If you are choosing not to vaccinate, selectively vaccinate or delayed vaccinate YOU ARE NEGLECTING YOUR CHILD!!!

[Motherdragon]

Do Not Sign
AAP or other self-incriminating Vaccine Refusal forms  

Basically, some doctors are giving patients who choose not to vaccinate their children a form to sign created by the American Academy of Pediatrics (AAP). This form varies somewhat from state to state but basically it is a total propaganda sheet about the alleged value of vaccines, the alleged "risk" of not vaccinating and, even worse, the parent who signs the form is falsely "admitting" that they are putting their children at risk.

When faced with a request to sign a form which removes liability from your doctor, you have several options:

OPTIONS

Change doctors to a holistic physician such as a naturopath, homeopath or other medical provider who does not require you to remove the liability from their shoulders in the event your child becomes sick.

Write your own form letter.

Re-write the given form and cross out key words which will change the document's meaning: I.E. "I am aware of the risks of not vaccinating my child. [cross out the word "not"]

Below is an Example of a personal vaccine refusal form. It can be uses “as is” or can be modified to reflect your personal needs.

WARNING/DISCLAIMER: Please note that the law varies from state to state. Thus we HAVE NOT asked the advice of a lawyer about what unforeseen consequences might arise from using this form.
If you do consult a lawyer in your state about using our form, please share with (www.vaclib.org) the comments you receive. Thanks.

 

 

Note: the intention of this above form is

• To give the doctor release from liability in case your child acquires what allegedly is a 'Vaccine Preventable Disease'.
• To avoid the creation of liability for yourself.
• To give the doctor a little bit of information to make them think.
• To put 'concerned parties' on notice that you have done your homework.

Refusal to Vaccinate

Child’s Name: ______________________________________

Child’s ID #:  _______________________________________

Parent’s/Guardian’s Name(s): _____________________________________

                                                     _____________________________________

I acknowledge that my child's medical care provider, has recommended that my child (named above) receive the following vaccines:

Medical Care Provider's Name:   ___________________________________

Recommended Declined

□ Hepatitis B vaccine □

□ Diphtheria, Tetanus, acellular Pertussis (DTaP) vaccine □□

Diphtheria Tetanus (DT or dT) vaccine □

□ Haemophilus influenzae type b (Hib) vaccine □□

Pneumococcal conjugate vaccine □

□ Polio vaccine (IPV) □□

Measles, mumps, rubella (MMR) vaccine □

□ Varicella (chickenpox) vaccine □□

Influenza (flu) vaccine □

□ Meningococcal vaccine □□

Hepatitis A vaccine □

□Other#1 : ________________________________________ □

□Other#2:  ________________________________________ □

I have studied both sides of this very controversial subject (vaccination) and have become aware of many facts

including the following:

One or more aspects of vaccination (I.E. Blood polluting ingredients, cruelty to animals, cells originating from aborted fetal cells, etc.) are in violation of one or more doctrines of at least five (5) of the world's major religions. (Christian, Judaism, Islam, Buddhist and Hindu.)

It is an uncontested scientific fact that a minimum of 90% of todays public health achievements originated in the

improvements in sanitation, nutrition, hygiene and insect control which preceded both specific vaccinations and antibiotics.

No adequate scientific study has ever proved that vaccines give a net benefit to the recipients. For certain diseases it is

beyond controversy that UNVACCINATED children have a considerable advantage over their vaccinated counterparts.

Many factors have been considered in reaching the decision that my child's best interest will be served by refusing the vaccine(s) that are checked above.

Parent/Guardian: _____________________________________

Signature: __________________________________________

Date:  _____________________________________________

Witness/Notary   _____________________________________

Date:  _____________________________________________

 

If your would like complete details visit http://www.vaclib.org

Other details include but are not limited to:

A letter from the director of (vaclib.org) that explains more about why self-incriminating forms are to be avoided. 

A printable copy of the form above

Further questions about exemptions: http://www.vaclib.org/exemption.htm
If you need to email (vaclib.org) about exemptions or exemption forms, Click here: http://www.vaclib.org/perl/perlmail.pl

If you wish to give your doctor a letter of explanation containing more facts than those listed in "RefuseVaccines", then consider using the letter here, Letter-to-doctor.doc

[kimberleee382]

Jul. 14, 2008 at 4:01 PM

It just goes to show that more educated mothers are discovering the SERIOUS RISKS that accompany VACCINATION and are saying NO to these dangerous drugs......

And it SCARES THE HELL OUTTA the perscription drug companies who make BILLIONS OF DOLLARS off this 'industry' (ie. newborn babies).   So now they're fighting tooth and nail to bully parents into drugging their babies... figures.

 

[christy7781]

Jul. 18, 2008 at 4:58 PM I agree with kim,It's all about making our babies sick an sicker to rely on the pharmacutical drugs.MONEY,MONEY,thats all anyone cares about anymore,Wheres our Health come in to play???