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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.
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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 ID Necklace-AA4017C

SKU:
AA4017C
$20.95
  • 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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  • Necklace front will be custom engraved to reflect DNR, POLST, or POLST with DNR per your form.
  • 24 toll-free verification number and patient ID engraved at no charge. No monthly fee for service.
  • Patient's full name must be provided on line 1 of back engraving.
  • As this is a State of California authorized necklace, DNR or POLST form MUST BE provided.
  • Made of surgical stainless steel. Waterproof, hypoallergenic, and non-corrosive for 24/7 wear.
It is required by Californian law that your DNR or POLST Medallion necklace bears CALIFORNIA DO NOT RESUSCITATE EMS or CALIFORNIA POLST EMS on the front. We will engrave our 24-hour toll-free verification number (provided as a service by StickyJ Medical ID for no additional cost) and the patient-s ID number (assigned by StickyJ) on the top two lines. You must provide the patient's full name on the first line of the Personalization Options. Then, you may provide additional information, such as an emergency contact number, on subsequent lines. After purchasing this product, note the order number and e-mail a copy of a valid DNR or POLST form for the patient to customerservice@stickyj.com or fax it to (727) 490-5446 (please provide the order number in the e-mail or on a separate piece of paper if faxing). We must have this paperwork on file before we can deliver your order. Call our toll free number with any questions: 866-497-6265.
Composition:
Stainless Steel
*Requires Copy of Signed DNR Order:
E-mail CustomerService@StickyJ.com/fax 727-499-0989/or mail 10801 Endeavour Way #B Seminole FL 33777
Finish:
Polished
Clasp Type:
Bead Connector
Dimensions:
1.25 x 0.75 inch
Thickness:
2mm
Engraving Type:
Laser