Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code S02.2XXB
Plan: Fabricate Hoosier model basketball broken nose face mask. Use clear DuPont Surlyn with black straps. Broken nose only.
Sx: Order received 1/3/16 5:05 PMvia website www.indianabrace.com. Shipped USPS Priority 01/04/16 Expect delivery in 2 days.
FU: email customer satisfaction questionnaire on 1/14/16
Clyde Peach, CO
www.indianbrace.com
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