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Online Forms

Berkeley Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



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Location

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Office Hours

Our Regular Schedule

Berkeley Chiropractic Clinic

Monday:

By Appointment Only

3:00 pm-6:00 pm

Tuesday:

8:30 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

8:30 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:30 am-12:00 pm

3:00 pm-6:00 pm

Friday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Thank goodness for my life back! You don't realize what your missing out on until you are not in pain anymore!"
    Julie W. - Berkeley, CA
  • "Dr. Shakeri is a knowledgeable and skillful chiropractor who takes the time to give you the individual time you need. He always returns phone calls promptly and is kind and personable. I am grateful for his expertise."
    Kyle M.
  • "Hey. Thanks so much Doc! Your huge heart + attention to details have helped me through a lot. I am a dancer + performer & have had both of my knees tended to by Dr. Shakeri -I may not still be dancing without his help."
    In Grattidue Kristen G.