Registration Forms

New Patient Registration Form

Santa Clarita Chiropractic Care

Because we value your time, and we understand how difficult it can be to carve out blocks of time for yourself with all the other demands made on you, we provide all of our registration forms to be filled out prior to your first visit. Having them completed before your appointment will save you a great deal of time in our office, and will help keep all appointments moving on schedule as well. The information these provide our doctors will help us to begin formulating a treatment plan right away.

In order to streamline your visit with us, you can print and fill out the form below:

New Patient Form

If you have any questions about our registration forms, don’t hesitate to contact us at or call (661) 338-5167.

Patient Testimonials

Giving you the Freedom to Move Pain-Free
  • 1st time patient, returning after for 4 treatments plus

    “My first impressions was a 10. The staff have a 10 for service. The treatment I received was beyond my expectations honestly. I look foward to my future visits when needed. No hassle if your late , in ...”

    - Anthony M
  • Dr Unruh was very professional and reassuring.

    “I feel he and his staff truly care.”

    - Jason D.
  • Dr. Unruh is a really great guy and a really good doctor.

    “Dr. Unruh is a really great guy and a really good doctor.”

    - Sue N.
  • I plan on making this my permanent chiropractor

    “He was great at explaining everything. The staff was amazing as well. I plan on making this my permanent chiropractor”

    - Lynette W.
  • I've never experienced a doctor that cared so much about his patients

    “I've never experienced a doctor that cared so much about his patients and explained everything in detail. He has the best interest in his patients. He always takes the time to give me advice on how to ...”

    - Miriam A.
/

Meet Your Specialists

Dedicated to Letting You be a Part of YOUR Care
/

Unruh Spine Centers

Providing Multiple Approaches for your Health
  • Promoting Holistic, Natural Treatments
  • State-of-the-Art Digital Motion X-rays
  • Covered by Most Insurances
  • Offering a Full-Service Medical Office

Contact Us Today

Pain Free Living is Right Around the Corner

Call us at (661) 338-5167 or sent us a message to get started.

  • Please enter your first name.
  • Please enter your last name.
  • Please enter your phone number.
    This isn't a valid phone number.
  • Please enter your email address.
    This isn't a valid email address.
  • Please make a selection.
  • Please enter a message.