Orbit Fracture - Raptor Mask by Clyde to Polly/Waco, TX

1/8/18
PA: Polly's son/ Waco, TX
Diagnosis: Orbit frature left side
RX:Clyde's Hoosier Model Raptor Mask - STAT
http://indianabrace.com/basketballfacemask.aspx
Sport: Soccer
www.indianabrace.com
Call Clyde 800.253.6217 TXT: 317.445.1475

Orbit Fracture: Hoosier Mask #6421 Raptor Model to Cole in Toronto, Canada

WEBSITE ORDER : 6/23/17 @ 11:05 PM STAT Shipped: 6/26/17 @ 5:00 PM

CARRIER: FedEx International Priority
PA: Cole R.'s(son)/Toronto, Ontario Canada
RX: Raptor Protective Face Mask for Facial Fracture
DX: Fracture of Left Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.

Cole's (son) Raptor Face Mask

PLAN: Custom-fabricate Raptor model #6421 - (color:black) using LDP that will not fracture on impact, will shape to face naturally, and avoids protrusions that might disqualify it's use in competition by officials. Customize design for maximum left orbit 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: hoosierraptorldp
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: soccer
USER COMMENTS: male 5' 8 -" 145 lbs / This is for my son who has a left orbit fracture.
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 and Prosthetics

Orbital Fracture Mask / Raptor Basketball Model to Megan in Cleveland, OH

Website Order Taken : 3/21/17 @ 11:45AM Shipped: 3/22/17 @ 5:00 PM UPS Ground
PA: Megan B.'s (son) /Cleveland, OH
RX: Protective Mask for Facial Fracture
DX: Left Orbital Fracture
ICD-10-CM Diagnosis Code: S02.30
HX: Athlete has sustained left orbital fracture during a basketball game.
Plan: Custom-fabricate Raptor basketball model (color: clear) using shatter proof DuPont Surlyn that will not re-injure recent fracture, will shape to face naturally and avoid eye injuries. Customize design for maximum left orbital protection and minimum obstruction of peripheral and downward vision. Add gentle moleskin contact bumper pads internally for comfort.
Sport: basketball
Comments: Clyde - I will text you a picture of the injury. It is a minor orbital fracture, no surgery required, just looking to protect area from elbows and basketballs.  Megan / Cleveland, OH 3/21/2017
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