I have been a client of QRAH for 3 years now. Dr. Bremser is professional, compassionate, and crazy smart. Her staff are helpful, friendly, and great with my animals. I receive top notch care at affordable rates. 4 of my 5 pets are on the Health Maintenance Plan and the 5th will be added when he is due for his next vaccines. I love that I get free flea/tick prevention and discounts on other services while also being able to spread out the cost of preventative care over a year instead in a lump sum. More than once I've had to take an animal in for emergency-type care (dog ate a whole bag of chocolate covered espresso beans, cat with severe projectile vomiting, etc) and they did a wonderful job of getting them taken care of quickly and efficiently. Dr. Bremser did surgery on my dog and has done one dental so far for me and I've been thrilled with how my animals recovered from those procedures. All in all, I cannot recommend them enough. I've been lucky to have very good vet care since I moved to the Triangle 12 years ago, but nothing has ever come close to the care provided by QRAH.