You may use this form to request an appointment with Dr. Sharkey. If you are not an established patient with Dr. Sharkey, you will need to fill out the new patient paperwork available online via the link to the left.
You will hear back from our clinic within one business day. If you need a same day appointment, we will try to get back to you within two hours or you may call the office at 479-966-4664.
Patient First Name:
Patient Last Name:
Date of Birth:
Requested appointment date:
Select how you want us to contact you:
Requested appointment time:
Please provide your email or contact phone number:
Rainbow Pediatric Clinic, PA
Martha Ann B. Sharkey, MD, FAAP
3159 E. Mission Blvd., Suite 1
Fayetteville, AR 72703
After hours: (479) 966-4664 Your call will be forwarded to our answering serice