Doing 3 year vaccines where permitted and regular fecal exams is good medicine. Some of their fees do seem kind of high-- that bordatella vaccine and fecal exam each cost you $15 more than what I've seen other clinics charge. The office visit+health certificate probably isn't unreasonable since both the fees are lumped together, and health certificates do take time to fill out. Depending on the type of certificate, some even require the vet to pay filing fees...
There's so many vets out there that there's really no reason to stick with someone you aren't happy with. But I'd also be wary about just looking for the place that charges the least. Some places charge less because they are cutting corners, and to be honest, it is better for the health of the animal if the vet pursues regular fecal exams, and if the vet always gives 3 year vaccines.
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