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.
Northern Virginia Surgery Center LLC
3620 Joseph Siewick Dr.,
Suite 202
Fairfax, VA 22033
(703) 766-6960
Patient Information
First Name *
Last Name *
Patient Account Number *
Telephone Number *
Date of Birth *
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
Credit/Debit Card
Northern Virginia Surgery Center LLC
3620 Joseph Siewick Dr.,
Fairfax, VA 22033
Copyright 2014 ZirMed. All rights reserved. Patient Notebook v2.0