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This medical bracelet is blank to allow for custom engraving by your local engraver. medical bracelets help assist you in times of an emergency emergency when you are not able to speak for yourself. Item is made from stainless steel, and has a fine brushed finish on the front to assist with hiding wear and tear. The back of the medical ID tag also has a brushed finish which enhances the visibility of the engraving. Medical alert bracelets should be worn on the left arm at all times. This ID bracelet will not tarnish and can be worn in and out of the shower and bath without any issue. The stainless steel is strong and durable for everyday use and can with stand normal wear and tear without issue. The chain is adjustable using proper tools if needed.