We at Skyline Pet Hospital believe in preventative care. This is why we recommend yearly check ups. A fecal exam can also be done at this time. The American Heart Worm Society recommends a heart worm test be conducted during the yearly exams. And for our senior patients, (those 8 years of age and older) we will include an in-house urine test. This is a $38.50 value. Senior blood screening is also highly recommended in order to detect any changes before they become serious problems.