Patient Search Page - Capture.OnlineAppointments

Santa Clarita:

Clinic Hours:

Mon - Fri 8:30 AM - 5:00 PM

Phone:

(661) 253-4514

Email:

SantaClarita@sonus.com

Address:

26880 Sierra Highway, Ste C-6

Santa Clarita CA, 91321

Patient Information:

First Name:

Last Name:

Date of Birth:

Phone:

Phone Type:

New Patient:

Yes

Please complete the following sections to create your patient record.

Can we send text messages to your cell phone for appointment reminders?

Email:

Home Address:

Address:

City:

State:

Zip Code:

Insurance:

Carrier:

Policy/Group #:

Do you have a Referral or Authorization:

Yes

How did you hear about us:

Other:

Additional information for your appointment:

Please contact your clinic at (661) 253-4514 to reschedule or cancel an appointment.

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