Physician's Warranty of Vaccine Safety

[Guest guest]

Wow, this is great! Did you write this?

Dan

[Guest guest]

Wow, this is great! Did you write this?

Dan

[Guest guest]

I LOVE this, printed it off, just in case. I already have the exemption

paper

at the doctors, but bet none of them know it is there. The original doctor

that said it was no problem to not have the shots, hasn't been there in

years and so many have passed through the office. The exemption form

is at the bottom so doubt any of them have looked at it. When one does

and starts to complain then...

Thank you for this, it is great.

Western NY

-- Physician's Warranty of Vaccine Safety

Physician’s Warranty of Vaccine Safety

I (Physician’s name, degree)_________________________, _____ am a

physician licensed to practice medicine in the State of ________________ .

My State license number is _______________ , and 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

_____________________________________________________

________________________

_____________________________________________________

________________________

_____________________________________________________

________________________

_____________________________________________________

________________________

_____________________________________________________

________________________

_____________________________________________________

________________________

_____________________________________________________

________________________

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

· 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

· sucrose

· 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. Reports to the contrary, such as reports that mercury

thimerosol causes severe neurological and immunological damage, 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 give my assurance that the vaccines I

employ in my practice do not contain SV 40 or any other live viruses.

(Alternately, I hereby give my assurance 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 “fetusesâ€).

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.â€

(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.â€

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

â€

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.â€

Hepatitis B

I understand that 60% 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% of patients who contract Hepatitis B develop no

symptoms after exposure.

I understand that 30% will develop only flu-like symptoms and will have

lifetime immunity.

I understand that 20% will develop the symptoms of the disease, but that 95%

will fully recover and have lifetime immunity.

I understand that 5% of the patients who are exposed to Hepatitis B will

become chronic carriers of the disease.

I understand that 75% of the chronic carriers will live with an asymptomatic

infection and that only 25% of the chronic carriers will develop chronic

liver disease or liver cancer, 10-30 years after the acute infection.

The following 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.â€

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 of __________________ .

__________________________________ (Name of Attending Physician)

__________________________________ L.S. (Signature of Attending Physician)

Signed on this _______ day of ______________ A.D. ________

Witness: ___________________________________ Date: ________________________

Notary Public: ______________________________ Date:

________________________

[Guest guest]

This is just.....AWESOME! Thank you!!!

-Amy

[Guest guest]

Uhm, yeah - great doc, but does anyone seriously think any doctor

anywhere will sign it? I don't. No way. But that is JMHO.

in Orlando

>

> I LOVE this, printed it off, just in case. I already have the

exemption

> paper

> at the doctors, but bet none of them know it is there. The original

doctor

> that said it was no problem to not have the shots, hasn't been there in

> years and so many have passed through the office. The exemption form

> is at the bottom so doubt any of them have looked at it. When one does

> and starts to complain then...

>

> Thank you for this, it is great.

>

> Western NY

>

>

>

> -- Physician's Warranty of Vaccine Safety

>

> Physician’s Warranty of Vaccine Safety

>

> I (Physician’s name, degree)_________________________, _____ am a

> physician licensed to practice medicine in the State of

________________ .

> My State license number is _______________ , and 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

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> _____________________________________________________

> ________________________

> 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

> · 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

> · sucrose

> · 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. Reports to the contrary, such as reports that

mercury

> thimerosol causes severe neurological and immunological damage, 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 give my assurance that the

vaccines I

> employ in my practice do not contain SV 40 or any other live viruses.

> (Alternately, I hereby give my assurance 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 “fetusesâ€).

> 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.â€

> (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.â€

> 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

> â€

> 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.â€

> Hepatitis B

> I understand that 60% 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% of patients who contract Hepatitis B develop no

> symptoms after exposure.

> I understand that 30% will develop only flu-like symptoms and will have

> lifetime immunity.

> I understand that 20% will develop the symptoms of the disease, but

that 95%

> will fully recover and have lifetime immunity.

> I understand that 5% of the patients who are exposed to Hepatitis B will

> become chronic carriers of the disease.

> I understand that 75% of the chronic carriers will live with an

asymptomatic

> infection and that only 25% of the chronic carriers will develop chronic

> liver disease or liver cancer, 10-30 years after the acute infection.

> The following 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.â€

> 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 of __________________ .

