ALERT... DO NOT Sign This 'REFUSAL TO VACCINATE FORM'!

Submitted by SadInAmerica on Sun, 06/22/2014 - 4:13pm.

vaccines-cps-help-me

The "Refusal to Vaccinate" form was created by the American Academy of Pediatrics '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. ~ Read this article VERY carefully!

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 why 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! Why else would they ask for the parent's signature to be "witnessed"?

 

Refusal to Vaccinate 3.JPG

 

#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 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).

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 and in the presence of a witness::

  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 American to be 'fully' vaccinated? Billions or is it trillions?


*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.


*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!

  • *THE REFUSAL TO VACCINATE FORM

    *TWELVE REASONS PARENTS CANNOT SIGN THIS FORM

    *For Californians

    *SUGGESTED RESPONSE (OR WHAT I WOULD DO)

    *THE VACCINATION NOTICE


    NOTE... This 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.


    February 9, 2013 - posted at ParentsAgainstMandatoryVaccines

     

    Tag this page!
    Submitted by SadInAmerica on Sun, 06/22/2014 - 4:13pm.

    Comments

    Post new comment

    The content of this field is kept private and will not be shown publicly.
    • Web page addresses and e-mail addresses turn into links automatically.
    • Allowed HTML tags: <p> <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
    • Lines and paragraphs break automatically.

    More information about formatting options

    CAPTCHA
    This question is for testing whether you are a human visitor and to prevent automated spam submissions.