Orbit Fracture - Hoosier Raptor Mask 6418 to Amy's Son in Yukon, OK

WEBSITE ORDER : 6/21/17 @ 3:38 PM STAT Shipped: 6/22/17 @ 5:00 PM
CARRIER: UPS Next Day Air
PA: Amy O.'s (son)/Yukon, OK
RX: Raptor Protective Face Mask for Right Orbit Fracture
DX: Fractures of Right Orbit
ICD-10-CM Diagnosis Code: S02.102D
HX: Athlete has sustained right orbit fracture during a soccer match.
PLAN: Custom-fabricate Raptor model #6418
(color:clear) using patented DuPont Surlyn that will not fracture on impact and will shape to face naturally that avoids any unusual protrusions that might injure other players. Customize design for

Amy's (son) Raptor Mask #6418

maximum right orbit protection and minimum obstruction of peripheral anddownward vision. Low profile design to allow for headers both side andfront. Add gentle moleskin felt contact bumper pads internally for
comfort.
SKU: hoosierraptorsurlyn
COUNTRY OF ORIGIN: Made in USA / Indianapolis, IN
SPORT: all sports
USER COMMENTS: male 5' 11 -" 128 lbs / This is for my son who has a right orbit fracture.
WEBSITE: www.indianabrace.com - Clyde's Hoosier Face Masks

ABC Badge

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 Category

Hallux Rigidus: X1 GoBlade #7488 to Bill in Thomasville, GA

Order Taken: WebSite Order 6/16/17 / Shipped 6/19/17
Carrier: USPS Priority Mail
PA: Bill M./ Thomasville, GA
RX: Clyde's X1 GoBlade for Great Toe Pain Right
DX: Hallux Rigidus
ICD-10-CM Billing Code : M20.21
Plan: Fabricate TriZone X1 GoBlade #7488 men's size 12 right with StifFlex midfoot (zone 2) for unrestricted ankle motion during hiking. Create 1mm great toe (zone 3) and heel relief (zone 1) pockets. Maintain extra kick rocker shape forefoot (zone 3) for assisted natural toe off. Pad heel (zone 1) with1/8" perf plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone 3 with ShearBan to prevent blistering during hiking activity. Specs: thickness and weight of X1 GoBlade #7488 - (0.0375") thin! - 1.322 oz light!

Bill's X1 GoBlade #7488 1.322oz 0.0375"

SKU: RTL+F130R
Country of Origin: Made in USA / Indianapolis, IN by Clyde Peach, CO
Sport: work/tennis
Comments: none
Website: www.indianabrace.com

ABC Badge Certified Orthotist

Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321
American Board for Certification in Orthotics & Prosthetics
Category