Evans Army Community Hospital (0032)(Medical Records)
About this form
Please use this form to pay for your Copy Record Charges from this facility. You may pay with your credit card or an electronic fund transfer from your checking/saving account.
Accepted Payment Methods:
- Bank account (ACH)
- PayPal account
- 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.