The Simmer beaded medical bracelet is the natural choice for your casual outfit. The combination of Indian agate and lava rock beads on this custom bead bracelet is said to help create stability and tranquility. 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 the discounted stainless steel chain bracelet offered below or one of our other stainless steel chain bracelets Charms pictured are sold separately and will come attached to the ID tag.