I have known Dr Nelms for 23 years and would rank hi as a world class doctor! However the staff he has now is no where close to the staff I used to deal with when we visited him. As my daughters and I are studying to be Paramedics we have had to go back to get their shot records...You would think that I was asking for front row tickets to the second coming!!!!! After 12 weeks we have decided to retake all their shots! At great expense I might add and that is after offering to pay to have the records extracted from the "Warehouse" where they are stored. So see Dr. Nelm but take your records with you and keep them with you!!