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.
Intrepid USA Inc
4055 Valley View Lane 5th Floor
Dallas, TX 75244
(214) 445-3750
Patient Information
First Name *
M.I.
Last Name *
Patient Account Number
Dates of Service Provided
To
Invoice 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
+ Credit/Debit Card
Credit/Debit Card
Change
Intrepid USA Inc
4055 Valley View Lane 5th Floor
Dallas, TX 75244
Copyright 2014 ZirMed. All rights reserved. Patient Notebook v2.0