Overall the care was really good. The nurse and Dr. Were both very nice and patient with us as new puppy owners, as well as gentle with our puppy. The one thing that was a little surprising was the addition of a flea and tick medicine added to our take home meds even though we did express that we were taking nom-med preventive measures to prevent flea and ticks. It seemed like a med heavy approach and we would have liked to have been consulted before dispensing the meds and adding it to our final bill. We will be going back but will be more inquisitive and vocal at our next appointment.