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DOCUMENTS/FORMS

NOTICE OF PRIVACY PRACTICES

MEDICAL RECORD RELEASE FORM

NEW PATIENT QUESTIONNAIRE

Ready to experience the personalized eye care you deserve?

Schedule Your Appointment Today!

Quick question? Send us a text message any time!

Address

107 S. Main St.Bentonville, AR 72712

Call or Text

(479) 339-9010

info@eyesonthesquare.com

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Opening Hours

Mon - Thurs

8:00 am – 5:00 pm

Friday

8:00 am – 12:30 pm

Saturday

Closed

​Sunday

Closed

*By calling or texting our office, you consent to receive SMS text messages from Eyes on the Square. Msg&data rates may apply. Reply STOP to opt out.

All Glory Be To Christ

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