Patients coming in for outpatient testing are not given a bracelet. And as you mentioned some patients get upset about even being asked to complete the questionaire..."I'm just having an x-ray", but then others appreciate knowing about the program. I've learned that you can't make everyone happy. I also send a follow-up letter to those individulas who came in for outpatient testing and have indicated interest in being a Bloodless Medicine patient. While the letters are simular in format, I have one that I send to those who indicate their religion as JW, and another version to everyone else. This has been a good way to market the program to our patient population. It's amazing how many people in the general population are unaware of the options available. These letters have resulted in a number of phone calls from individuals who wanted to learn more.