Be Prepared for your Appointment
Complete our Patient Intake Packet before you come into the office by printing and completing the following forms: Patient Information, No Show Policy, and HIPAA Privacy Rights forms before your appointment and bring it with you to the office.
If you would like to have your child's records released to you, please complete this Medical Records Release form, sign, and turn into our office.
Appointment Cancellation Policy
Please note, all insured and non-insured patients will be charged a $50.00 fee for any missed appointments, or cancellations and rescheduling with less than 24 hour notice.
We accept most insurance and Medicaid. Please contact your insurance provider to check network status with Bentonville Pediatrics, PA.
Bentonville Pediatrics, P.A.
2719 S. E. I Street
Bentonville, Arkansas 72712
If you have a question regarding your child’s account, please call our billing company, MRG, at 888-818-0563, Ext. 379
Do not send any personal information to this email address. Please call the clinic for an immediate response.
Monday - Friday;
am-12pm & 1:30pm-5pm