We do our best to administer as much care as possible without using the vet. Our animals are very healthy and our vet comments on this when we do have occasions that require more professional skills. We have used this facility for nearly eight years and while the care here is above adequate, there seem to consistently be communication problems between the providers and the office staff. There always seems to be a lack of understanding as to the nature of our appointment even though it was thoroughly explained when the appointment was made. We have problems having our prescriptions refilled, via fax communication, through our pharmacy of choice. While the care has been good, interaction with staff has given us cause to seek out another practice.