New Client Form

New Client

  • Client Information

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  • Pet Information

  • MM slash DD slash YYYY
  • DistemperParvoRabiesBordetella 
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  • Payment Information

    Payments are made when services are rendered. We accept cash, checks, MasterCard, Visa, American Express, Discover and Care Credit. We do not accept post dated checks. I am an owner, custodian or authorized agent of the owner of this pet and as such I am authorized to make medical and financial decisions concerning this pet. I understand that if I fail to honor my agreements with, fail to cooperate with or fail to meet obligations to Columbus Small Animal Hospital, P.C. it may result in forfeiture of the animal to Columbus Small Animal Hospital, P.C. without further notice.
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We welcome our old friends and new to our animal care family!

Our Columbus Small Animal Hospital is very unique and not just in this area. We do everything that most veterinary hospitals can do plus a great many things that only select hospitals are capable of, all at small town prices

By choosing us as partners in keeping your beloved animal companions healthy and happy you become a member of our animal care family.
Your animal care family status is free and self-renews as long as you are an active client in good standing with us.
As a member of our animal care family you and your pets are entitled to special treatment.

Here are some of your benefits:
  • Emergency service outside of business hours. We do not advertise after-hours emergency services to the general public but reserve it for our active clients. You can rest easy knowing that if you have a serious problem on a weekend or holiday that we will do our best to answer the pager and come in to assist you and your pet. (After hours emergency service does involve an emergency fee.)
  • Our newly remodeled boarding facility and luxury cat condos are only available to animal care family members.
  • Preferential treatment for appointment times.
  • A complimentary Hydro Surge bath for your pet with most stays.
  • All inclusive spay, neuter and declaw services.
  • Low-cost puppy and kitten vaccinations with a single exam fee for the series.
  • Access to the only animal hospital accredited by the American Animal Hospital Association in this area and one of the few in the state.
  • Access to one of the few Certified Veterinary Acupuncturists in Nebraska.
  • Uniquely sophisticated diagnostic and treatment options at comparatively low prices.
  • An outstanding level of compassion, empathy and dedication to self-improvement that only comes from people who truly love their work.