About this form

Use this form to pay your invoices or open accounts for medical services provided to you at Raymond W. Bliss Army Health Center, Fort Huachuca, Arizona.

Please ensure you have the invoice or claim number and Patient DoD ID number available. This ensures the payment is posted to the correct account.

Accepted Payment Methods:

• Bank account (ACH)
• PayPal account
• Venmo account
• Debit or credit card

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.