If I could give 0 stars I would do that. Although, most of the front office staff are nice, calling into that place and getting any kind of answer to anything pertaining to your pet, medication, test results, or anything else is a cluster ****. It takes many phone calls to get one simple answer because nobody wants to take ownership of any responsibility to get the job done. Passing the buck is a finely tuned mechanism in that place. Way too many people get involved and the ball gets dropped which most people don't want to feel that when dealing with their pet. If you want to pay top dollar and wait for endless hours as if your time is not valuable, then this is the place for you. They will and I mean WILL charge absolute top dollar and itemize you to death for every last possible thing they can think of and to be honest, you will not get a straight answer. You will leave feeling like you are not sure what your visit meant and if you don't pay for everything they suggest, then somehow you are a bad pet owner. They will triple dip by charging you for things like doing a cytology, a charge to have the cytology report read, then charge you to tell you the results, even though you paid for the cytology test to begin with. What happened to a vet actually caring about the animal's well being and not using it as a forum to empty a person's wallet through fear and scare tactics. Dr. Carmine Bausone is all over the place when you try to get to the bottom of what's going on with your pet. You feel as if you need to reign him in to one thought process and that's not a good feeling. A vet that can't commit to answers and a diagnosis is a person that should not be a vet. I believe, he weighs you up to see what you might be able to afford and then suggests treatment accordingly. He uses his assistant vet technician as a screen to field important questions (poor girl). He will tell you things that just aren't medically possible for your pet in hopes that you'll be a sucker and pay for those things out of love for your pet. He will scoff at science based medicine. If you want a return phone call, then don't hold your breath. Dr. Gallerstein is a better vet and more thorough with answers that step everything out but once again he will abuse the charges for services rendered. I don't have an issue paying for any of my pet's care but what I have an issue with is blatant robbery that goes on right under your nose. As a final note, I witnessed an incident in their office (while waiting endlessly for my appointment) with their front office staff that really put the final nail in the coffin for me. A couple were checking out at the front office and settling their bill. They asked the front office person to have the vet fax an Rx to I believe was 1-800-pet-meds. The front office person tried to persuade them to buy it at their office. They declined stating that Acacia's charge for medication was a 100% mark-up and they would prefer, since they were on a budget, getting it from the online place. The front office lady followed up with trying to tell them that that place purchases substandard medications and not from the same manufacturer that they got their medications from and that what they would buy would probably be also expired. This was utter lies because it's illegal to sell expired medication and they obtain their products from the same manufacturers unless it's a generic and then the generics are made by the same companies and then distributed to all different places including 1800 pet meds and all vet practices. The couple were so strong-armed that they became upset and walked out. Then, the front office lady ran out into the parking lot to I assume talk to them some more. This was absolutely ridiculous and a completely shameful event. This place should be avoided at all cost. There are so many more vets out there that actually CARE about your pet.