoice templates. Are you one of them?

1

Licensed therapist billing clients for weekly individual therapy sessions

2

Marriage counselor invoicing couples for relationship counseling

3

Psychiatrist billing for medication management appointments

4

Clinical social worker invoicing for trauma-focused therapy (EMDR)

5

Addiction counselor billing for substance abuse treatment sessions

6

Family therapist invoicing for multi-person family counseling

7

Group therapy facilitator billing participants for weekly group sessions

8

Crisis counselor invoicing for emergency intervention services

9

Telepsychology provider billing for online psychological evaluations

10

Mental health practice billing insurance companies for therapy services

11

Behavioral health specialist invoicing for DBT skills training groups

12

Child psychologist billing parents for play therapy sessions

13

Grief counselor invoicing clients for bereavement support services

14

Career counselor billing for vocational therapy and life transitions

15

Eating disorder specialist invoicing for specialized treatment programs

Need Enterprise-Level Invoice Processing?

Unlimited invoices, custom ML training, white-label options, dedicated support, and more.