The Irvine Chiropractor to see - Chiropractor Irvine

Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home.



New Patient Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

New Patient Form

System Assessment Form

Auto Accident Questionnaire

Brain Function Assessment Form



Immune Booster Intake Instruction

"Ergonomic" Sheet

"Sleeping Do's and Don'ts" Sheet



Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Mamak Shakib & Dr. Steven Cocks15435 Jeffrey Rd, Suite 138 Irvine, CA
(949) 552-5535
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Dr. Shakib Asks some important questions of interest to Irvine residents - Chiropractor Irvine Dr. Shakib Asks...

Where do most Irvine residents get their first vertebral subluxation complex?
Being born in a hospital is a common source of vertebral subluxation complex. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Irvine newborn.
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Irvine chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.