Broken Nose Mask / Clyde's Famous Face Masks

3/2/17
Website Order Taken : 2/28/17 @ 8:12 PM Shipped: 3/2/17 @ 5:00 PM USPS Priority Mail
PA: Jennifer I. (son) / Woods Cross, UT
RX: Protective Mask for Broken Noses
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXA
HX: Athlete has sustained nasal fracture during a various.
Plan: Custom-fabricate Hoosier model (color: clear) using shatter proof DuPont Surlyn that will not re-injure recent fractures, will shape to face naturally and avoid eye injuries. Customize design for maximum nasal protection and minimum obstruction of peripheral and downward vision. Add gentle contact bumper pads internally.
Sport: Soccer
Website: www.indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
Contact: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@indianabrace.com
American Board for Certification in Orthotics & Prosthetics
Comment:Clyde, thank you for talking with me this morning and helping me make a decision for my son.