As far as check-ups go, they are great. We had a dog that had something growing in her foot, anyway they after a long period of testing, they amputated her leg. And put her on very expensive medicine. The infection ended up getting into her lungs, so more & more tests and more and more money. She ended up dying not too long after the amputation. And a year later they called to remind us that it was time for her checkup, and we had told them that she died. Update your records.