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

About this form

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.

Accepted Payment Methods:

  • Bank account (ACH)
  • Debit or credit card

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:
Eva Gonzales
Phone:
(575) 572-7019