My vet calls to confirm. They also mail us letters when the pets are do for something (shots, check-ups, etc..) Heck, I even got a letter when Rosey turned 8 or 9 saying that she is now considered a senior, and what new tests they suggest to make sure she is healthy -- and stays that way. They also call to ask how the pet is doing after a few days, either if the pet went in for an illness or if they got vaccines. They want to make sure that you're dog is fine. After an animal goes through surgery or if there was a major problem with the pet, they call in a couple days to go over everything they told you and make sure you remember to be giving any meds. They know how many meds they gave you, and if the pet needs a refill, they call to remind you to get it refilled. Honestly, they call about every little detail, which I love. They go that extra mile to make sure that they're clients are happy and healthy or getting healthy, and that means a lot to me. It just really shows that they care.