Office was clean and staff was busy but not rude. That is what the one star is for. When the vet came in she informed me what shots and test she was going to do for my puppy but she discarded the fact that I had wrote in my paperwork, which I spent 20 minutes filling out, what shots/tests I wanted. Why ask me what I want then ignore and tell me what you are going to do anyways. I decide what my puppy gets not them I just felt she was pushing meds/tests and I was talked down to. Then the thing that really nailed it for me was examining my dog. She listened to my puppies heart and she didn't even have the stethoscope touching the dog. It was like a half inch away. Her hand was holding its neck and her finger rested on the collar and the stethoscope was on the other side of the collar in midair. Yet she stood there and acted like she was listening. Um, Thanks but no thanks I'm not going back.