Why You Must Not Sign A “Refusal To Vaccinate” Form – [At least, if you want to keep your kids that is]

CHS reproduces this post from the For Ohioans website February 9, 2014.

[UPDATE: For Ohioans is now Parents Against Mandatory Vaccines [PAMV]. The article and further advice is now found on that site here:

**(Details for parents and vaccine-aware health care providers.)**
 **(Details for employees and students**)

CONTACT PAMV: Email: sayno2flushots@gmail.com]

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Table of Contents

*TWELVE REASONS PARENTS CANNOT SIGN THIS FORM

*SUGGESTED RESPONSE (OR WHAT I WOULD DO)

*THE VACCINATION NOTICE

The following is not legal advice. It is merely sharing ideas, understandings and suggestions regarding ways of dealing with vaccine recommendations by the CDC and vaccine mandates by the STATE.

The “Refusal to Vaccinate” form was created by the American Academy of Pediatric’s ‘legal department’ as a response to the growing number of toxic vaccines recommended by them and the growing number of parents who are becoming educated on this issue. According to the CDC our children should now receive 37 doses of vaccine between 0-16 years. [See Vaccine Schedule]

Recently in the STATE OF CALIFORNIA a statute was implemented (AB 2109) that requires their own form filled out and submitted to get a vaccine exemption.

The following strategy now being used to overcome vaccine awareness is the most diabolical strategy possible! It is unlikely that physicians have any idea what they are asking their patients to sign . . . or to sign away. It is essentially a signed confession. So please read and understand why you can’t sign it and why it is really something other than what if appears to be.

Here are 12 reasons that no parent can sign this form unless they are interested in being statutorily charged with neglect or intentionally causing harm. Repeating more boldly:

This form, if signed, could be used to have your child(ren) removed from your custody! It is a form designed to stand up in court!

*TWELVE REASONS PARENTS CANNOT SIGN THIS FORM

#1
The form attaches a child ID # that will be identifiable in the electronic records system across the country. Everyone from the school to the NSA will be able to determine who is and who is not vaccinated.

#2
The scientific term for HPV vaccine is listed to discourage parents from making the connection to the dangerous vaccine for HPV called Gardasil. [See Open Letter From a Grandmother to Her Daughters About Gardasil]

#3
Do not place any marks in any of these boxes. The physician’s records will indicate which vaccines your child has received. It would be best to put a large X through the entire section.

#4
The CDC Vaccine Information Statement is pure unadulterated propaganda. The real information about vaccines was exposed in 30 Years of Secret Official Transcripts Show UK Government Experts Cover Up Vaccine Hazards See info about the CDC – #9.

#5
Again the parent is misled to think the truth about vaccine risks is on the CDC web site.The doctor has the vaccine package inserts right in his/her office. Why is it not offered and explained to the parent? The physicians may have read them or not. However, the physicians are certainly aware that if the parents read the ‘official risks’ put out by the drug corporations, they would refuse the vaccines. Full disclosure is almost NEVER a part of the process.

#6
“I understand the following: The risks and benefits of the recommended vaccine(s).” This of course would be agreeing to a false statement. You cannot understand the risks without reading and understanding the package inserts.

#7
Parents are falsely told that without vaccines their children could suffer dire illnesses but are not told the dire illnesses/injuries the vaccines themselves could cause . . . including death. [See 30 Years of Secret Official Transcripts Show Government Experts Cover Up Vaccine Hazards]

#8
This refers to the “herd immunity myth” of 1933, which has been proven unscientific over and over and over again. Simply put: if other children have been vaccinated – and the vaccines work – they won’t contract a disease from your child.

#9
Entities are listed as “strongly recommending” the vaccine schedule. Again however, parents are NOT given full disclosure as to exactly who/what the entities are and what their motivations might be. Listed on the Refusal to Vaccinate form are the following:

• The ‘physician’ – is rewarded for administering vaccines by higher reimbursements for his fees. His vaccine “rates” are checked to determine whether or not he/she is entitled to more money. Physicians, public health workers, and drug companies have all been given immunity from any possible lawsuits that may arise as a result of vaccine-caused injury or illness. In other words, if a vaccine harms your child or causes autism you cannot sue any of them.

• The American Academy of Pediatrics which is a corporation headquartered in the STATE OF ILLINOIS – that receives lots of money from drug corporations for advertising in their Journal, etc. This organization relies heavily on what they believe to be a “government” health advocacy agency known as the Center for Disease Control (CDC).

