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The Bella SmartSize Medical ID Bracelet features dual-stranded, flat, silver-tone leather and a coordinating hypoallergenic, link-style chain affixed to our ever-popular stainless steel, custom-engravable La Petite White Caduceus Medical ID Tag. The finishing chain gives you an inch of adjustability, so you can wear your SmartSizeMedical ID Bracelet as loosely or as snugly as you’d like simply by adjusting the closure.