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Berkeley Chiropractic Clinic

Online Forms

Dr. Korosh Shakeri 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!

Location

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Office Hours

Our regular schedule
Berkeley Chiropractic Clinic
Monday:
01:00 pm - 05:00 pm
Tuesday:
09:15 am - 11:15 am 02:00 pm - 05:00 pm
Wednesday:
09:00 am - 12:00 pm
Thursday:
09:15 am - 11:15 am 02:00 pm - 05:00 pm
Friday:
09:15 am - 11:15 am 01:00 pm - 04:00 pm
Saturday:
Closed
Sunday:
Closed
NEWSLETTER SIGNUP

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Please do not submit any Protected Health Information (PHI).
Testimonials
Reviews By Our Satisfied Clients
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.