Online Forms

Rest and Relax Bodyworks offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 AdobeReader®

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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