Below is a safe alternate Refusal to Vaccinate form you can use instead.
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]
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.
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 entities and a brief description of their motivation:
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
You understand you are signing a contract with performance requirements
You accept false information as factual and don’t care
You don’t care if your child or others are harmed by your decision
You agree to volunteer to all pretend healthcare workers your child’s vaccine record
You agree to allow others to test or isolate your child for unproven exposure to a disease
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 American to be ‘fully’ vaccinated? Billions or is it trillions?
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.
*SUGGESTED RESPONSE (OR WHAT I WOULD DO)
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!
*THE VACCINATION NOTICE
Download the LAWFULLY YOURS pdf guide posted at the bottom of this page (the instructions start on page 30), and the Word Doc templates for Vaccination Notices are linked right below it. Select the one(s) you wish to use. https://anticorruptionsociety.files.wordpress.com/2015/06/pocket-card-notices.pdf