Professional Media Resources (PMR) is an independently owned and family operated business with only one goal; to offer excellent service and accurate advance directive materials to our customers in a cost effective and timely manner. This has been our mission from 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 founder and President, Ronald Kramer, saw an opportunity to help keep the medical community in compliance with this act and started producing advance directive booklets.

With the help of his nephew, he started PMR in his basement, initially printing booklets for only three states.  Mr. Kramer received an overwhelming amount of positive feedback, and over the next two years, he developed booklets for the remainder of the states and the District of Columbia.  During that time the booklets were copyrighted 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 remain a small family run business.  We pride ourselves on being the largest producer of advance directive materials in the United States, having provided booklets to over 5000 healthcare facilities.