• 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 Raymond W. Bliss Army Health Center.

Accepted Payment Methods:

  • Bank account (ACH)
  • PayPal account
  • Venmo account
  • Debit or credit card
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Contact:
Alma Riley
Email:
Phone:
(520) 533-5522