Leather medical alert keyring measures 5 inches long (including ring and lobster claw attachment). Engraved leather double-sided allows you to alert others around you or a loved one of a medical issue. Bold letters indicate RH NEG, DEMENTIA, HEARING IMPAIRED, ORGAN DONOR, or DEAF. Lobster claw snap for easy attachment.  Keyring can also be used as a luggage tag or backpack tag. Attach to your purse or shoulder bag.  Great gift for birthdays, Mother's Day, Father's Day, or holidays. Handmade with care by Grandma B.