advice on waiver form to sign for Ped.

July 27, 2007

So I brought my 2 1/2 month old to the ped yesterday. I didn't go in for the

norm 2 mth visit cause i wasn't vaxing and my DS was healthy. But he had been

having some ear wax drainage and i wanted to check on it. Well while there, she

did his 2 month check and brought in a waiver for me to sign. ( we had already

had the argument about vaxing 5 weeks prior) I read thru it, but didn't want to

sign it till I ran it past you guys! LOL! They were not happy that I didn't

want to sign it. I told them I needed to pass it by the DH first. His

orders.... Not really, but whatever.

So the Dr just made a note in his chart that I refused the shots. Yet I still

need to sign this waiver....

So here is basically what the form says.:

I have been read the CDC Vaccine Information Sheets explaining the vaccines

and the diseases they prevent. I have had the opportunity to discuss with my

child's health care provider, who has answered all of my questions regarding the

recommedned vaccines. I understand the following:

-The purpose of and the need for the recommeded vaccine

-The risks and benefits of the recommened vaccine

-If my child does not receive the vaxxinethe consequenses man include:

--Contracting the illness the vaccine should prevent

--Transmitting the dieseas to others

the need form my child to stay out of child care or school during

diesease outbreaks

-My health care provider, the AAP, the AAFP and the CDC have strongly

recommeded that the vaccines be given

Nevertheless I have decded to decline the vaccines recommeded for my child as

indicated above, by checking the appropriate box under the column titled

declined.

I know that failure to follow the recommendations about vaccination may

endanger the health or life of my child and others that my child might come in

contact with.

I know that I may re-address this issue with my health care provider at any

time, and that I may change my mind and accept vaccination for my child anytime

in the future.

That was the form, and at the top it had a list of the vax's I was declining.

Hep B, DTaP, Hib, Pneumoccal conjugate vaccine, Polio(IPV) and Rotovirus. Six

jabs on my 10 week old? yuck.

So I told her I'd fax it back to her today, signed after DH looked at it. Is

there anything I need to change? Scratchout? Initial? Or do I write my own?

Any advise from you wonderful people would be much apprecieated. At least this

time when I went, she didn't argue with me why I wasn't vaxing......But you can

tell the Dr, thinks less fo me. Oh well.

TIA,

---------------------------------

Be a better Globetrotter. Get better travel answers from someone who knows.

Answers - Check it out.

July 27, 2007

why do you need to sign the form? is it a condition for remaining a patient?

if not, I would not sign.

or, can you misplace the paper and not send it in?

Kathy

So I brought my 2 1/2 month old to the ped yesterday. I didn't go in for the

norm 2 mth visit cause i wasn't vaxing and my DS was healthy. But he had been

having some ear wax drainage and i wanted to check on it. Well while there, she

did his 2 month check and brought in a waiver for me to sign. ( we had already

had the argument about vaxing 5 weeks prior) I read thru it, but didn't want to

sign it till I ran it past you guys! LOL! They were not happy that I didn't

want to sign it. I told them I needed to pass it by the DH first. His

orders.... Not really, but whatever.

So the Dr just made a note in his chart that I refused the shots. Yet I

still need to sign this waiver....

So here is basically what the form says.:

I have been read the CDC Vaccine Information Sheets explaining the vaccines

and the diseases they prevent. I have had the opportunity to discuss with my

child's health care provider, who has answered all of my questions regarding the

recommedned vaccines. I understand the following:

-The purpose of and the need for the recommeded vaccine

-The risks and benefits of the recommened vaccine

-If my child does not receive the vaxxinethe consequenses man include:

--Contracting the illness the vaccine should prevent

--Transmitting the dieseas to others

the need form my child to stay out of child care or school during

diesease outbreaks

-My health care provider, the AAP, the AAFP and the CDC have strongly

recommeded that the vaccines be given

Nevertheless I have decded to decline the vaccines recommeded for my child

as indicated above, by checking the appropriate box under the column titled

declined.

I know that failure to follow the recommendations about vaccination may

endanger the health or life of my child and others that my child might come in

contact with.

