My Identity Doctor - Kids Steel Medical Alert ID Bracelet, Curb Chain - Wrist Size 5"+ Recommended wrist size 5 - 9 - Item can be adjusted with proper tools Hypoallergenic Surgical Steel, Non Corrosive, Will Not Tarnish, Water Will Not Affect This Item Item is Shipped Blank to Allow for Customizing Locally Sized to 8 - Includes additional 1" extra links to be added if needed Medical ID Wallet Card Included