Do Not Resuscitate DNR Bracelet for State of Kansas-CR5212C

StickyJ Medical ID Jewelry is authorized by the Kansas Department of Health as a vendor of Do Not Resuscitate identification bracelets. The metal bracelet displays the internationally recognized Staff of Aesculapius medical symbol on the front along with the words Kansas Do Not Resuscitate. 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 enter additional information (e.g. emergency contact phone number) if you wish. These last two lines are optional and may be left blank. A copy of your Kansas DNR order form (signed by your physician) that conforms with KSA 65-4942 must be faxed or mailed to StickyJ Medical ID prior to releasing your order. A copy of the Kansas Pre-Hospital DNR form can be obtained here: https://www.stickyj.com/media/pdf/Kansas_Do_Not_Resuscitate_Request_Form.pdf. You can either scan the signed document and send it to us by email (CustomerService@StickyJ.com), or Fax it to us at (727) 499-0989, or mail it to: Customer Service, StickyJ Medical ID ? DNR, 10801 Endeavour Way Unit B, Seminole, FL 33777. If you have any questions, please call us at 727-823-9500.