In observance of the MLK, Jr. holiday and Inauguration Day, our AFSPA office will be closed on Monday, Jan 18 and Wednesday, Jan 20, 2021.     

Secure Forms

 

Overseas Health Care Non Direct Billing

Reminder: This form is only for health care providers with which AFSPA does not have direct billing arrangements to bill AFSPA directly for service provided to Foreign Service Benefit Plan members.

Please fill in all mandatory fields marked with an asterisk (*).

Only PDF Files Supported