Wisconsin
StickyJ Medical ID Jewelry is the State of Wisconsin's authorized vendor for permanent-type DNR bracelets, available with standard lobster or safety clasp. Note: Because of our agreement with the state to offer the bracelets at a deeply discounted price, coupons are not accepted for the purchase of a Wisconsin DNR bracelet.
- The patient’s first & last name must be engraved on the back of the bracelet, however there is room on the back to add an emergency contact phone number, if desired.
- You can either scan the document and upload it at the time you place your order, send it to us by email to CustomerService@stickyj.com, or fax it to us at 727-499-0989.
- For orders by mail, a copy of your completed Wisconsin Do Not Resuscitate form signed by your doctor (form F44763 ) must be mailed to StickyJ Medical ID along with your payment of $34.49 (or $38.49 if ordering a bracelet with safety clasp) and your completed WISCONSIN DNR BRACELET ORDER FORM prior to releasing your order. Our address: StickyJ Medical ID – DNR, 10801 Endeavour Way Suite B, Seminole, FL 33777.
- If you have any questions, please call customer service at 727-823-9500. A SPANISH LANGUAGE VERSION of the DNR BRACELET ORDER FORM is also available.