Broken Nose Mask - Hoosier Model / U. Mass/Amherst

RX: Protective face mask for basketball. Diagnosis: Fracture of nasal bones ICD-10-CM (S02.2XXB)

Plan: Fabricate semi-custom Hoosier model face mask to protect nose injury. Use black hi-density polyethalene with black straps and internal mole skin bumper pads. No facial fractures - open eye holes to max for unobstructed vision.

Sx; Order received 11/28/16 @ 5:50 PM via website www.indianabrace.com after conversation with head trainer at U. Mass / Amherst. Shipped Hoosier mask on 11/29/16 USPS Priority mail - expect delivery in 3 days.

FU: Email customer satisfaction survey 0n 12/5/16.

Clyde Peach, CO
www.indianabrace.com