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

About this form

Conveniently use this form to pay your bill received from 96th Medical Group for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.

Accepted Payment Methods:

  • Bank account (ACH)
  • 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:
    Eglin AFB Medical Payments