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Nalchajian Orthodontics

Address:
Fresno
7501 N Fresno St, Suite 105
Fresno, CA 93720

Clovis
1615 Shaw Ave, Suite 107
Clovis, CA 93611

Phone:
(559) 432-7100 – Fresno
(559) 299-9561 – Clovis

Hours:
Mon–Wed: 8:00 AM–5:00 PM
Thu: 7:00 AM–4:00 PM

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Hepatitis/Liver Involvement
Grinding or Clenching Teeth
Heart Trouble
Thyroid Disorders
Sex
Do you have any current or past health problems?
Have you ever been hospitalized?
Are there any medications being taken on a regular basis (including nonprescription)?
Are you allergic or sensitive to anything?
Do you have or have you ever had any face, mouth, or teeth injuries?
Do you have difficulty breathing through your nose?
Do you play a musical instrument with a mouthpiece?
Have you had any previous orthodontic consultations or treatment?
Headaches/Migraines
Lip or Nail Biting
Epilepsy
Thumb Sucking/Age
Malignancies
Kidney Involvement
Anemia
Jaw Joint Problems (TMJ)
Arthritis
Diabetes/Endocrine Disorder
Extra or Missing Teeth
Asthma
AIDS or HIV Infection
Tuberculosis
Nervousness/Hyperactivity
Cold Sores/Fever Blisters
Bone/Collagen Abnormalities
Hearing/Speech Problems
Rheumatic Fever
Tongue Thrusting/Sucking
Fainting/Dizziness/Seizures
Prolonged Bleeding
Mouth Breathing
Mononucleosis
Are you currently or were you previously under a physician’s care for anything other than childhood diseases?
High/Low Blood Pressure
Tonsils/Adenoids
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