It is easier and less costly to prevent conditions and illnesses than to treat them.  Vaccinations, as well as annual heartworm testing and monthly preventative , fecal testing/deworming and flea and tick preventatives are all a part of keeping a pet healthy.  We can decide what your pet needs and when based upon his or her risk factors and lifestyle.  It is very important for a pet to have an examination at least yearly.  A lot can change in one year, including dental health, lumps and bumps, ear and skin conditions, etc.