Generate Invoice for Pharmacy

Your Details
The Pharmacy / Practice Details
The Booking & Your Charges
$
$
Your Bank Details

Please be aware that this is a standard, unencrypted web page. Team Locum does not collect any of the information entered onto this page, but you should be aware that it’s feasible that, as with email, a third party could intercept the information you enter. Whilst the bank information requested on this form is not sufficient for payments to be deducted from your account, we recognise that not everyone will want to enter their bank details onto an unencrypted web page. In this situation we would suggest that you leave the bank details blank and add them to your printed invoice by hand.

*Please note that this does not get sent to the client you will need to forward it to Team Locum or leave in store