39th Medical Group Incirlik Air Base Pay Patient Payment Form
About this form
Please use this form to pay your Pay Patient medical bills incurred at the 39th Medical Group.
Accepted Payment Methods:
- Bank account (ACH)
- 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.
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.