Physician’s Warranty of Vaccine Safety Form

Physician’s Warranty of Vaccine Safety Form

 August 26, 2015

Vaccine Warranty InfectiousDiseaseVaccines

https://anticorruptionsociety.files.wordpress.com/2015/08/lawfully-yours-seventh-edition-aug-2015.pdf

 

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I have yet to meet a Physician that will sign this form now downloaded by hundreds of parents. The reason they won’t sign is two-fold: First, they do not want to place themselves in a vulnerable position of being negligent for not providing informed consent to thousands of other parents; and second, many of them realize after their own extensive research that the risks far outweigh any benefits when it comes to vaccination.

http://worldtruth.tv/you-want-to-vaccinate-my-child-no-problem-just-sign-this-form/

http://preventdisease.com/pdf/Warranty-of-Vaccine-Safety-English.pdf

Physician’s Warranty of Vaccine Safety

I (Physician’s name, degree)_________________________, _____ am a physician licensed to practice medicine in the State/Province of ________________, in the country of _________________.

My State/Province license number is _______________ , and (if the USA)
my DEA number is _______________.

My medical specialty is ________________________

I have a thorough understanding of the risks and benefits of all the medications that I prescribe for or administer to my patients. In the case of (Patient’s name) ___________________________ , age _________ , whom I have examined, I find that certain risk factors exist that justify the
recommended vaccinations. The following is a list of said risk factors and the vaccinations that will protect against them:

Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________

I am aware that vaccines typically contain many of the following fillers:

* aluminum hydroxide
* aluminum phosphate
* ammonium sulfate
* amphotericin B
* animal tissues: pig blood, horse blood, rabbit brain,
* dog kidney, monkey kidney,
* chick embryo, chicken egg, duck egg
* calf (bovine) serum
* betapropiolactone
* fetal bovine serum
* formaldehyde
* formalin
* gelatin
* glycerol
* human diploid cells (originating from human aborted fetal tissue)
* hydrolized gelatin
* mercury thimerosol (thimerosal, Merthiolate(r))
* monosodium glutamate (MSG)
* neomycin
* neomycin sulfate
* phenol red indicator
* phenoxyethanol (antifreeze) * potassium diphosphate
* potassium monophosphate
* polymyxin B
* polysorbate 20
* polysorbate 80
* porcine (pig) pancreatic hydrolysate of casein
* residual MRC5 proteins
* sorbitol
* tri(n)butylphosphate,
* VERO cells, a continuous line of monkey kidney cells, and
* washed sheep red blood

and, hereby, warrant that these ingredients are safe for injection into the body of my patient. I have researched reports to the contrary, such as reports that mercury thimerosol causes severe neurological and immunological damage, and find that they are not credible.

I am aware that some vaccines have been found to have been contaminated with Simian Virus 40 (SV 40) and that SV 40 is causally linked by some researchers to non-Hodgkin’s lymphoma and
mesotheliomas in humans as well as in experimental animals. I hereby warrant that the vaccines I employ in my practice do not contain SV 40 or any other live viruses. (Alternately, I hereby warrant that said SV-40 virus or other viruses pose no substantive risk to my patient.)

I hereby warrant that the vaccines I am recommending for the care of (Patient’s name) _______________ _______________________ do not contain any tissue from aborted human babies (also known as “fetuses”).

In order to protect my patient’s well being, I have taken the following steps to guarantee that the vaccines I will use will contain no damaging contaminants.

STEPS TAKEN: ______________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

I have personally investigated the reports made to the VAERS (Vaccine Adverse Event Reporting System) and state that it is my professional opinion that the vaccines I am recommending are safe
for administration to a child under the age of 5 years.

The bases for my opinion are itemized on Exhibit A, attached hereto, — “Physician’s Bases for Professional Opinion of Vaccine Safety.” (Please itemize each recommended vaccine separately along with the bases for arriving at the conclusion that the vaccine is safe for administration to a child under the age of 5 years.)

The professional journal articles I have relied upon in the issuance of this Physician’s Warranty of Vaccine Safety are itemized on Exhibit B , attached hereto, — “Scientific Articles in Support of Physician’s Warranty of Vaccine Safety.”

The professional journal articles that I have read which contain opinions adverse to my opinion are itemized on Exhibit C , attached hereto, — “Scientific Articles Contrary to Physician’s Opinion of
Vaccine Safety”
The reasons for my determining that the articles in Exhibit C were invalid are delineated in Attachment D , attached hereto, — “Physician’s Reasons for Determining the Invalidity of Adverse
Scientific Opinions.”

Hepatitis B

I understand that 60 percent of patients who are vaccinated for Hepatitis B will lose detectable antibodies to Hepatitis B within 12 years. I understand that in 1996 only 54 cases of Hepatitis B
were reported to the CDC in the 0-1 year age group. I understand that in the VAERS, there were 1,080 total reports of adverse reactions from Hepatitis B vaccine in 1996 in the 0-1 year age group,
with 47 deaths reported.

I understand that 50 percent of patients who contract Hepatitis B develop no symptoms after exposure. I understand that 30 percent will develop only flu-like symptoms and will have lifetime
immunity. I understand that 20 percent will develop the symptoms of the disease, but that 95 percent will fully recover and have lifetime immunity.

