Broken Nose: Hoosier Face Mask #6414 to Harald in Redmond, WA

WEBSITE ORDER : 6/19/17 @ 1:12 AM Shipped: 6/20/17 @ 5:00 PM
CARRIER: FedEx Standard Overnight
PA: Harald W. (son)/Redmond, WA
RX: Hoosier Protective Face Mask for Broken Nose / Madrid Model/STAT
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 #6414 (color: black) using shatter proof  black 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 design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for comfort.
SKU: hoosiermadridLDP
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: soccer
USER COMMENTS: male 5' 1" 87 lbs / This is for my son. Please see separate email with photos -please get mask out on Monday 6/19/17 for Tuesday delivery 6/20/17.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks
PRACTITIONER: Clyde Peach, CO - ABC Certified Orthotist #1321 - 1979
CONTACT: Call: 800.253.6217 Text: 317.445.1475 Email: clyde.peach@gmail.com
American Board for Certification in Orthotics & Prosthetics