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.
Covenant Pediatrics
4106 Columbia Road
Suite 101
Augusta, GA 30907
(706) 868 - 3200
(706) 868 - 3203
Patient Information
Full Name *
Account Number *
Visit Number
Dates of Service
To
Invoice #
Invoice Date
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
+ Credit/Debit Card
Credit/Debit Card
Change
Covenant Pediatrics
4106 Columbia Road
Augusta, GA 30907
Copyright 2014 ZirMed. All rights reserved. Patient Notebook v2.0