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.
MONUMENT HEALTHCARE BRIGHAM CITY
775 NORTH 200 EAST
Brigham City, UT 84302
(488) 093 - 5430
(488) 093 - 5430
Patient Information
First Name
M.I.
Last Name
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
Amount *
Choose a Payment Method
+ Credit/Debit Card
Credit/Debit Card
Change
Name on Card
Card Number *
Expiration Date *
Security Code *
Zip Code *
Cancel
MONUMENT HEALTHCARE BRIGHAM CITY
775 NORTH 200 EAST
Brigham City, UT 84302
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