With a Patient Notebook account, you can directly contact your doctor, view your healthcare records, and easily pay your medical bills – quickly, privately and securely – all from the comfort of your computer.
Eastern Shore Orthotics and Prosthetics
761 A Middle Street
Fairhope, AL 36532
info@easternshoreop.com
(251) 990-4040
Patient Information
Patient Name *
Patient Account Number
Email Address
A receipt will be sent to this email address.
Payment Information
Make A Payment
Amount is required.
Installment Amount must be equal to or greater than the Minimum Installment Amount shown.
Installment Amount exceeds the Plan Balance.
You cannot set up a payment plan without submitting a valid email address.
First Payment Date is required.
Payment plans must start today or later.
Payment plans must start within one year.
First Payment Date is invalid.
How would you like to pay?
One-time Payment
Choose a Payment Method
+ Bank Account
+ Credit/Debit Card
Bank Account
Change
Credit/Debit Card
Change
Eastern Shore Orthotics and Prosthetics
761 A Middle Street
Fairhope, AL 36532
Copyright 2014 ZirMed. All rights reserved. Patient Notebook v2.0