CHAIN IS NOT INCLUDED Comes in 7 inch, 7 1/2 inch, 8 inch & 8 1/2 inch 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. This bracelet is solid 14K Gold The ID plate measures 1 3/4 Inches Wide x Almost 1/2 Inches Tall Comes with a Lobster Claw Clasp. This bracelet is Unisex and can be for a man or woman. 7 Inches is standard for women, 8 Inches is standard for men. Specific sizes are available Front Side Engraving Note: We make the medical symbol smaller on the piece to make room for engraving