I am quickly beginning to realize with our schedules my wife and I are going to need significant help with our spouse visa process.
Is there a trustworthy firm that offers full service with these types of things, google search reveals a ton of them but I am not sure how good any of them are does anyone have experience using these?
Unless the applicant has any complicating factors such as a criminal or poor immigration history, there really is no need.
You will have to spend time yourself to do the things they can't do for you in any case, such as preparing all of your documentation.
But if you do still want to use someone, try Medivisas in London or Laura Devine who has offices in NY and London. (medivisas will be cheaper)