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Phone: (207) 208-8508 | Monday - Thursday: 8AM - 6PM | Friday: 12PM - 6PM | Saturday: 8AM - 2PM | Urgent Care Offered Daily

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(207) 208-8508 Hours Book an Appointment

New Patient Form – Reptile

Name (Person filling out form)(Required)

First Last

Date(Required)

Month

Day

Year

Pet's Name(Required)

Breed(Required)

Sex(Required)

Age(Required)

Owner / Caregiver name(Required)

First Last

Background

Length of time owned(Required)

Place of purchase(Required)

Rescue

Pet Shop

Breeder

Other

Housing

Where is the cage located?(Required)

Type and size of cage?(Required)

Cage bedding / floor surface?(Required)

Types of cage furniture?(Required)

What toys are available?(Required)

Is the animal allowed free roaming in the house?(Required)

What water source is offered?(Required)

Bowl

Pool

Mister

Other

Environment

Heating source?(Required)

Lamp

Pad

Rock

Other

UV lighting source?(Required)

Yes

No

UV Bulb type(Required)

Last date bulb was changed(Required)

Is temperature measured?(Required)

Yes

No

Maximum (basking) temperature(Required)

Minimum temperature(Required)

Is humidity measured?(Required)

Yes

No

Humidity range(Required)

Δ

CONTACT INFO

4 Post Road
Freeport, ME 04032

Phone: (207) 208-8508
Email: freeport@carevethealth.com

HOSPITAL HOURS

Monday - Thursday: 8:00 AM - 6:00 PM

Friday: 12:00 PM - 6:00 PM

Saturday: 8:00 AM - 2:00 PM

Sunday: Closed

Urgent Care Offered Daily

Patients seen by appointment.

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