Our N-Style ID Spirit medical ID bracelet is a beaded wrap around bracelet with an earthy casual style. The seed beads are woven in an Aztec pattern of turquoise, copper and tan, surrounded by wood beads which are all wrapped up in leather cord to produce a medical ID wrap bracelet. The size is adjustable by where you choose to place the button in the knotted leather. Size adjusts from a 6" wrist up to an 8" wrist. All N-Style ID beaded medical bracelets should be removed before showering or water activities and are not recommended for everyday wear. For everyday wear, we recommend switching the beaded bracelet to one of our stainless steel chain bracelets Charms pictured are sold separately and will come attached to the ID tag.