This patch was created for the same person that requested the "Medical Alert Dog" patch, to meet her specific needs. She is generously allowing us to offer this patch to other folks that might benefit from it. It is available in 2 sizes -- 2" x 4" and 2.5" x 4.5", with a white background and black border, and can be personalized with your choice of text colors. The Star of Life behind the dog can be Royal Blue, Light Blue, Red or Orange. Please click the "more images" link below to view some ideas on color combinations.