Canadian physicians providing core medical services are generally GST/HST exempt.
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Accent Color
Your Business
Bill To (Client)
Invoice Details
%
Line Items
Item 1
$280.00
Item 2
$300.00
Item 3
$380.00
Item 4
$660.00
Item 5
$195.00
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INVOICE
INV-0001
Your Business Name
Your Address
Bill To
Client Name
Client Address
Invoice Date
01/06/2026
Due Date
01/07/2026
Currency
CAD
Description
Qty
Rate
Amount
Initial Consultation / Assessment
per appointment
1
$280.00
$280.00
Follow-up Consultation
per appointment
2
$150.00
$300.00
Treatment / Procedure
per session
1
$380.00
$380.00
Diagnostic Tests / Lab Work
per test
3
$220.00
$660.00
Medical Report / Certificate
per document
1
$195.00
$195.00
Subtotal$1,815.00
GST/HST (5%)$90.75
Total CAD$1,905.75
Payment
Interac e-Transfer and EFT are the most common payment methods.
Thank you for your business · InvoiceYard.com
5 items · Subtotal $1,815.00 + GST/HST $90.75
Total: $1,905.75
🇨🇦 Canada Requirements
Currency$ CAD
TaxGST/HST (5%)
Date formatDD/MM/YYYY
PaymentInterac e-Transfer and EFT are the most common payment methods.
Businesses registered for GST/HST must display their Business Number (BN) on invoices. The federal GST rate is 5%; HST applies in participating provinces (Ontario 13%, Nova Scotia 15%, etc.). Quebec residents apply QST separately at 9.975%.
Payment Terms
Due on service / 30 days for insurance claims
About Canada Medical & Healthcare Invoicing
Canadian physicians providing core medical services are generally GST/HST exempt. Allied health services (physiotherapy, chiropractic, optometry) may be exempt or taxable depending on the province. Private clinic fees often attract GST/HST. Medical invoices and superbills must comply with healthcare billing regulations, insurance coding requirements, and patient privacy laws. Private practice invoices for self-pay patients should itemize services using standard procedure codes (CPT in the US, SNOMED in the UK/AU) where applicable. In the US, medical billing intersects with Medicare, Medicaid, and private insurance claim processes.
Frequently Asked Questions
Is VAT or GST charged on medical services?
Generally, core healthcare services provided by registered medical practitioners are exempt from VAT in the UK, GST in Australia, and often exempt from state sales tax in the US. However, cosmetic procedures, gym memberships, and some allied health services may be taxable. Always verify with a tax professional.
What is a superbill and how does it differ from an invoice?
A superbill is a detailed receipt used in the US healthcare system that includes procedure codes (CPT), diagnosis codes (ICD-10), provider NPI number, and other information insurers need to process reimbursement. Patients submit it to their insurance company. A standard invoice is a simpler payment request for self-pay patients.
How should private medical practices handle patient confidentiality on invoices?
Invoices should comply with HIPAA (US), GDPR (UK/EU), and the Privacy Act (AU). Avoid including diagnosis details on invoices that will be sent by email or post without encryption. Use appointment reference numbers rather than clinical descriptions where possible.
What payment methods should medical practices accept?
Private practices typically accept credit/debit cards, bank transfer, and in some cases payment plans for larger procedures. In the US, HSA and FSA cards are popular for eligible medical expenses. In the UK, many private patients pay by card or BACS transfer.
How does GST/HST work on Canadian invoices?
Canada levies a 5% federal Goods and Services Tax (GST). In participating provinces, GST is combined with a provincial component into the Harmonized Sales Tax (HST) — for example, 13% in Ontario and 15% in Nova Scotia. In Quebec, GST and QST (9.975%) are charged separately. Businesses with annual revenue over $30,000 CAD must register, collect, and remit GST/HST.
Do I need a Business Number on my Canadian invoices?
If you are registered for GST/HST, you must display your 15-character Business Number (BN) on all invoices — this is your 9-digit BN followed by the program identifier (RT) and a 4-digit reference number (e.g., 123456789 RT0001). Invoices without a valid BN cannot be used by your clients to claim Input Tax Credits (ITCs).
Are there different invoicing rules by Canadian province?
Yes. Provinces that use HST (Ontario, New Brunswick, Nova Scotia, Newfoundland, PEI) require a single combined tax line. Quebec requires separate lines for GST and QST, and QST-registered businesses must also show their QST number. British Columbia, Saskatchewan, and Manitoba charge GST plus their own Provincial Sales Tax (PST), which may have separate registration and invoicing requirements.
