The Alzheimer's medical ID bracelet was designed for the elderly in mind who may be inclined to remove the necessary identification bracelet. The spring ring clasps make it more difficult to remove than our typical lobster clasps. You may also request we send extra jump rings for you to attach so that the bracelet is close to impossible to remove. The lightweight stainless steel chain makes this bracelet perfect for everyday wear and does not need to be removed for showering. It can also be worn in chlorinated water! It is offered with the Contempo medical ID tag which is interchangeable with allinterchangeable medical bracelets Charms pictured are sold separately and will be attached to the medical information bracelet's ID tag.