• Before You Begin
  • Complete Agency Form
  • Enter Payment Info
  • Review & Submit
  • Confirmation

About this form

Please use this form to pay for your copy record charges with the Keller Army Community Hospital. You can pay your copy record charges with an electronic fund transfer from a financial institution or a debit or credit card. We also accept Amazon Pay and PayPal.

Accepted Payment Methods:

  • Bank account (ACH)
  • Amazon account
  • PayPal account
  • Debit or credit card
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This is a secure service provided by United States Department of the Treasury. The information you will enter will remain private. Please review our privacy policy for more information.

Contact:
KACH Uniform Business Office
Email:
Phone:
845-938-3162