11/27/16
RX: X1 Blade for right Jone's fracture.
Diagnosis: Jone's fracture of right meta-diaphyseal junction of 5th metatarsal. S92.351D
Plan: Fabricate X5 Blade with stifflex zones - zone 1-5 stiff - zone 2&3 flexible with unloading modification at zone 1-5.
Sx: Order received 11/27/16 @ 5:42 PM via website www.indianabrace.com - shipped 11/29/16 USPS Priority Mail expect delivery to Germantown., TN in 2 days.
FU: Customer satisfaction survey mailed 12/10/16
Clyde Peach, CO #1321
www.indianabrace.com
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