> __________________________________ (Name of Attending Physician)

>

>

> __________________________________ L.S. (Signature of Attending

Physician)

> Signed on this _______ day of ______________ A.D. ________

>

> Witness: ___________________________________ Date:

________________________

>

> Notary Public: ______________________________ Date:

> ________________________

>

>

>

>

>

>

>

[Guest guest]

>

>6b. Re: Physician's Warranty of Vaccine Safety

> Posted by: " " vaccinegenocide@... abolishvaccines

> Date: Fri Jun 30, 2006 8:47 pm (PDT)

>

>Wow, this is great! Did you write this?

>

>Dan

A friend wrote this a number a years ago when we first started seeing the

vaccine

damage increase in children.

It isn't a matter of whether a physician will sign it or not; it is a matter of

him getting the

POINT that he can't sign it with good conscience and he can in good conscience

leave that

decision to the parents where it belongs.

Freely hand it out to all the doctors you know!

Be blessed!

Kay

[Guest guest]

Sorry, I guess I still don't see the point. It is hard to find peds

that will let you make parental choice. If I have one, why would I

want to risk offending him by giving him this, when he is already

letting me do what I want (albeit grudgingly). There may be a time

when I need critical care from my child's ped - I wouldn't want to

make an enemy of him just to make a point which is not really going to

change his mind anyways. Again, just my opinion, but my goal is not

to change a peds mind, it is to have him let me use mine and leave me

alone about my decision, while still providing the best care for my

children that he can. My ped does NOT advocate non-vaxing, but does

allow ME to make the decision. Granted that is not a perfect

scenario, but it is enough for me right now.

>

> A friend wrote this a number a years ago when we first started

seeing the vaccine

> damage increase in children.

>

> It isn't a matter of whether a physician will sign it or not; it is

a matter of him getting the

> POINT that he can't sign it with good conscience and he can in good

conscience leave that

> decision to the parents where it belongs.

>

> Freely hand it out to all the doctors you know!

>

> Be blessed!

> Kay

>

[Guest guest]

,

The way I understand it, you'd give these to a ped who is giving you a hard

time, not one who goes along with your decisions. I wouldn't give any of these

to our current FP, who supports our decisions regarding vaccination, but I would

have given them to our ex-ped who fired us when we wouldn't vax.

-Amy

[Guest guest]

But, they aren't " letting " you. YOU hire the doctor. YOU (or YOUR insurance

company) pays the bill. The doctor works for YOU. If the doctor has the

attitude that he/she is " letting " you choose to not vaccinate, then it is time

to fire that doctor and find a new one, one that respects your decision to not

vaccinate. No one should have to worry about offending a doctor, the doctor

should be worried about offending you.

We fired quite a few doctors until we found the one that supports our decision.

The first doctor we took the kids to freaked out when I told her that I wasn't

sure about vaccines, that was when my oldest son was about four days old, that

was the last time we saw her. We then found a doctor who said that it was my

decision whether or not to vaccinate, yet, she still pushed in that direction a

bit too much for my tastes, fired. We then went to a doctor a couple of times

who lectured me everytime we went in there, the only reason it was more than

once is because he started treating my son right after he was released from the

hospital due to a severe asthma attack and I wanted to make sure that everything

was ok, then he was fired. We then found a doctor who not only respected our

decision, but she advocated it and had a big three binder full of information on

why people shouldn't vaccinate. My husband switched jobs and insurance so we

had to find a new one. The doctor that we cu

rrently see is wonderful! When I called to see if she could be " the one " , I

asked her if she would give me a hard time about not vaccinating, she said no,

and she has never brought it up at any appointments. I did tell her why we

don't and she told me that it was my decision and that she was not going to

question it, I think that it was her way of saying that she agreed but didn't

want to officially agree.

The bottomline is that if you have a doctor who pushes you at all about

vaccinating, to the point where you feel you need a " waiver " , then it is time to

find a new one. They probably won't take you seriously and/or respect your

other decisions.

