Utah Life With Dignity Bracelets

Utah Life with Dignity DNR Bracelets

StickyJ Medical ID Jewelry is a provider of Utah Life With Dignity (DNR) bracelets. The metal bracelet displays the Utah Life With Dignity EMS designation on the front along with the words DO NOT RESUSCITATE. Your order must be accompanied by a valid POLST form (Life with Dignity form) from Utah, signed by both the patient's physician and the patient (or legal surrogate). Only POLST forms which specify 'Do not attempt or continue any resuscitation (DNR)' in box A may receive a bracelet that says DO NOT RESUSCITATE. In the back engraving section, please be sure the patient’s first and last name is entered on the first line. You have additional lines available in which you can enter an emergency contact name and phone number (optional). A copy of your completed Utah POLST/DNR Order must be mailed to StickyJ Medical ID prior to releasing your order. You can either scan the document and send it to us by email (CustomerService@StickyJ.com),fax it to 727-499-0989, or mail it to: Customer Service, StickyJ Medical ID – DNR, 10801 Endeavour Way Unit B, Seminole FL 33777.

If you would prefer to order by mail, you can download our Utah Life with Dignity bracelet order form by clicking on Utah Life with Dignity Bracelet Mail Order Form. If you have any questions, please call us at 727-823-9500.

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