Free Psychologist Invoice Template
A free, professional psychologist invoice template you can download as Word, Excel, PDF, or use in Google Docs and Sheets. Created for therapists and clinical psychologists, it includes session CPT codes, diagnosis codes, and the provider details clients need to file for out-of-network reimbursement. Works equally well as a private-pay receipt or a superbill.
Download the psychologist invoice template
Or build it online in 60 seconds
Use InvoiceSonic's free generator — auto-calculate tax, prefill your details, and email the PDF straight to your client. No formatting needed.
Try the live generator →What's on the psychologist invoice template
| Description | Qty | Unit price | Amount |
|---|---|---|---|
| Individual psychotherapy, 60 min (CPT 90837) | 1 | $200.00 | $200.00 |
| Initial diagnostic evaluation (CPT 90791) | 1 | $250.00 | $250.00 |
| Family/couples therapy session (CPT 90847) | 1 | $220.00 | $220.00 |
| Psychological testing & report (per hour) | 2 | $180.00 | $360.00 |
| Telehealth session fee | 1 | $175.00 | $175.00 |
| Subtotal | $1,205.00 | ||
| Sales tax (8%) | $96.40 | ||
| Total | $1,301.40 | ||
Example figures — every field is editable in the download.
Who uses this template
- ✓Clinical and counseling psychologists
- ✓Licensed therapists and LMFTs/LCSWs
- ✓Private-practice mental health providers
- ✓Out-of-network and concierge therapists
- ✓Neuropsychologists conducting assessments
What to include
- ✓Client name and date(s) of service
- ✓Provider name, license, and NPI
- ✓Practice Tax ID/EIN
- ✓CPT session codes with duration
- ✓ICD-10 diagnosis code
- ✓Fee, amount paid, and balance due
- ✓Statement that this serves as a superbill
Available in 5 formats
Word (.docx)
Fully editable in Microsoft Word, Google Docs, Apple Pages and LibreOffice — best for quick text edits.
Excel (.xlsx)
Line totals, subtotal and tax calculate automatically — best if you want the math done for you.
A clean, print-ready, fixed layout — best for emailing a finished invoice to a client.
Google Docs / Sheets
Open in your browser, then File → Make a copy to edit and share with your team.
Invoicing tips for psychologist
- ✓ Include the CPT session code and exact minutes so clients can claim out-of-network benefits
- ✓ Add your NPI and Tax ID — insurers reject superbills without them
- ✓ List one ICD-10 diagnosis code; out-of-network reimbursement usually requires it
- ✓ Mark telehealth sessions clearly, as some plans reimburse them differently
- ✓ Keep records HIPAA-aware and share only the minimum necessary client information
Psychologist invoice FAQ
What is a superbill for therapy?
A superbill is a detailed receipt that includes session CPT codes, an ICD-10 diagnosis, and the provider's NPI and Tax ID. Out-of-network clients submit it to their insurer to seek partial reimbursement.
Do I need a diagnosis code on the invoice?
For a simple private-pay receipt, no. But for a superbill that a client will submit to insurance, an ICD-10 diagnosis code is almost always required for reimbursement.
Are psychotherapy services taxable?
Professional mental-health services are generally exempt from sales tax in the US. The main concern is correct medical coding, not tax collection.
How should I bill telehealth sessions?
Use the appropriate CPT code with a telehealth place-of-service indicator or modifier. Note that it's a telehealth session on the invoice, since some plans reimburse virtual visits at different rates.
Related invoice templates
Prefer a specific format? Word invoice template · Excel invoice template · PDF invoice template · Google Docs invoice template · All invoice templates