ER Tags Jewel Bracelet (Slimline) – Tag only

R145.00 incl VAT

Replacement part for your Jewel Bracelet.

Tag Finish & Style

Clear

Name & Surname

Medical Aid Number

Medical Aid

Allergies *

Please indicate n/a if no allergies should be listed.

Disabilities/Handicaps

Medication *

Please indicate n/a if no medication should be listed.

Medical Conditions *

Specifying your medical condition is important. Please indicate n/a if no medical condition should be listed.

ICE Contact Person 1 (Name & Surname, Relation, Contact Number)

ICE Contact Person 2 (Name & Surname, Relation, Contact Number)

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