8/31/17 Broken Nose: Hoosier Mask #6508 Madrid Model/Soccer to Oliver/Toronto, Canada

http://indianabrace.com/basketballfacemask.aspx

Broken Nose Mask / Madrid Model Soccer Mask to James in Brandon, MS

Published on Apr 17, 2017

Website Order Taken : 4/14/17 @ 12:51 PM Shipped: 4/17/17 @ 5:00 PM UPS 2nd Day Air
PA: James R. (son) /Brandon, MS
RX:  Madrid Model Protective Mask for Broken Nose
DX: Fractures of Nasal Bones
ICD-10-CM Diagnosis Code: S02 2XXB
HX: Athlete has sustained nasal fracture during a recent soccer match.
Plan: Custom-fabricate Madrid model (color: black) using shatter proof LDP 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. Low profile design to allow for headers both side and front. Add gentle moleskin felt contact bumper pads internally for impact comfort.
Sport: soccer
User Comments: Male / 5'7" / 140 lbs. /
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

James's Actual Madrid Mask

American Board for Certification in Orthotics & Prosthetics

Mike from Brooklyn Orders X1 Turf Toe Blade for Soccer

New Order (#3732) X1 Blade for Soccer

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www.indianabrace.com	1:20 PM (2 hours ago)

You have received a new order.

Order Confirmation

Thank you for your order, MIKE BXXXX. Your order number is: 3732 Date of order: 4/30/2013 1:20 PM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To MIKE BXXXX XXX VARET ST BROOKLYN, NY 11206 United States
Additional Information Diagnosis: turf toe
Product Information
Product Name Part No. Quantity Item Price Total Price "STOP THE OUCH!" - CLYDE'S REMARKABLE X1 BLADES FOR TURF TOE & HALLUX RIGIDUS Foot: Right Model: "Pro" Heavy Activity (football,basketball, soccer) Size / CM: Women's 11 Men's 10 Diagnosis:: Turf Toe How Will You Be Using Your X1 Blade?: soccer I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes Comment About Your Injury?: TL-501-28-P-R 1 $109.95 $109.95 Subtotal: $109.95 Shipping: $6.00 Tax: $0.00 Order Total: $115.95

Vilonia, AR - Hoosier OTS Mask for Soccer Player

Order Confirmation

Thank you for your order, Julie Sxxxxxxx. Your order number is: 3629 Date of order: 3/29/2013 9:04 PM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To Julie Stephens 50 Barnard Lane Vilonia, AR 72173 United States Phone:(501)XXX-XXXX
Additional Information Diagnosis: Broken Nose / Soccer
Product Information
Product Name Part No. Quantity Item Price Total Price CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 11 1/2" (11.5 inches) Measurement B: Top of forehead to tip of nose.: 4 3/4" (4.75 inches) Height?: 5'10" (5 feet 10 inches) Weight?: 151 lbs (151 pounds) Sex?: Male Sport?: Soccer I ackknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes L2999 1 $229.00 $229.00 Subtotal: $229.00 Shipping: $25.26 Tax: $0.00 Order Total: $254.26

Clyde's Hoosier Facemask

Clyde's Hoosier Face mask was just sent to Carlsbad, CA for a soccer player who suffered a right orbit fracture.