About this form

Conveniently use this form to pay your bill received from Irwin ACH Ft Riley (0057) 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.

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.