Saturday, February 13, 2016

Protective Face Mask - Jaw Fractures

Rx: 2/7/16 protective jaw mask #5679 for Evan S.

Diagnosis: fractures of right mandible ICD-10-CM diagnosis code S02.69XB

History: Broken jaw playing basketball. 5'10" tall / 150 lbs. male. No facial fractures.

Plan: Fabricate Jawz model broken jaw mask. Use clear White HDPE shatter proof material for eye safety and endurance with black WBC Velcro elastic straps. Broken Only only used for basketball.
http://indianabrace.com/basketballfacemask.aspx

Sx: Order received 2/7/16 8:59 AM via website www.indianabrace.com. Shipped UPS 2nd Day Air 2/10/ 16 to Cottonwood, AZ Expect delivery in 2 days.

FU: email customer satisfaction questionnaire on 02/17/16.

Clyde Peach, CO
www.indianbrace.com

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