4/18/18 CLIENT: Guido O./San Francisco, CA INJURY: Broken Nose RX: Clyde's DuPont Surlyn Hoosier Model for Broken Nose http://indianabrace.com/basketballfacemask.aspx SPORT: Water Polo HISTORY: Male 5'6" 114lbs Call Clyde 800.253.6217 TXT: 317.445.1475 www.indianabrace.com