Medical services not available at the 49 MDG are arranged through the TRICARE Service Center. TRICARE is located in the main facility across from the laboratory. A TRIWEST Service Representative provides counseling regarding available entitlements and how to obtain them. The TRICARE Operations and Patient Administration (TOPA) Flight provides briefings to personnel on enrollments/disenrollments, referral process and health benefits advice. TOPA also handles line of duty determinations, medical records, family member relocation clearance, TRICARE Online, medical evaluation boards, quarters notifications, patient concerns, aero-medical evacuation, casualty reporting, release of information and vicinity travel/TDY orders. Questions may be directed to the TOPA Flight at (575) 572-7700.