Dentist Referrals

Attention doctors! We have added an online Dentist Referrals form to our website that also allows referring local dentists to send x-rays and/or photographs that we can place into the patient’s chart prior to their arrival for orthodontic treatment in our offices in Fresno and Clovis.

Referred by Dr.

Dr. Email

Introducing My Patient

Patient's Phone

Patient's Email

Evaluate for Interceptive treatment

Evaluate for Orthodontics

Evaluate for Orthognathic surgery

Pre-prosthetic treatment needed

Notes

Please call before treating

I have sent radiographs after seeing patient

Please return after seeing patient

Keep for your records

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Nalchajian Orthodontics reception


- Phone: (559) 432-7100
5.0 stars - based on 21 reviews
7501 N. Fresno St, Suite 105 Fresno, CA 93720
Opening Hours: Mon-Wed 8:00-17:00, Thu: 7:00-15:00