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Physical Exams

A cornerstone of equine health, our Physical Exam service offers a thorough assessment of your horse’s overall condition.

This includes evaluating the horse’s heart, lungs, gastrointestinal system, skin, and musculoskeletal system to detect any potential health issues early on.

These exams are essential for maintaining your horse’s health and are recommended on an annual basis or as part of a pre-purchase evaluation.

Routine Vaccinations

Horses require yearly boosters to maintain their immune system. Some vaccines must be given more than once yearly to sustain protective levels of antibodies. There are many different vaccines, some that are necessary and some that are not.

Vaccines are broken up into “core” vaccines, which are recommended at least once yearly for all horses, and “elective” vaccines, which may be recommended based on specific circumstances.

Twin Pines Equine recommends splitting the vaccinations into at least two groups throughout the year, to reduce the immune system strain of giving 5-8 vaccines at one time. For example, the E/W/T+WNV vaccine may be given in March or April, and Rabies, PHF, and Rhino/Flu may be given in June. Consult a veterinarian directly to create a schedule that is best for your horses!

Vaccination Guidelines for Adult Horses

Adult Vaccination Brochure

Download File

Core Vaccines

Eastern/Western Equine Encephalitis
West Nile Virus

Vaccination Guidelines for Foals

Foal Vaccination Brochure

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Elective Vaccines

Equine Herpes Virus (Rhino)
Potomac Horse Fever


Our Equine Dentistry service provides comprehensive care for your horse’s dental needs, from routine floating to address overgrowths and malalignments, to more complex dental procedures.

Regular dental care is essential for maintaining your horse’s health, as dental issues can lead to weight loss, behavioral changes, and problems with digestion. Our goal is to ensure your horse’s mouth remains healthy and pain-free, supporting overall well-being and performance.

Equine Dentistry

Eye Exams

The Eye Exam service is crucial for detecting and treating ocular conditions early, ensuring your horse’s vision remains sharp and their eyes healthy.

Our specialized examinations include checking for signs of injury, infection, cataracts, and other eye-related disorders. Regular eye exams are vital for early detection of issues that could potentially impact your horse’s quality of life and performance.

Parasite Control

Our Parasite Control service is designed to protect your horse from internal and external parasites, which can affect their health and performance.

Through strategic deworming plans and management advice, we aim to minimize parasite load and prevent resistance, ensuring your horse remains healthy and strong.

Parasite Control Brochure
  • Fecal Egg Counts
    • As part of our Parasite Control service, Fecal Egg Counts offers a targeted approach to deworming. By analyzing your horse’s manure, we can identify the types and quantity of parasite eggs present, allowing for a customized deworming strategy that targets the specific parasites affecting your horse. This method not only supports your horse’s health but also promotes responsible deworming practices.
  • Targeted Deworming Programs
    • Our Targeted Deworming Programs are developed based on the results of fecal egg counts, providing a personalized plan for each horse. By focusing on the specific parasites present, we can more effectively manage your horse’s parasite load while reducing the risk of drug resistance. This approach ensures that your horse receives the most appropriate and effective parasite control, tailored to their unique needs.

Recommended Deworming Schedules

To best assess your horse, submission of a fecal sample is necessary BEFORE a dewormer is given. To collect a fecal sample, collect about 2 fecal balls of fresh manure, place in a plastic bag and seal with air expressed. Be sure to store this sample in a refrigerator until it can be submitted for testing. Submission should be within 36 hours after production. We can typically have the results to you within 3-5 days.

Adult High Shedder

*A Fecal Egg Reduction Count (FERC) should be performed 10-14 days after administration of Pyrantel or Oxibendazole, once every 2 years. We compare this repeat FEC to the previous one in order to assess resistance to the product.


Do NOT deworm foals under 6 months with Moxidectin. Oxibendazole is very similar to Fenbendazole, but may be more effective. If Oxibendazole cannot be found, Fenbendazole may be used in its place.

PLEASE NOTE: THIS IS ONLY A GUIDE! Numerous factors control the level of parasites in your horse. It is ESSENTIAL to consult your veterinarian to develop an individualized deworming program for your unique situation.

Why Change to Strategic Deworming?

Deworming products are now widely available, relatively cheap and easy to use. This is very convenient, but has resulted in vast overuse and abuse of these products. When deworming drugs are abused, it can lead to resistance in the populations they are used to control. This is just like what is happening with antibiotics. Resistance to deworming drugs has become quite common. There are no new equine deworming drugs in development, so we need to use the products we have very carefully in order to reduce and prevent resistance.