--

Sara

Find out what stinks in Genesee County!

http://geneseecountystinks.blogspot.com

-------------- Original message --------------

From: " Catala " <yvonnecatala@...>

Sorry, I guess I still don't see the point. It is hard to find peds

that will let you make parental choice. If I have one, why would I

want to risk offending him by giving him this, when he is already

letting me do what I want (albeit grudgingly). There may be a time

when I need critical care from my child's ped - I wouldn't want to

make an enemy of him just to make a point which is not really going to

change his mind anyways. Again, just my opinion, but my goal is not

to change a peds mind, it is to have him let me use mine and leave me

alone about my decision, while still providing the best care for my

children that he can. My ped does NOT advocate non-vaxing, but does

allow ME to make the decision. Granted that is not a perfect

scenario, but it is enough for me right now.

>

> A friend wrote this a number a years ago when we first started

seeing the vaccine

> damage increase in children.

>

> It isn't a matter of whether a physician will sign it or not; it is

a matter of him getting the

> POINT that he can't sign it with good conscience and he can in good

conscience leave that

> decision to the parents where it belongs.

>

> Freely hand it out to all the doctors you know!

>

> Be blessed!

> Kay

>

[Guest guest]

Hi Sara,

It is great that you have found that doctor who will fully support and

advocate your decision. Unfortunately, at least in my area, they are

in short supply - most will not even allow you in the practice if you

don't (we were kicked out of our last one), so I was pretty pleased to

find someone who at least " tolerates " the non-vaxing who was also nice

and close, had a clean waiting room, a good rapport with my children,

spends as much time as I need with me when I do go in, great staff,

weekend hours, etc. There are MANY factors involved in finding a good

ped - not JUST the vaccine issue - again, JMHO. Finding one who has

EVERYTHING seems pretty hard to do. I try to avoid the ped as much as

possible, skipping purposeless " well " baby visits, doing minor

questions over the phone, etc. I just need him to be there for me

when I truly need him to be. I ask every parent / every chance I get

for referrals to other non-vax supportive docs in my area, but haven't

found anyone with a " whole " better package yet than my own. If and

when I do, I will not hesitate to switch.

And to your point about " letting " me, I agree I am hiring them, but

they do have the right to refuse to let me use their practice because

of this issue (which happens here all the time). I can only hire

someone who will " let " me decide. It is their perogative to not

support non-vaxing - whether I like it or not. Most are private

businesses and can run them as they choose within the law.

Anyways, I will stop clogging the board now with my opinions on the

subject, but just wanted to chime in one last time.

>

> But, they aren't " letting " you. YOU hire the doctor. YOU (or YOUR

insurance company) pays the bill. The doctor works for YOU. If the

doctor has the attitude that he/she is " letting " you choose to not

vaccinate, then it is time to fire that doctor and find a new one, one

that respects your decision to not vaccinate. No one should have to

worry about offending a doctor, the doctor should be worried about

offending you.

>

> We fired quite a few doctors until we found the one that supports

our decision. The first doctor we took the kids to freaked out when I

told her that I wasn't sure about vaccines, that was when my oldest

son was about four days old, that was the last time we saw her. We

then found a doctor who said that it was my decision whether or not to

vaccinate, yet, she still pushed in that direction a bit too much for

my tastes, fired. We then went to a doctor a couple of times who

lectured me everytime we went in there, the only reason it was more

than once is because he started treating my son right after he was

released from the hospital due to a severe asthma attack and I wanted

to make sure that everything was ok, then he was fired. We then found

a doctor who not only respected our decision, but she advocated it and

had a big three binder full of information on why people shouldn't

vaccinate. My husband switched jobs and insurance so we had to find a

new one. The doctor that we cu

> rrently see is wonderful! When I called to see if she could be " the

one " , I asked her if she would give me a hard time about not

vaccinating, she said no, and she has never brought it up at any

appointments. I did tell her why we don't and she told me that it was

my decision and that she was not going to question it, I think that it

was her way of saying that she agreed but didn't want to officially agree.

>

> The bottomline is that if you have a doctor who pushes you at all

about vaccinating, to the point where you feel you need a " waiver " ,

then it is time to find a new one. They probably won't take you

seriously and/or respect your other decisions.

>

> --

> Sara

> Find out what stinks in Genesee County!

