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

Broken Nose Mask - Austin Peay State University

2/22/18

Austin Peay State University/Clarksville, TN

INJURY: Broken nose

SPORT: Basketball

RX: Hoosier model custom face mask

http://indianabrace.com/basketballfacemask.aspx

HISTORY: female, 5’6”, 142lbs

www.indianabrace.com

Call Clyde 800-253-6217 TXT: 317-445-1475

Broken Nose - Hoosier Mask #6688 to Jake L./New Lenox, IL

1/30/18
PA: Jake L. (son)/New Lenox, IL
DIAGNOSIS: Broken Nose
RX: Clyde's Hoosier Face Mask
http://indianabrace.com/basketballfacemask.aspx
HISTORY: Male 6'1" 180 - "Clyde - Mask is for my son, who plays basketball in high school. He suffered a broken nose last week while playing.
PLAN: Fabricate a custom Hoosier basketball facemask to be used during play - LDP black material. Standard 24-48 hour delivery.
www.indianabrace.com
Call Clyde 800.253.6217 TXT: 317.445.1475

Broken Nose Mask - Hoosier Mask #6659 to Anthony / Cheraw, SC

1/9/18

PA: Anthony's Son / Cheraw, SC

Diagnosis: Broken Nose

RX: Clyde's Hoosier Face Mask

http://indianabrace.com/basketballfacemask.aspx

History: Broken nose fielding a baseball bounced up and struck nose. 5'8" / male / 145lbs

Sport: Baseball

Plan: Create Hoosier mask for broken nose using DuPont's unique patented Surlyn.

www.indianabrace.com

Call Clyde for Info 800.253.6217 TXT: 317.445.1475

9/6/17 Broken Nose: Hoosier Mask #6514 to Johnson State College / Basketball

http://indianabrace.com/basketballfacemask.aspx

Call Clyde 800.253.6217

Broken Nose Mask / Madrid Soccer Model to Rhett in Castle Rock, CO

Website Order Taken : 3/21/17 @ 10:02 PM Shipped: 3/22/17 @ 5:00 PM FedEx Express Saver
PA: Rhett P.'s  (son) /Castle Rock, CO
RX: Protective Mask for Broken Nose
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXA
HX: Athlete has sustained nasal fracture during a baseball game.
Plan: Custom-fabricate Madrid 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 moleskin contact bumper pads internally for comfort.
Sport: baseball
Comments: Clyde - Clyde - I want to try and shorten top of mask to accommodate baseball hat and want to try to size so that sunglasses can be worn underneath mask. Thanks Rhett / Castle Rock, CO
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@gmail.com
American Board for Certification in Orthotics & Prosthetics

Broken Nose Mask / Clyde's Famous Players Facemasks

3/8/17
Website Order Taken : 3/8/17 @ 10;15 AM PM Shipped: 3/8/17 @ 5:00 PM FedEx First Overnight
PA: Annette K.'s son /Austin, TX
RX: Protective Mask for Broken Nose
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXA
HX: Athlete has sustained nasal fracture during contact sport.
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. Baseball design.
Sport: Baseball
Comment: Clyde, we are ordering this STAT so you can get it out today. Thanks. Annette
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

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

Hoosier Face Mask/Broken Nose/ Basketball/Channon, IL

Hoosier Custom Face Mask to Duke Baseball

Rx: 2/25/16 custom protective face mask #5701 for Duke Baseball

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

History: Broken nose playing baseball. 6'3" tall / 190 lbs. male. No facial fractures.

Plan: Fabricate Hoosier model broken nose face mask. Fabricare clear shell from DuPont Surlyn shatter proof material for eye safety and endurance, install internal Moleskin impact bumper pads, attach black WBC Velcro elastic straps for suspension. Broken nose only used for baseball.
http://indianabrace.com/basketballfacemask.aspx

Sx: Order received 2/25/16 9:27 AM via website www.indianabrace.com. Shipped UPS 2nd Day Air 2/25/ 16 to Durham, NC Expect delivery in 1 day.

FU: email customer satisfaction questionnaire on 03/4/16.

Clyde Peach, CO
www.indianbrace.com