Everyone was excellent EXCEPT for the vet. Dr Jessen barely listened to me. He was dismissive and rude, and I would not recommend him to anyone.
For example - I asked if there was a way for him to check my dog for arthritis in her paws since it can be hard to clip her nails and I've read that long nails can be a possible cause of arthritis. I've had previous vets check her paws for arthritis during annual checkups. My dog is not a very friendly dog when it comes to strangers, and was muzzled for the appointment. He suggested we give her a sedative to make it easier for him to check her paws and her teeth (she had just had a dental cleaning within the past year). I agreed in the moment even though she's had all her exams without sedation until now. When Dr Jessen later informed me how the exam went, he told me they clipped her nails, which I specifically said I didn't need. I had to ask about the arthritis. He said that I must not have mentioned that to him, only the techs! I remember asking HIM, the vet, about arthritis because the way I worded it was "oh, I forgot to ask the tech about this".
This is not the reason will be requesting any repeat appointments not be with Dr Jessen. He asked during our appt if my dog nipped at people when I have guests (rude, making assumptions based on a muzzle), yanked her up onto the exam table to give her the sedative (she's a very smart girl, and would've gone up with verbal direction or a few more seconds of waiting), and often spoke over me while I was asking questions or explaining something about my own dog. He once even told me I could have my male puppy neutered to lower his risk of UTIs. That's not how that works at all!!
All in all, I do like Four Paws. Specifically, James at the front desk is always friendly, and Dr Bedard was able to give my dog a pre-dental exam without a sedative or a tech holding her down. I came to Four Paws because, after a semi-emeegent visit, my dog seemed to dislike it less than my other vet, and I was willing to pay the higher price difference because of that. But now I might be on the search for a different vet clinic once again.