• 1 402-563-4151
  • 2278 39th Ave, Columbus, NE, United States, Nebraska
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Columbus Small Animal Hospital
  • About Us
    • Promotions
    • Careers
    • Emergency and/or Extended Care
  • New Clients
    • Boarding Form
    • New Client Registration Form
  • Services
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • How-To Videos
    • News
  • Pet Portal
    • Pet Records
    • Mobile App
    • Refill Requests
  • Contact
    • Appointment Requests
  • Online Store
Columbus Small Animal Hospital

New Client Registration Form

Thank you for considering our hospital as your pet’s provider of veterinary services. We are dedicated to maintaining the health of your pet and look forward to many future years together.

Please complete this form as fully as possible prior to your first appointment which will help expedite the registration process and give us valuable insight in providing optimal care for your pet(s). The required sections have a red * asterisk.
  • Owner's Name

  • Co-owner's Name & Contact #

  • Pet Information

  • Date Format: MM slash DD slash YYYY
  • Second Pet:

  • Date Format: MM slash DD slash YYYY

Where to Find Us

2278 39th Avenue,
Columbus, Nebraska 68601

Call:
(402) 563-4151

Email

Make an Appointment

Mon:        7:45am – 5:30
Tues:        7:45am – 5:30
Wed:       
7:45am – 5:30
Thurs:     
7:45am – 5:30
Fri:           
7:45am – 5:30
Sat:            9am – Noon
Sun:          Closed

Contact UsEmergency

© 2023 Columbus Small Animal Hospital.
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  • About Us
    • Promotions
    • Careers
    • Emergency and/or Extended Care
  • New Clients
    • Boarding Form
    • New Client Registration Form
  • Services
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • How-To Videos
    • News
  • Pet Portal
    • Pet Records
    • Mobile App
    • Refill Requests
  • Contact
    • Appointment Requests
  • Online Store