As usual I received very welcoming, and caring, service for my little dog. However as a pensioner, I was overwhelmed by my bill of over $400.00 for a basic annual checkup!! Last year it was a little over $280.00 for the same, but included a blood analysis test!! The cost this year included this basic checkup, MINUS the blood test, but also including Heart Worm, and Tick Medications as per last year. The tick medication amounts to well over $20.00 a piece for eight pills!!! $176.00!!!!! Even with a manufacturers rebate it is still rather pricey. However, my little prince deserves this, but my gawd my limits are near the end!