alternate letter from Jagannath - THAT refusal form they make you sign

[Guest guest]

This was posted by Jagannath back in June of 06

But if you give them this you pretty much know you will be told not to come

back.

I suggest homeopaths, naturopaths, chiropractors or even an older family

practice doctor

If you don't want vaccines you soon learn you don't want much else that

allopaths have to offer.

Sheri

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:

________________________

SquishyMommyof2@... wrote:

You miss understood, LOL i told the doc office that if they made me sign

their waiver that they should have to sign a waiver (the one that said

about how

the vaccines can damage the child) they didn't like that idea at all so they

allowed to me write my own waiver that basically said, " We understand we are

refusing treatment and the doc is not liable "

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Everyone is raving about the all-new beta.