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The printed version.

Caregiver Billing Form

Caregiver Billing Form (c4124)

c4124 now includes the customized invoice template for the latest version of Invoice Manager for Excel. This is what you will see when you open caregiver.xlsx.

Caregiver Billing Form (IMFE Edition)

Caregiver Billing Form - IMFE edition


License: Private Use (not for distribution or resale). See our Terms of Use.

You are safe to download the resources. We've added our digital signatures to the files.


Download this if you want this design to be set as the default template by the installer program.

4.05 MBDownload

Without database file. How to download and use

441 KBDownload

Download this if you have already installed IMFE, and are looking for additional customized templates; or if you want a template for Invoice Manager (Lite).

1290 KBDownload


Designed for private caregiver and independent healthcare providers, this free home healthcare invoice template is a direct successor of cn003 Service Invoice Template in Excel. You can also install Invoice Manager for Excel (namely Uniform Invoice Software) (UIS) to make it a fully featured home care invoicing system.

In this form layout for healthcare providers, we moved the logo image to be underneath the business name (caregiver and health care provider name). So when you're replacing it with your own image, make sure you choose a horizontal rectangle logo image. Otherwise, you have to move it to other place for easy resizing of the image object.

We also moved the "oknWhoID", which is titled "Client#", out of the printable area. The "Country" field is deleted and replaced with the "Email" field, which has the cell name of "oknWhoEmail". If Invoice Manager for Excel (namely Uniform Invoice Software) is installed on your computer, you can send the healthcare invoice to your client with one click of mouse, in PDF or image format - UIS also allows you to send invoice in Excel spreadsheet format, but this is not recommended as the spreadsheet format is easily editable.

The "Job Description" field is a multiple-line text field. In Microsoft Excel, this is archived by pushing down the "Wrap Text" button on the "Alignment" tab of the "Home" ribbon tab. To start a new line when inputting text, you press the "ALT" and "ENTER" keys on your keyboard. You can enter any additional information into the description field, including insurance information.

The "Quantity" and "Unit Price" columns are now titled with "Quantity / Hours" and "Unit Price / Hourly Rate". This makes the template suitable for hourly invoicing. Find more samples at freelancer invoice samples.

If your business is specialized in baby caring, try c5080 Daycare Invoice Template and Child Care Billing Template. The medical billing templates serial may also provide useful samples for you.

Like other form designs here on, Home Health Care Invoice Sample is free (offered to you at a price of 0.00USD). It works on Windows XP and all newer versions of Windows, and Excel 2007, 2010, 2013, 2016 or 2019.

Format and Specification

NameCaregiver Billing Form
CategoryService Invoice Template
Release DateFriday, January 26, 2018
Format (XLS or XLSX).xlsx
Excel Version Excel 2003 / Excel 2007 / Excel 2010 / Excel 2013 / Excel 2016 / Excel 2019
Feature Gallery
Line Height (Points)19.50
Print Area$F$3:$N$46
Papaer Size / OrientationPortrait
Default Margins (Points)