Orbit Fracture - Hoosier Raptor Mask 6418 to Amy's Son in Yukon, OK

WEBSITE ORDER : 6/21/17 @ 3:38 PM STAT Shipped: 6/22/17 @ 5:00 PM
CARRIER: UPS Next Day Air
PA: Amy O.'s (son)/Yukon, OK
RX: Raptor Protective Face Mask for Right Orbit Fracture
DX: Fractures of Right Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.
PLAN: Custom-fabricate Raptor model #6418
(color:clear) using patented DuPont Surlyn that will not fracture on impact and will shape to face naturally that avoids any unusual protrusions that might injure other players. Customize design for

Amy's (son) Raptor Mask #6418

maximum right orbit protection and minimum obstruction of peripheral anddownward vision. Low profile design to allow for headers both side andfront. Add gentle moleskin felt contact bumper pads internally for
comfort.
SKU: hoosierraptorsurlyn
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: all sports
USER COMMENTS: male 5' 11 -" 128 lbs / This is for my son who has a right orbit fracture.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks

ABC Badge

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 and Prosthetics Category