Broken Nose: Madrid Soccer Mask to Christen in Brighton, CO - 5/23/17

Website Order Taken : 5/19/17 @ 10:13 PM PM Shipped: 5/22/17 @ 5:00 PM UPS 2nd Day Air
PA: Christen D.(daughter)/Brighton
RX: Protective Mask for Broken Nose / Madrid soccer model
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXB
HX: Athlete has sustained nasal fracture during a soccer match.
Plan: Custom-fabricate Madrid model face mask (color: black) using shatter proof LDP 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. Low profile

Christen's Daughters Madrid Soccer Mask

design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for comfort.
Country of Origin: Made in USA / Indianapolis, IN
Sport: soccer
User Comments: female 5'6" 140 lbs / This is for my daughter. She is a goalie on her soccer team. Going to Regionals in June!
Website: www.indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
Contact: Call Clyde 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics and Prosthetics