Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA
Plan: Fabricate Hoosier model basketball broken nose face mask. Use clear DuPont Surlyn with black straps. Broken nose only.
Sx: Order received 1/30/16 12:21 PM via website www.indianabrace.com. Shipped USPS Priority 02/01/16 to Sherbrooke, QC Canada. Expect delivery in 4 days.
FU: email customer satisfaction questionnaire on 02/12/16.
Clyde Peach, CO
www.indianbrace.com
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