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  • StickyJ Medical ID
  • (727) 823-9500
  • StickyJ Medical ID 10801 Endeavour Way #B Seminole, FL 33777

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  • All orders are Assembled, Engraved, and Shipped from Florida.
  • New Minecraft Design Bracelet Promotions with Free Engraving in Effect. SHOP NOW
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  • StickyJ Medical is the leading provider of DNR and POLST bracelets in America!
  • All orders over $50 qualify for FREE Standard U.S. Shipping or $7.95 Off for Int'l

California DNR / POLST Medallion Bracelet 7 - 9 In-CR5121C

  • Select Back Only. Then enter the full name of the patient on Line 1.
  • Additional lines are provided for other medical conditions or an emergency contact phone number.
  • A copy of the signed DNR or POLST form must be uploaded, faxed, or sent by mail.
  • For upload, a PDF is preferred.

Maximum file size is 2048KB, file types are pdf, jpg

Engraving (Front)

Engraving (Back)

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  • As this is a State of California authorized bracelet, DNR or POLST form MUST BE provided.
  • Bracelet front will be custom engraved to reflect DNR, POLST, or POLST with DNR per your form.
  • Patient's full name must be provided on line 1 of back engraving.
  • 24 toll-free verification number and patient ID engraved at no charge. No monthly fee for service.
  • Made of surgical stainless steel. Waterproof, hypoallergenic, and non-corrosive for 24/7 wear.
Califonia requires that your DNR or POLST Medallion bracelet contain a specific message on the front depending on whether it-s DNR, POLST, or POLST with Do Not Resuscitate. When you send us your DNR or POLST form, we will adjust the front engraving to conform with state regulations. On the back of your bracelet it must have our 24-hour toll-free verification number, the patient's identification number (which we will assign), and the patient's full name. StickyJ Medical ID provides the required 24/7 verification service at no additional charge. All you have to do when ordering is to be sure to enter the patient's full name on the first line of the engraving section. Then, on the 2nd and 3rd lines you may optionally enter additional information (e.g. emergency contact phone number) if you wish. We must be provided with a copy of the DNR or POLST form that was properly executed for the patient before your order can be released. You can email it to, fax it to (727) 499-0989, or mail it to us at: StickyJ Medical ID, 10801 Endeavour Way, Unit B, Seminole, FL 33777. Be sure to write your order number (the one you'll receive once you complete the ordering process) in the margin of the DNR or POLST form. As soon as we receive your paperwork, we?ll process your order and ship your medallion. If you have any questions, please call our toll free number 866-497-6265.
Stainless Steel
*Requires Copy of Signed DNR Order:
E-mail 727-499-0989/or mail 10801 Endeavour Way #B Seminole FL 33777
Fits Wrist Sizes:
5.75 - 8.25 Inch
Clasp Type:
Link Style:
1.5 x 0.5 Inch
Engraving Type: