10/18/18 Madrid Mask #6965 to Laurie in Medway, MA

DATE: 10/18/18

CUSTOMER: Laurie G.'s Daughter

INJURY: Broken Nose

RX: Clyde's Hoosier face Mask - Madrid Soccer Model

LINK: http://indianabrace.com/basketballfacemask.aspx

SPORT: Soccer

HISTORY: 5'2" Female 115lbs

CONTACT: Clyde or Text Direct 317-445-1475

E-MAIL: clyde.peach@gmail.com

WEBSITE: www.indianabrace.com

Clyde's Hoosier Face Mask to IU Baseball / Broken Nose

10/11/18 CLIENT: IU Baseball/ Bloomington, IN INJURY: Broken Nose RX: Clyde’s Hoosier DuPont Surlyn Facemask http://indianabrace.com/basketballfac... SPORT: Baseball HISTORY: Player hit in the nose with baseball. Male 190 lbs. 6'3" Call or Text Clyde Direct 317-445-1475 clyde.peach@indianabrace.com www.indianabrace.com

Clyde's Face Masks/Call 1-800-253-6217 or Text 1-317-445-1475

Published on Feb 24, 2017

2/23/17
PA: Samuel S./Nashville, TN
RX: Hoosier mask for broken nose only
ICD-10-CM Billing Code: S02.2xxB
DX: Broken Nose
P: Fabricate Hooseir mask for broken nose with clear DuPont Surlyn material.
Website: www.indianabrace.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics & Prosthetics

Madrid Mask Perfect for My Daughter!

Hello - We would like to be sure we get this exact mask for my daughter, https://www.youtube.com/watch?v=kYQRhvdRVjg It was a little confusing with the different names (Hoosier, Madrid, etc.), but the mask you show in that video is perfect. Thank you!

Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask

Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask
Website Order for Normal 24/48 hour delivery Placed: - 1/19/17 Shipped: 1/20/17
By:  D.B./Henderson, CO
RX: Madrid Protective Face Mask for Nasal Fracture - click here
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA - click here for insurance coding
Sport: Soccer
Website: www.indianabrace.com - click here
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics - click here
Made in Indianapolis, Indiana USA

Hoosier Custom Face Mask/Broken Nose/ Basketball

Published on Jan 20, 2017

Hoosier Custom Face Mask/Broken Nose/ Basketball Mask - click here
Website Normal Order Placed: - 1/18/17 Shipped: 1/18/17
By: Dawn K./Bloomington, IN
RX: Protective Face Mask for Nasal Fracture
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA
Sport: Basketball
Website: www.indianabrace.com - click here
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics - click here
Made in Indianapolis, Indiana USA

Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask

Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask
Website Normal Order Placed: - 1/18/17 Shipped: 1/19/17
By: Lesli D./Roanoke, TX
RX: Protective Face Mask for Nasal Fracture
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA
Sport: Soccer
Website: www.indianabrace.com
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics
Made in Indianapolis, Indiana USA

broken nose / pediatric face mask / basketball

Website STAT Order Placed: - 1/17/17 Shipped: 1/18/17
By: Billi W./West Des Moines, IA
RX: Protective Face Mask for Nasal Fracture
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA
Sport: Basketball
Hoosier Mask Model: Hoosier (custom made pediatric)
Website: www.indianabrace.com
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics
Made in Indianapolis, Indiana USA