Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA
Plan: Fabricate Milan model soccer broken nose face mask. Use black HDPE safety material with black straps. Broken nose only.
Sx: Order received 2/8/16 6:47 PM via website www.indianabrace.com. Shipped USPS Priority 2/9/16 to Runnemede, NJ Expect delivery in 2 days.
FU: email customer satisfaction questionnaire on 02/17/16.
Clyde Peach, CO
www.indianbrace.com
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