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

About this form

Please use this form to pay for your medical bills 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 PayPal.

Accepted Payment Methods:

  • Bank account (ACH)
  • PayPal account
  • Venmo account
  • Debit or credit card
Cancel

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:
Sheyna Teran
Email:
Phone:
845-938-0627