My animals annual exam was a joke. The vet only looked into my dog and cats ears, eyes and mouth. She did not use an otoscope or even a stethoscope to listen to their heartbeats. I let the vet know my dog has been scratching at his ears and would well out if I went to touch and look in them. She informed me he had an ear infection without even running a culture test. Two weeks on his antibiotics and my dog was still in pain and decided to try a new vet. It turns out he had allergies and needed a different form of medication. My animals annual exams are at different times of the year so they did not go together and both appointments my animals received poor exams. I would NOT recommend them. Read Less