We've actually left this office after I spent another 20 mins on the phone to cancel an appointment. Another reason is that they don't offer combination vaccines. It's cheaper for pediatric offices to carry individual vaccines, but as far as I'm concerned, if I can get the same vaccines in 2 shots somewhere else vs. 4 shots that TLC peds does, I'm going else where. As I mentioned in my previous review they were also too loose with referrals (in my opinion), I was interested in a different physician style.