Annual Registration Form

I hereby authorize the veterinarians to examine, prescribe for, or treat my pet(s). I assume responsibility for all charges incurred in the care of this (these) animal(s). I also understand that charges will be paid at the time services are rendered and that a deposit may be required for surgical treatment.

To enhance the accuracy and efficiency of your pet’s medical record, our veterinary team may use an AI-assisted transcription service during your appointment. This technology helps document conversations in real time so we can focus more on you and your pet. The transcription service may capture spoken information discussed during the visit and convert it into written medical notes. These notes are reviewed by our veterinary team for accuracy and become part of your pet’s medical record. We take your privacy seriously. Any information recorded is handled in accordance with applicable privacy and data protection standards and is used solely for medical documentation purposes. Audio is not stored beyond what is necessary to generate the medical record, in accordance with our policies and the service provider’s standards. By signing below, you acknowledge that you have been informed about the use of AI-assisted transcription and consent to its use during your pet’s appointment.

I am aware that my account is subject to a $51.05 charge for any appointments missed or cancelled with less than 24-hour notice. To be respectful of the medical needs of other patients, I will call promptly if I am unable to show up for an appointment at the scheduled time.

At CareVet of Freeport we hold our standard of care to a high level. This includes consideration for the safety of our patients, clients, staff and community. As a result, we require that all patients have their rabies vaccine up to date prior to having any treatments(s) or procedures(s) performed and during any exams as long as deemed systemically healthy enough by the veterinarian. If a patient's rabies vaccine is due at the time of the patients visit or we do not have records to indicate their rabies vaccine is up to date, we will require their vaccine be updated at the time of their visit. This requirement supports Maine State Law §3916.