> http://geneseecountystinks.blogspot.com

>

> -------------- Original message --------------

> From: " Catala " <yvonnecatala@...>

>

> Sorry, I guess I still don't see the point. It is hard to find peds

> that will let you make parental choice. If I have one, why would I

> want to risk offending him by giving him this, when he is already

> letting me do what I want (albeit grudgingly). There may be a time

> when I need critical care from my child's ped - I wouldn't want to

> make an enemy of him just to make a point which is not really going to

> change his mind anyways. Again, just my opinion, but my goal is not

> to change a peds mind, it is to have him let me use mine and leave me

> alone about my decision, while still providing the best care for my

> children that he can. My ped does NOT advocate non-vaxing, but does

> allow ME to make the decision. Granted that is not a perfect

> scenario, but it is enough for me right now.

>

>

>

> >

> > A friend wrote this a number a years ago when we first started

> seeing the vaccine

> > damage increase in children.

> >

> > It isn't a matter of whether a physician will sign it or not; it is

> a matter of him getting the

> > POINT that he can't sign it with good conscience and he can in good

> conscience leave that

> > decision to the parents where it belongs.

> >

> > Freely hand it out to all the doctors you know!

> >

> > Be blessed!

> > Kay

> >

>

>

>

>

>

[Guest guest]

I put the following Physicians Warranty of Vaccine Safety into PDF, so

if anyone cares for the file please email. I changed " tissue " to

" cells " in this part, " do not contain any tissue from aborted human

babies " .

Dan

>

> Physician’s Warranty of Vaccine Safety

>

> I (Physician’s name, degree)_________________________, _____ am a

physician licensed to practice medicine in the State of

________________ . My State license number is _______________ , and 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

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> 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

> · 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

> · sucrose

> · 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. Reports to the contrary, such as reports

that mercury thimerosol causes severe neurological and immunological

damage, 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

give my assurance that the vaccines I employ in my practice do not

contain SV 40 or any other live viruses. (Alternately, I hereby give

my assurance 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

“fetusesâ€).

> 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.â€

> 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.â€

> 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.â€

> Hepatitis B

> I understand that 60% 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% of patients who contract Hepatitis B develop

no symptoms after exposure.

> I understand that 30% will develop only flu-like symptoms and will

have lifetime immunity.

> I understand that 20% will develop the symptoms of the disease, but

that 95% will fully recover and have lifetime immunity.

> I understand that 5% of the patients who are exposed to Hepatitis B

will become chronic carriers of the disease.

> I understand that 75% of the chronic carriers will live with an

asymptomatic infection and that only 25% of the chronic carriers will

develop chronic liver disease or liver cancer, 10-30 years after the

acute infection.

> The following 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.â€

> 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 of __________________ .

> __________________________________ (Name of Attending Physician)

>

>

> __________________________________ L.S. (Signature of Attending

Physician)

> Signed on this _______ day of ______________ A.D. ________

>

> Witness: ___________________________________ Date:

________________________

>

> Notary Public: ______________________________ Date:

________________________

>

[Guest guest]

I LIKE this! Wonder if they'd sign it?! LOL

I'd like the file on this please. I have seen this

before but can't remember where.

Western NY

-- Re: Physician's Warranty of Vaccine Safety

I put the following Physicians Warranty of Vaccine Safety into PDF, so

if anyone cares for the file please email. I changed " tissue " to

" cells " in this part, " do not contain any tissue from aborted human

babies " .

Dan

>

> Physician’s Warranty of Vaccine Safety

>

> I (Physician’s name, degree)_________________________, _____ am a

physician licensed to practice medicine in the State of

________________ . My State license number is _______________ , and 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

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> _____________________________________________________

________________________

> 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

> · 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

> · sucrose

> · 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. Reports to the contrary, such as reports

that mercury thimerosol causes severe neurological and immunological

damage, 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

give my assurance that the vaccines I employ in my practice do not

contain SV 40 or any other live viruses. (Alternately, I hereby give

my assurance 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

“fetusesâ€).

> 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.â€

> 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.â€

> 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.â€

> Hepatitis B

> I understand that 60% 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% of patients who contract Hepatitis B develop

no symptoms after exposure.

> I understand that 30% will develop only flu-like symptoms and will

have lifetime immunity.

> I understand that 20% will develop the symptoms of the disease, but

that 95% will fully recover and have lifetime immunity.

> I understand that 5% of the patients who are exposed to Hepatitis B

will become chronic carriers of the disease.

> I understand that 75% of the chronic carriers will live with an

asymptomatic infection and that only 25% of the chronic carriers will

develop chronic liver disease or liver cancer, 10-30 years after the

acute infection.

