Online Forms

Rest and Relax Bodyworks 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



Download the Free Adobe Reader®

New Patients receive Free Consultation.

Sign-up using the form or call us at 310-479-1234 to take advantage of this exclusive offer.

Office Hours

Monday:

9:00 am-1:00 pm

Closed

Tuesday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Wednesday:

Closed

Closed

Thursday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Friday:

Closed

Closed

Saturday:

9:00 am-1:00 pm

Closed

Sunday:

Closed

Closed

Locations

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Testimonials

Reviews From Our Satisfied Patients

  • "I've been a patient of Dr. Frank Derratt for a number of years. I love the personal service he provides as well the hands on and computerized instrument used when I visit. I along with my mother, father, grandfather and siblings are all pleased with the chiropractic services Dr. Derratt provides. We would recommend all to see Dr. Frank."
    - Patrina

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