Each time I've come in with my dog, someone is always trying to up-sell something; whether it's food, medication, etc. I called to have one vaccination updated for my dog and I wasn't told until I came in that it necessitated a "yearly exam". The exam lasted 5 minutes, with the Dr simply looking at my dog's gums and running his fingers through his coat. No blood work was done, nor any other extensive examination, yet the 5 minute exam cost $50, on top of the $25 for the vaccination (and I had to wait 30 minutes for the Dr to come in). I've brought my dog in before for a simple issue (nail issue) that a technician should have been able to review, but a Dr reviewed and again cost me $50 just for the Dr to take a quick look at my dog. If the customer service was anywhere close to average I'd be more willing to pay the higher fees, but basic customer satisfaction efforts have fallen short on all members of staff from receptionist, to technicians to the Dr's themselves. I have been to plenty of vets that charge significantly less and have exponentially better customer service. I will not be returning to this establishment.