Utah Life with Dignity DNR Stainless ID Bracelet 7 - 9 In-CR5138C

StickyJ Medical ID Jewelry is a provider of Utah Life with Dignity DNR bracelets. The metal bracelet displays the message Utah Life with Dignity on the front along with the words Do Not Resuscitate. Only individuals with a valid POLST (-Life with Dignity') form from Utah, signed by both the patient's physician and the patient (or legal surrogate) may receive a Utah Life with Dignity bracelet. and the box in section A that says 'Do not attempt or continue any resuscitation (DNR)' must be checked. In the back engraving section, please be sure the patient?s first and last name as it appears on their POLST form is entered on the first line. You have four additional lines available in which you can enter emergency contact names and phone numbers (optional). A copy of your completed Utah POLST (Life with Dignity) form 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 have any questions, please call us at 727-823-9500.