I am so disappointed. My poor son who only needed to have one vaccine updated ended up walking out of there for over $100.00 and is just shell shocked. It's just such a bummer that they don't tell you up front that you have to have a Doctors exam every time you have to update a vaccination and that for a single vaccine you are looking at spending about $80.00...OUCH! Considering we were just there in the previous months for her examination, it's crazy to have to spend the money on another examination for the vaccine..... And even when I called to ask questions as to why he wasn't explained this, the answer was that all vaccines are always given with a doctor exam except for Bordetella even if an examination was done last month. It would be nice if this was part of their protocol when they call to schedule these...it would save their clients from being surprised at this cost as I am. I listened to the voicemail on his cellphone and it just says the vaccine is overdue and to call and schedule an appointment to update this......again....not indicating that an exam would have to be done for the vaccine......just such a bummer as this was a very nice hospital and we felt so comfortable being there....and they are so nice...just expensive.