Free Therapy Invoice Template Invoice Template
A free therapy invoice template for counselors and mental-health practitioners, downloadable in Word, Excel, PDF, or Google Docs. Set up as a superbill-ready invoice with CPT session codes, diagnosis fields, and the details clients need for insurance reimbursement.
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| Description | Qty | Unit price | Amount |
|---|---|---|---|
| Individual psychotherapy, 60 min (CPT 90837) | 4 | $175.00 | $700.00 |
| Individual psychotherapy, 45 min (CPT 90834) | 1 | $150.00 | $150.00 |
| Diagnostic evaluation intake (CPT 90791) | 1 | $225.00 | $225.00 |
| Couples / family therapy session (CPT 90847) | 1 | $200.00 | $200.00 |
| Late cancellation / no-show fee | 1 | $100.00 | $100.00 |
| Subtotal | $1,375.00 | ||
| Sales tax (8%) | $110.00 | ||
| Total | $1,485.00 | ||
Example figures — every field is editable in the download.
Who uses this template
- ✓Licensed therapists (LMFT, LCSW, LPC)
- ✓Private-practice psychologists
- ✓Counselors offering superbills
- ✓Group practice administrators
- ✓Out-of-network mental health providers
What to include
- ✓Provider name, license number, and NPI
- ✓Client name and dates of service
- ✓CPT/service code and session length per visit
- ✓ICD-10 diagnosis code (for superbills)
- ✓Fee paid and amount applied to deductible
- ✓Tax ID / EIN for insurance submission
- ✓Statement that fees were paid out of pocket
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 therapy invoice template
- ✓ Format the invoice as a superbill with CPT codes, ICD-10 diagnosis, NPI, and EIN so clients can submit for out-of-network reimbursement.
- ✓ List each dated session on its own line — insurers reject superbills that lump multiple visits together.
- ✓ Charge and document late-cancellation/no-show fees separately; they are not reimbursable and shouldn't carry a CPT code.
- ✓ Mark clearly that payment was made by the client so the document doubles as a paid receipt.
- ✓ Keep a saved superbill template per common code (90791, 90834, 90837) to issue monthly statements quickly.
Therapy Invoice Template invoice FAQ
What is a therapy superbill?
A superbill is an itemized invoice with CPT codes, ICD-10 diagnosis, and your NPI/EIN that clients submit to their insurer for out-of-network reimbursement. This template includes all required fields.
Which CPT codes go on a therapy invoice?
Common ones are 90791 (intake evaluation), 90834 (45-min session), 90837 (60-min session), and 90847 (family/couples). Use the code that matches each session length and type.
Do therapists charge sales tax?
Mental-health and medical services are exempt from sales tax in essentially all states. You do not add sales tax to therapy sessions.
Can I bill no-show fees on a therapy invoice?
Yes. List late-cancellation or no-show fees as a separate line without a CPT code, since insurance does not reimburse them. State your policy in your intake paperwork.
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