CHAIN IS NOT INCLUDED Stretches to One Size Fits All We can make your bracelet any size - Select the smallest size available and in the "special instructions" let us know the size need. Well take care of it at no charge. - If youd like the bracelet larger there may be additional cost and we will contact you before producing. Hypo Allergenic Medical Card Included Bracelet expands to fit any size wrist. Bracelet opens up to allow you to provide additional information on a form provided. The engraved plate is approximately 1/2 Inch tall by 1 1/4 Inches Wide.