A few things I learned from my recent visit: 1) Don't bother being early. I waited 50 minutes. 2) The paperwork warns you against "side effects and contradictions" -- the medical term they needed to use was "contraindications." This does not matter to your certification, but it does matter to their level of professionalism. Obviously, no lawyer looked at the paperwork? 3) If you are using cash to pay for the doctor's visit ($110-125) that's okay. BUT, you CANNOT pay cash for the State fee ($75-150). You will need to bring a MC or Visa. Otherwise, the NMD (Dr.) on staff was kind and efficient.