> The following 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.â€

> 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 of __________________ .

> __________________________________ (Name of Attending Physician)

>

>

> __________________________________ L.S. (Signature of Attending

Physician)

> Signed on this _______ day of ______________ A.D. ________

>

> Witness: ___________________________________ Date:

________________________

>

> Notary Public: ______________________________ Date:

________________________

>

[Guest guest]

Physician's Warranty of Vaccine Safety

I (Physician's name, degree)_________________________, _____ am a physician

licensed to practice medicine in the State of ________________ . My State

license number is _______________ , and 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

_____________________________________________________ ________________________

_____________________________________________________ ________________________

_____________________________________________________ ________________________

_____________________________________________________ ________________________

_____________________________________________________ ________________________

_____________________________________________________ ________________________

_____________________________________________________ ________________________

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

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

sucrose

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. Reports to the contrary, such as reports

that mercury thimerosol causes severe

neurological and immunological damage, 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 give my assurance that the vaccines I employ in my practice do not

contain SV 40 or any other live viruses. (Alternately, I hereby give my

assurance that said SV-40

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 cells 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% 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% of patients who contract Hepatitis B

develop no symptoms after exposure. I understand that 30% will develop only

flu-like symptoms and will have lifetime immunity.

I understand that 20% will develop the symptoms of the disease, but that 95%

will fully recover and have lifetime immunity. I understand that 5% of the

patients who are exposed to Hepatitis B will become chronic carriers of the

disease. I understand that 75%

of the chronic carriers will live with an asymptomatic infection and that only

25% of the chronic carriers will develop chronic liver disease or liver cancer,

10-30 years after the

acute infection. The following 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 of __________________ .

__________________________________ (Name of Attending Physician)

_______________________________L.S. (Signature of Attending Physician)

Signed on this _______ day of ______________ A.D. ________

Witness: ___________________________________ Date: ___________________

Notary Public: ______________________________

Date:________________________

A special thanks to Vaccine Truth

_____________________________________________________________

Keep your pond perfect with these great pond supplies! Click now!

http://thirdpartyoffers.netzero.net/TGL2221/fc/Ioyw6i4tRGWnmZ5sDdIK62NUsIoEho2SD\

iS2QEaHoFUSLVXBijTlvW/

[Guest guest]

I am sure a similar form has been posted before. In addition to your

physician, those threatened with dismissal if they refuse the flying pig

vaccine (or any vaccine) could modify it and present it to their respective

employers.

Ingrid

If a doctor wants you or your children to have a vaccine ask them to sign

this!

Ten Things You're Not Supposed to Know about the Swine Flu Vaccine!

I (Physician's name, degree)_________________________, _____ am a physician

licensed to practice medicine in the State of ________________. My State

license number is _______________ , and 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®)

* 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 S afety. " (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 l egal 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 of __________________ .

__________________________________ (Name of Attending Physician)

__________________________________ L.S. (Signature of Attending Physician)

Signed on this _______ day of ______________ A.D. ________

Witness: _______________________________ Date: _____________________

Notary Public:

These 2 documents can be found at this website!!

http://www.davidick e.com/content/ blogcategory/ 30/48/

Scroll down a bit as soon as you get to this site...

you will see the headlines in the middle!

[Guest guest]

I am sure a similar form has been posted before. In addition to your

physician, those threatened with dismissal if they refuse the flying pig

vaccine (or any vaccine) could modify it and present it to their respective

employers.

Ingrid

If a doctor wants you or your children to have a vaccine ask them to sign

this!

Ten Things You're Not Supposed to Know about the Swine Flu Vaccine!

I (Physician's name, degree)_________________________, _____ am a physician

licensed to practice medicine in the State of ________________. My State

license number is _______________ , and 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®)

* 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 S afety. " (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 l egal 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 of __________________ .

__________________________________ (Name of Attending Physician)

__________________________________ L.S. (Signature of Attending Physician)

Signed on this _______ day of ______________ A.D. ________

Witness: _______________________________ Date: _____________________

Notary Public:

These 2 documents can be found at this website!!

http://www.davidick e.com/content/ blogcategory/ 30/48/

Scroll down a bit as soon as you get to this site...

you will see the headlines in the middle!