Preventive Medicine


Vaccinations: Vaccinations are an important part of keeping your horse healthy. We follow the American Association of Equine Practitioners (AAEP) guidelines for vaccinations. Due to the high mosquitoe population in North Carolina, we recommend most vaccinations semi-annually.

Core Vaccinations:

  • Rabies: Annual
  • West Nile Virus: Semi-annual
  • EEE, WEE: Semi-annual
  • Tetanus: Semi-annual

Suggested Vaccinations:

  • Influenza: Quarterly to Semi-annual
  • EHV: Quarterly to Semi-annual
  • Strangles: Semi-annual

Vaccinations are critical to keeping a horse healthy.


We utilize Powerfloats to perform dentistries.


Fecal exams are important to decreasing the likelihood of resistance in your horses.


Note the large amount of sand settled to the bottom of a fecal sample in a rectal sleeve.

Annual Dental Exams: Having annual dentistries done on your horses are a great way to keep their teeth in proper working order so they can utilize feed better and stay comfortable. See our Special Topics page for more!

Parasites: Deworming your horse against parasites is important as horses pick them up in their pasture. We now recommend deworming based on fecal egg counts rather than every other month. Fecals can help cut costs and prevent parasite drug resistance. See our Special Topics page for more!

Sand Preventative: Due to the large amount of sand in the soil in Eastern North Carolina, we recommend monthly sand preventative. This decreases the risk of sand impaction colics as well as GI irritation and diarrhea from sand.


Vaccinations (cattle): We follow the vaccination guidelines for Beef Quality Assurance (BQA). Annual vaccinations will depend on the needs of your particular cattle herd as well as movement of animals into and out of your herd.  Please call our office to set up a herd health visit so we can customize your vaccination protocol.

Vaccinations (small ruminants): Small ruminants should be vaccinated against clostridial species(including C. tetani and C. perfringens type C and D) and rabies.

Parasites: Ruminants are susceptible to parasites, picking them up in their pasture, drinking water, or from nursing.  Some species of parasites can cause severe anemia resulting in death.  Please contact us so that we can design a prevention protocol that works best for your herd.


Reproductive exams are an important part of herd management.


Small ruminants such as goats and alpacas need routine care as well.


Providing High Quality, Progressive Veterinary Medicine to the Large Animals in Our Community.