I am always impressed by the quality of care that my pets receive. Everyone is extremly pleasant and friendly. All questions answered. I would only make one suggestion. The senior exam and routine f/u care should include such things as blood pressure as part of the exam and not an extra charge. I understand that if the pet comes in specifically to just have a BP check, that would incur a separate charge. Normally a physician visit will include vital signs as an included part of an office visit.