N11591 Columbia Dr.
Lomira, WI 53048
Email Us
Call Us: (920) 269-4072
Lobby Hours
Monday - Thursday: 7:00 am - 6:00 pm
Friday-Saturday: 7:00 am - 5:00 pm
Sunday: Noon - 5:00 pm
Doctor Hours - Appointments by Request
Monday - Thursday: 8:00 am - 6:00 pm
Friday-Saturday: 8:00 am - 5:00 pm
Sunday: Noon - 5:00 pm

New Client Form


New Client Check In

If you would like to make an appointment, you can expedite your check in by submitting this form. Thank you for your cooperation in letting us assist you!

 

NAME required
ADDRESS required
DAYTIME PHONE required
EVENING PHONE required
PET INFORMATION required

Please Read:

I understand, by indicating I agree and submitting this registration, which I am responsible for any charges incurred by my pet while in the care of the doctors at Veterinary Village, LLC and that charges are due and payable at the time of service, unless other arrangements are made in advance. Any balance that is carried over a period of 30 days will accrue a monthly finance charge of 1.5% or 18% per annum. Any balance that I leave unpaid will be forwarded to Veterinary Village, LLC's collection agency, and will incur a 25% collection fee for which I am liable, in addition to monthly finance charges.