During this visit, your pet will be thoroughly examined by a doctor and any issues you have about your pet's health will be discussed. By knowing more about your pet's lifestyle we can make recommendations about keeping him healthy. We don't push services or products on you, and frequently offer home or pet store remedies. We try to minimize the number of vaccinations your pet receives based on his risk of exposure. Many of our vaccines are now approved for 2 or 3 year intervals. We do recommend a yearly heartworm and fecal check for parasites. This is especially needed if heartworm preventative is not given regularly.