The main Help Mark itself is not included. Please obtain it from your local government, etc. Also, other disability handbooks, etc., are not included. Cat Sacoche Bag You can put a Help Mark in the transparent case on the front. If you flip the transparent case over, you can see a memo. There is also a pocket on the back, for storing emergency medication, keys, etc. How about it for your hospital visit style? The fifth photo has a different pattern, but it's an image of how it looks when worn!