One Medical Receipt Template
See exactly what a one medical receipt looks like. Our template matches the authentic healthcare receipt format with all the right fields, layout, and details.
Everything You Can Customize
Create the perfect One Medical receipt with complete control over every detail
Custom Logos
Upload your own business logo or use our pre-loaded brand assets
Editable Line Items
Add unlimited items with prices, quantities, and descriptions
Payment Methods
Cash, credit card, debit, mobile pay, and check options
Realistic Styling
Thermal paper textures, authentic fonts, and proper formatting
Store Details
Name, address, phone, cashier, transaction ID, and timestamps
Tax & Totals
Manually enter tax rates, subtotals, and totals for accurate receipts
How to Create a One Medical Receipt
Follow these simple steps to generate your receipt in under 60 seconds
Choose the One Medical healthcare template
Our template includes the medical receipt format with provider info, service codes, and patient payment details.
Enter visit information
Add the date of service, provider name, procedure or service description, diagnosis codes if known, and payment amount.
Include insurance and payment
Show insurance applied, patient responsibility, copay amount, and payment method for complete documentation.
Why Do You Need a One Medical Receipt?
Healthcare receipts from One Medical are essential for FSA/HSA reimbursement and insurance claims. If your visit summary was lost, our generator creates proper documentation with service codes, copays, and provider information.
Common Use Cases
Tips for Realistic One Medical Receipts
Include the provider's NPI number for authenticity—this appears on most medical receipts.
Add the patient name and date of birth for proper documentation.
Note whether this is a copay, coinsurance, or deductible payment.
Secure & Private
Your data is never stored on our servers. Everything is processed locally in your browser.
Instant Download
Generate and download your receipt in seconds. No waiting, no email verification required.
Authentic Format
Our One Medical template matches real receipt layouts for professional-looking results.
About This Template
This receipt template is designed for entertainment, creative projects, and personal use - including theatrical props, film production, party games, escape rooms, novelty gifts, and personal record-keeping. One Medical™ is a trademark of its respective owner. This tool is not affiliated with or endorsed by One Medical.
FAQ
Frequently Asked Questions
Everything you need to know about creating One Medical receipts
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Ready to Create Your One Medical Receipt?
Open our generator, customize every field, and download your receipt in seconds.
Open One Medical Generator