I understand that 5 percent of the patients who are exposed to Hepatitis B will become chronic carriers of the disease. I understand that 75 percent of the chronic carriers will live with an
asymptomatic infection and that only 25 percent of the chronic carriers will develop chronic liver disease or liver cancer, 10-30 years after the acute infection. The following scientific studies have been performed to demonstrate the safety of the Hepatitis B vaccine in children under the age of 5 years.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

In addition to the recommended vaccinations as protections against the above cited risk factors, I have recommended other non-vaccine measures to protect the health of my patient and have
enumerated said non-vaccine measures on Exhibit D , attached hereto, “Non-vaccine Measures to Protect Against Risk Factors” I am issuing this Physician’s Warranty of Vaccine Safety in my
professional capacity as the attending physician to (Patient’s name) _________________________.
Regardless of the legal entity under which I normally practice medicine, I am issuing this statement in both my business and individual capacities and hereby waive any statutory, Common Law,
Constitutional, UCC, international treaty, and any other legal immunities from liability lawsuits in the instant case. I issue this document of my own free will after consultation with competent legal
counsel whose name is _________________________, an attorney admitted to the Bar in the State/Province of __________________.

__________________________________ (Name of Attending Physician)
__________________________________ L.S. (Signature of Attending Physician)
Signed on this _______ day of ______________ A.D. ________
Witness: _______________________________ Date: _____________________
Notary Public: ___________________________Date: ______________________

*******************************

Lawfully Yours

October 18, 2014

by AL Whitney © copyround 2014
Permission is granted for redistribution if linked to original and the AntiCorruption Society is acknowledged

Lawfully Yours – The People’s Empowerment Guide to our Corporate-commercial Legal System (Ninth Edition)

LAWFULLY YOURSLawfully Yours contains invaluable information for all Americans.

Since the founding of our country, the ‘elite’ (and their robber baron partners) have fabricated our history, taken control of our economy and altered our form of government and legal system. The whole rather sordid tale is brilliantly exposed in Judge Dale’s The Great American Adventure – Secrets of America.

The Lawfully Yours guide contains material authored by Judge Dale, retired, and others – and strategies for dealing with the commercial nature of our corporate governments. From Judge Dale, retired:

“The Federal and State Governments are not real. They are privately owned corporations [listed on Dun and Bradstreet] called governments . . . and the law is nothing more than their corporate regulations called statutes.”

Examples of the US Corporation and state and local sub-corporations:

dun and bradstreet corporate listings

As Judge Dale exposes, the private BAR attorneys have been indoctrinated into believing that we have a lawful system of justice, which we do not. Their job today is to prevent the American people from understanding our reality and to keep us all locked into the legal system BAR attorneys created and were trained to implement. Our current ‘legal system’ is a fraud and it works to their benefit and to our detriment. This truth was confirmed by Karen Hudes, former World Bank Attorney, during an interview. [Former World Bank Attorney exposes the bankers and the BAR]https://anticorruptionsociety.com/2014/06/02/former-world-bank-attorney-exposes-the-banksters-and-the-bar/  Ms Hudes correctly stated that:

“I don’t want to believe that all of these lawyers and the American Bar Association are pulling a fast one on everybody like this, but I have no choice – that’s the way it is. If that’s the way it is, I’d rather admit that’s the way it is than sit there being a dupe.”

“. . . the ABA [American Bar Association] has lost all total credibility and they should apologize to the American people for what it is they have been doing. And they should disband!”

Ms. Hudes explains what has happened to our legal system during an interview: Audio Player

00:00     06:41

Information on the 13th Amendment that Ms. Hudes referred to: The Missing 13th Amendment

Both our government and our courts are playing Chess, while telling the people the game is Checkers.  If We the People wish to restore our unalienable birth rights, we need to learn to play Chess. The Lawfully Yours guide is one of many tools that independent researchers have put together to help the American people learn how not to consent to their own fleecing and/or enslavement.

Here is the Table of Contents of this guide:

SECTION 1- Introduction
Supreme Court Decisions that Expose the Scam
Overview
SECTION 2 – The Legal Process, by Judge Dale, retired
THE COURTS
CRIMINAL LAW
CITATIONS
SUMMONS AND LAWSUITS
DIVORCE
FORECLOSURE
SECTION 3 – How to Defeat Admiralty Courts and “The Law of the See”
SECTION 4 – Lawful Strategies
Strategy a – Clarify
Strategy b – Inquire
Strategy c – Give Notice
SECTION 5 – Sample Questionnaires, Letters, & Notices
Sample I: Letter of Inquiry
Sample II: Corporate-government employee questionnaire
Sample III: Letter of Debt Validation
Vaccination Notice of Non-consent for Physicians and Schools
Sample IV: Vaccination Notice
Sample Letter for School Superintendent
Vaccination Notice of Non-consent for Employers and Colleges
Sample V (a): Employee/student Vaccination Notice (a)
Sample V (b): Employee/student Vaccination Notice (b)
Smart Meter Notice of Non-consent
Sample Smart Meter Letter of non-consent
Sample VI: Smart Meter Notice
Pocket Card Notices of Non-consent
Sample VII: Pocket Card Notice of Non-consent
Forced vaccinations or quarantine
Sample VIII: Pocket Card Notice of Non-consent re: Forced Vaccinations or Quarantine
Child Protective Services Notice of Non-consent
Sample Letter CPS
Sample IX: Notice to County Child Services
Power of Medical Authority (attorney)
Sample X: Power of Medical Authority (attorney)
List of available templates
APPENDIX A – Clearfield Doctrine
APPENDIX B – Bond vs UNITED STATES
APPENDIX C – Twelve Presumptions of the Court
APPENDIX D – What is a Contract
APPENDIX E – Properties of an Affidavit
APPENDIX F – Citations and Summons


Download Word doc templates here (updated 10-2015)

Download the 4 x 6 pocket card notices here (updated 10-2015)

Spiral bound copies of the Lawfully Yours guide are available here


This info is free, just as Judge Dale’s info was free. There are those that generate income from other solutions or non-solutions that will likely oppose this guide. Unfortunately too many people have been programmed to think that if something is free it has no value. Isn’t that sad?

Related

Corporations Cannot be Sovereign Governments

The UCC and You