21st Medical Group (0252)

Description: Conveniently use this form to pay your bill received from 21st Medical Group/Peterson AFB (0252) or associated facilities for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: DHA 21ST MDG Peterson AFB 0252

31st MDG Aviano AB MedSvc Payments

Description: 31st MDG Aviano AB MedSvc Payments service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 31st MDG Aviano AB

35th Medical Group, Misawa AB, Patient Payment Form

Description: Please use this form to make MSA payments to the Air Force 35th Medical Group
Form Number: 35th Medical Group MSA

39th Medical Group Incirlik Air Base Pay Patient Payment Form

Description: Please use this form to pay your Pay Patient medical bills incurred at the 39th Medical Group.
Form Number: 39MedicalPayPatient

48th Medical Group Medical Service Payments

Description: Please use this form to make MSA payments to the Air Force 48th Medical Group.
Form Number: 48thMSA

49th Medical Group Copy Record Charges

Description: Use this form to pay the bill received from 49th Medical Group Holloman AFB for medical record copying charges. You can pay with your credit card or an electronic fund transfer from your checking/savings account.
Form Number: 49th MDG HAFB NM

49th Medical Group Medical Service Payments

Description: Conveniently use this form to pay your bill received from 49 Medical Group (Holloman AFB) for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 49th MDG HAFB, NM

509th Medical Group - Copy Record Payments

Description: Use the form to make payments for your 509th Medical Group Copy Record payments
Form Number: 509 MDG Copy Payment

509th Medical Group - Medical Services Account payment

Description: Use the form to make payments for your 509th Medical Group Medical Services Account payment
Form Number: 509 MDG Payment

51 Medical Group Medical Payment Form

Description: Use this form to pay your medical bills from the 51st Medical Group for services received on OSAN AB.
Form Number: 51st Medical Services

52nd Medical Group Medical Bills

Form Number: 52nd Medical Group

633rd Medical Group (0120)

Description: Conveniently use this form to pay your bill received from 633rd Medical Group for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 633rd MDG Langley AFB (0120)

673rd Medical Group/JBER (0006)

Description: Conveniently use this form to pay your bill received from 673rd Medical Group/Joint Base Elmendorf - Richardson (0006) or associated facilities for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: DHA 673rd MDG JBER 0006

7th MDG Dyess AB Copy Medical Records

Description: Conveniently use this form to pay your bill received from 7th Medical Group, Dyess AB for the medical service provided. You can pay with your credit card or an electronic fund transfer from your checking/saving account.
Form Number: 7th MDG Dyess AB

88th Medical Group, Uniform Business Office

Description: Use this form to pay your Invoice & Receipt bill generated by the 88th Medical Group, Uniform Business Office.
Form Number: 88 MDG Uniform Business Office

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