Phone : (515) 255-4464
4115 University Avenue, STE 200 Des Moines, IA 50311
Heartland Animal Hospital
I/we hereby authorize the veterinarians to examine, prescribe for, or treat my pets (s). I/we assume full responsibility for all
charges incurred in the care of this/these animal(s). I/we also understand that these charges will be paid in full at the time
of release and that a deposit may be required for certain surgical treatments or other procedures.