Rx: 2/9/16 - PA: Erin H. ---- Pair X1 Blades - all composite material please, create plantar flexion room at great toe, 1/8" intrinsic lateral force Hallux wedge, pad heel with 1/8" moleskin and cover great toe relief with ShearBan.

Diagnosis: Turf Toe / ICD-10-CM diagnosis code M79.672

History: Erin is an active runner who suffers from a turf toe injury.

Plan: Fabricate Bilateral X1 Blade Runner models for Erin H. with: medium great toe pocket covered in ShearBan, padded moleskin heel, flexible midfoot zone so as not to restrict normal ankle motion, intrinsic unloading lateral force wedge, StiFlex +2 at great toe to be used cross country running and athletics. Approximate Weight  1 oz. Density 0.04

Sx: Order received 2/9/16 via website http://indianabrace.com/turftoe.aspx  Shipped 02/12/16 to Sydney, Australia by FedEx International Priority. Expect delivery in 3-4 days.

FU: email customer satisfaction questionnaire on 2/26/16