I was visiting from out of town when my fourteen year old lhaso apso woke up one morning paralyzed in the back legs. I was in downtown Seattle, looked in the phone book and saw that Helping Hands was advertised as "affordable", which was an important word as I am on a fixed income. I frantically raced over to Alderwood and was seen by the vets very shortly after arrival. The staff was VERY compassionate, and after exams and x-rays came back, the very hard decision was made to have Ginger put to sleep. That is the most difficult day in a pet owner's life, yet it was handled with great empathy and gentleness. And I was shocked when I saw the bill, as I know it should have been much more. I will never forget the wonderful treatment that I received from these fine professional vets. They set the bar very high from diagnosis to communicating clearly what the options were. I'm very grateful to them for everything they did for us that day. They may be affordable, but you'd never guess it from the service and care you receive!