Slim Bracelet – Replacement Tag

R140.00

Do you need to update your emergency medical information? Order a replacement tag that you can use with your existing strap

Personalise your tag here

Name & Surname

Your Cellphone Number

Medical Aid

Medical Aid Number

Medical Condition

Enter any medical conditions that are applicable in an emergency situation. You information are handled with strict confidentiality and privacy. We will never share your information.

Allergies

Enter allergies if applicable

Medication

Add medication information that will be applicable in an emergency situation

Emergency Contact Person

Emergency Contact Number

Helmet Sticker

Use this details for other order items

You don’t need to enter your personal information again if you check this box. Just leave all fields blank on the other items, we will use this data.

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