Diagnosis: Lisfranc Injury / ICD-10-CM diagnosis code S93.326A
Plan: Fabricate X1 Blade Shoe Stifner medium stiff to replace athletes walking boot. Insert will be used in a light training shoe - max weight of Blade should not exceed 1.3 oz and density no more than 0.060". Create a contoured shape to facilitate normal gait rockers.
Sx: Order received 1/11/ 16 5:12 PM via call from Indiana University sports medicine/football. Shipped USPS Priority 01/12/16 to Bloomington, IN expect delivery in 2 days. www.indianabrace.com
FU: email customer satisfaction questionnaire on 1/26/16
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