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Berkeley Chiropractic Clinic - Chiropractor in Berkeley, CA US :: Online Forms

Berkeley Chiropractic Clinic offers our patient form(s) online so they can be completed it 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!

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Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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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.