Customized Integrative Holistic Equine Services

Appointments are available 12-8 pm Monday-Wednesday. Offering proven holistic horse care services in the Greater Seattle and Eastside areas. Book directly online, contact us, or email


Sea to Sky Holistic Equine offers high quality personalized holistic veterinary care to maximize your horse’s health and well being. Farm call appointments allow your animal to be relaxed and comfortable in their own environment.

The appointment is all about your horse and what we can do to optimize their health and well-being. There’s never any rush during the appointment; Dr. Aja will give you and your horse her undivided attention for the whole appointment. Dr. Aja wants to make sure that you understand what’s going on with your horse and what all the options are so you’re empowered to make the best possible decisions for them about their health and well-being so we’ll spend a lot of the appointment talking about everything. Feel free to ask all the questions you’ve ever wanted to ask! Your horse will get a very thorough and comprehensive exam and treatments but since we’re doing it at the barn where they’re comfortable and it’s all combined with gentle massage and acupressure they’ll think it’s just a spa day.

The Initial Consultation is typically about 1.5-2.5 hours. We'll start by discussing your horse's “job” (even if it’s just to be a pasture pet), performance, medical, and life history, current diet, exercise, and any current medications, herbs, or supplements, as well as any questions or concerns you have about your horse. If you have previous diagnoses or any previous test or imaging results we’ll go over those results as well. If it’s appropriate we’ll check tack and saddle fit. Then Dr. Aja will do a comprehensive exam which includes a conventional Western medicine physical exam (eyes, ears, nose, teeth, gums, lymph nodes, heart, lungs, abdomen, skin and coat, neurologic function, hooves and foot health) as well as a Traditional Chinese Medicine exam (evaluation of pulse, tongue, assessment of personality, trigger points and alarm points), and a chiropractic and rehabilitation exam (analysis of posture, gait and movement, assessment of muscles and muscle condition, assessment of tendons and ligaments, and assessment of all joints in the body). We'll discuss my findings from my comprehensive examination of your horse and based on that, your horse's history, and our discussion of all treatment options we'll develop a comprehensive treatment plan tailored to the unique needs of your horse to optimize their health, wellness and performance. Depending on the personalized treatment plan for your horse we will do some treatment like acupuncture, laser therapy, massage, rehab, and chiropractic treatment. We’ll also discuss recommendations and possible changes to current diet, exercise, tack, and any medications, herbs or supplements.

At the end of the appointment you’ll get a written summary of everything we talked about for your horse, treatments done at the appointment and our custom plan for your animal going forward to optimize their health and well being.

Since every patient is unique the recommendations for how often to do follow up appointments depends on the unique needs of your horse. For most senior patients and any patients with any mobility, back, arthritis or tendon/ligament/joint issues it's typically best to do more frequent follow ups (every 1-4 weeks) initially and then less often (every 2-12 weeks) for "maintenance". For some patients in person follow ups are only needed 1-2 times a year after the initial appointment. Follow ups are typically 30-90 minutes just depending on our discussion, the exam findings and if any treatments such as acupuncture, laser, massage, rehab, chiropractic, etc are appropriate for your horse.

Once we've done an initial appointment in person and established a relationship I can offer remote consults by email, text, phone or video chat (Skype/FaceTime) for any questions you have for up to a year after our in person appointment. See the Consults Page for more information.