Professional Media Resources (PMR) is an independently owned and family operated business with only one goal: to offer excellent service and accurate materials to our customers in a cost effective and timely manner. This has been our mission since the very beginning.

PMR was founded in St. Louis Missouri in 1991. That was the year that Congress passed the Patient Self-Determination Act, which required all health care facilities that accepted federal funds to give information to their patients concerning advance directives. Our President, Ronald Kramer, saw an opportunity to produce advance directive booklets to put the medical community in compliance with this act.

With the help of his nephew, he started PMR in his own basement, initially printing booklets for only three states. Mr. Kramer received an overwhelming amount of positive feedback, and over the next 2 years, PMR developed booklets for the remainder of the states and the District of Columbia. During that time the booklets were awarded a copy write and, in some states, they were translated into other languages.

In 1993 PMR out grew the basement and moved into its current location. While we continue to grow, we still remain a family business with the addition of two of Mr. Kramer's daughters to our staff.

We pride ourselves on being by far, the largest producer of advance directive material in the United States, having provided material to over 5000 health care facilities.