• The American Academy of Family Physicians which is a corporation headquartered in the STATE OF KANSAS – that also receives lots of money from drug corporations for advertising in their Journal, etc.This organization also relies heavily on what they believe to be a “government” health advocacy agency known as the Center for Disease Control (CDC).

• The Centers for Disease Control (CDC) which is a corporation headquartered in the STATE OF GEORGIA. The CDC IS NOT PART OF A LEGITIMATE GOVERNMENT. Repeat: the CDC IS NOT PART OF A LEGITIMATE GOVERNMENT! It is a private for-profit corporation that is chartered under the umbrella of the private for-profit UNITED STATES corporation] with extremely close ties to the pharmaceutical companies.[See: Our Government is a Company, the Clearfield Doctrine and The Great American Adventure – Secrets of America by Judge Dale

Bottom line: all of the above “entities” make more money if they vaccinate our children and even more if our children get sick from the vaccines . . . including the pediatricians themselves.

#10
This is the broadest and most nefarious part of this so-called form.

Nevertheless, I have decided at this time to decline . . . I know that failure to follow the recommendations about vaccination may endanger the health or life of my child and others . . . I therefore agree to tell all health care professionals in all settings what vaccines my child has not received because he or she may need to be isolated or may require immediate medical evaluation and tests that might not be necessary if my child had been vaccinated.”

This is not only deceptive and untruthful [see numbers 2, 3, 4, 5, 6, 7 and 8] it is asking you to confess that you know you are harming your child (and others) and don’t care. It is asking you to agree to inform any/all people who consider themselves to be healthcare “professionals” (not defined) of your child’s vaccination record. You are also agreeing to permitting undefined healthcare professionals to keep your child in isolation due to unproven or unknown exposure to a myriad of undefined communicable diseases – with or without testing.

#11
This is an admission that you understand this contractual document – and its significance – ‘in its entirety’. This means that you accept the false information sited as factual, chose NOT to do what you now know to be good for your child and others (are negligent), obligate yourself to embarrass and confuse your child by tracking and reporting on the vaccines you protected your child from, and give permission for your child to be tested or removed from your care and put in isolation for any ‘supposed’ exposure to any ‘undefined’ communicable disease by anyone calling themselves a healthcare worker. [Ohio Revised Code 3701.13]

In short, the form wants you to attest to the following . . . in writing:

1. You understand you are signing a contract with performance requirements

2. You accept false information as factual and don’t care

3. You don’t care if your child or others are harmed by your decision

4. You agree to volunteer to all pretend healthcare workers your child’s vaccine record

5. You agree to allow others to test or isolate your child for unproven exposure to a disease

#12
Here is the kicker. You are asked to sign, initial and date this document in front of a witness who also dated their signature. This is called an unconscionable adhesion contract: “a legally binding agreement between two parties to do a certain thing, in which one side has all the bargaining power and uses it to write the contract primarily to his or her advantage.”

Let’s think . . . how much money is made by forcing all children in America to be ‘fully’ vaccinated? Billions or is it trillions?

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*For Californians

Here is the form that is being used in California as is should be filled out:  **California Personal Beliefs and Exemption Form**

Note: only the child’s name is filled out and the form refers to an attached VACCINATION NOTICE (see below). The LEGISLATORS and employees of the STATE OF CALIFORNIA have absolutely no authority to require parents go to a health care provider. They are not qualified to make that determination and have absolutely no authority (or training) to establish those parameters

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*SUGGESTED RESPONSE (OR WHAT I WOULD DO)

STEP ONE

• Inform the nurse or doctor that as the Refusal to Vaccinate form is an adhesion contract with performance requirements, you must take it home and read it more thoroughly. No one can force you to sign a contract. It is very important that you don’t allow yourself to get bullied into signing this form on the spot.

• Ask for the vaccine package inserts to take with you. Explain that you always get a list of side effects from the pharmacist when you pick up a prescription – before your take it. Say you need those inserts to make an informed decision. If they ask you to accept a ‘handout’ say no. Just politely repeat your request. If they still say no, just let it go.

• On your next visit to the pediatrician or family practitioner, inform him or her that you are not interested in signing the Refusal to Vaccinate form because after due consideration you have decided that it would not be in your child’s best interests . . . which it would not!

STEP TWO

*THE VACCINATION NOTICE

It is time to place our position regarding vaccines on the record (and in the record) for the physician and the school system. The physician needs to have your notice regarding vaccines on file. This also protects him or her from the vaccination-business police (like public health employees) who monitor patient records.

