In most modern homes with up-to-date heating and air conditioning systems, filters are changed regularly through the year, so you may not even need to hire a professional. However, keep your eyes open for the accumulation of dust, dirt, dander and mold. If you see it despite regularly changing your filters it could be an indication you need a high-pressure cleaning.
If you are using existing ducting, it will have to be inspected. Proper ducting loses around 2% to 5% of your energy. Old, leaking ducts can lose 50% or more. A contractor will need to have the ducts inspected and replace any parts ahead of time. If you are changing the size of your HVAC system because of significant changes to your home, you might need to replace the ductwork regardless.
I am NADCA Certified Air Systems Cleaning Specialist. Over the years I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.

"OTHER THAN A SMALL SCHEDULING HICK-UP THEIR SERVICE WAS EXCELLENT. JOSH THE TECHNICIAN THAT PREFORMED THE DIAGNOSTICS AND REPAIR WAS EXTREMLEY PROFESIONAL AND FRIENDLY â ¦ HE WAS ABLE TO FIND THE PROBLEM WHICH WAS VERY DIFFICULT TO FIND AND FIX THE PROBLEM. I WISH THAT ALL HOME SERVICE PEOPLE WERE AS GOOD AS HE WAS. I WOULD HIRE AGAIN...JOB WELL DONE !!!"

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