Tuesday, February 2, 2016

Hoosier Model Broken Nose Mask

Rx: 1/26/16 protective face mask  #5667 for M.M.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

Plan: Fabricate Hoosier model basketball  broken nose face mask. Use black high density polyethalene with black straps. Broken nose only.

Sx: Order received 1/26/ 16 5:05 PM via website www.indianabrace.com. Shipped UPS Ground 01/27/16 to Lebanon, IN Expect delivery in 1days.

FU: email customer satisfaction questionnaire on 2/10/16

Clyde Peach, CO
www.indianbrace.com

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