This notice is designed to inform your doctor or your child’s school of the reasons you are opposed to their administering vaccines to your child and make it perfectly clear that you do not consent. The reasons listed on the notice are easy to validate. Suggestions for implementing this notice are on page 1 and the notice itself is on page 2. Read the notice thoroughly before you fill it out and present it. It has to be something you agree with and will attest to by signing it before 2 witnesses or a notary public. Without the witnesses or notary public it is nothing more than a memo, which will most likely be ignored. If you do not agree with the notice, do not use it. People can always create their own. A notice is only a signed statement of facts that you know to be true.

Vaccination Notice

The Vaccination Notice will be an education for all parties involved.

• Most folks don’t understand that the public health department, the CDC and the state are all corporations. Basically Our Government is a Corporation.

• Most folks don’t know their physician gets more money for vaccinating ALL children in his/her practice.

• Most folks don’t know that all those manufacturing or administering vaccines have been granted immunity from lawsuits.

• Most folks don’t know that by refusing to give the parent/guardian the package insert the parent is kept unaware of the real health risks associated with vaccines.

These facts are stated on the vaccine notice. Notices are used by many for many purposes. According to the http://legal-dictionary.thefreedictionary.com/Notice

The concept of notice is critical to the integrity of legal proceedings. Due process requires that legal action cannot be taken against anyone unless the requirements of notice and an opportunity to be heard are observed.

This notice will stand irregardless of the myriad of vaccine mandates the untrained legislators decide to pass via statutes in the future. Be sure to keep a copy for your own records and note the date it was presented, and the party it was presented to!!

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IMPLEMENTATION OF THE “NOTICE”
The vaccination notice is designed to inform your doctor, hospital or school of the reasons you are opposed to their administering vaccines to your child and that you do not consent. See Notice http://legal-dictionary.thefreedictionary.com/Notice The reasons listed on the notice are easy to validate. This approach should help put an end to the endless pressure that pediatricians and school personnel inflict on vaccine-aware parents.

FILLING OUT THE “NOTICE”

1. Items in red need to be personalized.
2. Select son or daughter as applicable.
3. Corporate entities need to be in all caps.
4. The health department of each state is listed in its corporate name in all caps on Dun and Bradstreet. This information is accessible for free online.
5. At the bottom of the notice is a space for the parent’s signature and the signature of two witnesses. Of course the dates need to be identical. An acceptable alternative to two witnesses would be to sign in front of a notary and have them stamp it for you. Use blue ink for signatures.

DELIVERING THE NOTICE
This notice requires little discussion. Just hand it to the nurse, doctor or clerk, or attach it to the Refusal to Vaccinate or the PERSONAL BELIEFS EXEMPTION TO REQUIRED IMMUNIZATIONS forms[1]. Politely explain that you are not comfortable with the vaccine risks and wish to have this notice placed in the child’s records so you don’t have to bring in a new one each time your child sees the doctor or nurse. If asked where you obtained the document, simply say from another parent, which is true. Giving more information is not required and is not advisable. Citing websites or vaccine aware organizations just motivates those in the vaccination-distribution-business to track down and discredit folks that are doing their best to bring good information to the public.

Do not answer detailed questions about your objections to any vaccine or the source of your information. Just repeat what is on the notice; “I am aware of multiple scientific peer-reviewed papers that have exposed the dangers of many vaccines.” Doctors and nurses are well armed with ‘talking points’ designed to overcome all claims you might make regarding vaccines and nearly all authors you might site. According to Russell Blaylock, MD there are lots of peer-reviewed articles on this topic for doctors and nurses to read. It is their job to seek this information. It is not your job to provide it to them. The notice just states facts and is designed to be self-explanatory.

Should the clerk, doctor, or nurse refuse to accept your notice, politely explain that their decision to accept your notice as the “agent” is not optional as it is directed to the “principal’ as well. Keep a copy for yourself and write the name of the agent, his/her position and the date on the bottom of your notice. Save the notice for your records. If there is too much resistance to placing the notice in your child’s records, send it certified mail to the physician, hospital administrator or superintendent of schools.

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[1]The only info the parent should provide on these forms is name of the child and “see attached addendum”. (Sample) Anything more can be used against the parent AND the doctor, as these forms are designed to be tracked.

The Vaccination Notice

Template (updated 6-17-14)

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