I know that I may re-address this issue with my health care provider at any

time, and that I may change my mind and accept vaccination for my child anytime

in the future.

That was the form, and at the top it had a list of the vax's I was

declining. Hep B, DTaP, Hib, Pneumoccal conjugate vaccine, Polio(IPV) and

Rotovirus. Six jabs on my 10 week old? yuck.

So I told her I'd fax it back to her today, signed after DH looked at it.

Is there anything I need to change? Scratchout? Initial? Or do I write my

own? Any advise from you wonderful people would be much apprecieated. At least

this time when I went, she didn't argue with me why I wasn't vaxing......But you

can tell the Dr, thinks less fo me. Oh well.

TIA,

July 27, 2007

cynthia brunet <csbbrunet@...> wrote: So I brought my 2 1/2 month old

to the ped yesterday. I didn't go in for the norm 2 mth visit cause i wasn't

vaxing and my DS was healthy. But he had been having some ear wax drainage and i

wanted to check on it. Well while there, she did his 2 month check and brought

in a waiver for me to sign. ( we had already had the argument about vaxing 5

weeks prior) I read thru it, but didn't want to sign it till I ran it past you

guys! LOL! They were not happy that I didn't want to sign it. I told them I

needed to pass it by the DH first. His orders.... Not really, but whatever.

So the Dr just made a note in his chart that I refused the shots. Yet I still

need to sign this waiver....

I don't mean to upset you, but if you delay signing the waiver too long, their

next step might be to remove you and your family from the practice. I wrote near

my signature that I do not vaccinate my children for religious reasons

ONLY....Anita

So here is basically what the form says.:

I have been read the CDC Vaccine Information Sheets explaining the vaccines and

the diseases they prevent. I have had the opportunity to discuss with my child's

health care provider, who has answered all of my questions regarding the

recommedned vaccines. I understand the following:

-The purpose of and the need for the recommeded vaccine

Okay.....Anita

-The risks and benefits of the recommened vaccine

Okay.....Anita

-If my child does not receive the vaxxinethe consequenses man include:

--Contracting the illness the vaccine should prevent

This is the same consequence for taking vaccinations as children can and do

get the illnesses they are inoculated with......Anita

--Transmitting the dieseas to others the need form my child to stay out of

child care or school during diesease outbreaks

Same consequence here with a vaccinated child shedding and transmitting

diseases to other children....Anita

-My health care provider, the AAP, the AAFP and the CDC have strongly recommeded

that the vaccines be given.

Agreed....Anita

Nevertheless I have decded to decline the vaccines recommeded for my child as

indicated above, by checking the appropriate box under the column titled

declined.

I know that failure to follow the recommendations about vaccination may endanger

the health or life of my child and others that my child might come in contact

with.

I know that I may re-address this issue with my health care provider at any

time, and that I may change my mind and accept vaccination for my child anytime

in the future.

That was the form, and at the top it had a list of the vax's I was declining.

Hep B, DTaP, Hib, Pneumoccal conjugate vaccine, Polio(IPV) and Rotovirus. Six

jabs on my 10 week old? yuck.

So I told her I'd fax it back to her today, signed after DH looked at it. Is

there anything I need to change? Scratchout? Initial? Or do I write my own? Any

advise from you wonderful people would be much apprecieated. At least this time

when I went, she didn't argue with me why I wasn't vaxing......But you can tell

the Dr, thinks less fo me. Oh well.

If you want to remain in their practice, you're probably going to have to sign

THEIR waiver. Just write a disclaimer next to your signature. I had no problem

with it. Good luck!....Anita

TIA,

---------------------------------

Be a better Globetrotter. Get better travel answers from someone who knows.

Answers - Check it out.

July 27, 2007

Don't sign it. There was a great post here a little while back... here's

the link to the site of the article:

http://chetday.com/vaccinerefusal.htm

It discusses why you shouldn't sign the doctor's waiver and tells you

how to create your own if the dr. insists. Our ped does NOT make us sign

a waiver, although the second one we had did. If I had known then what I

know now, *sigh*

I'm not generally one for absolutes, but I would absolutely say that NO

ONE should sign this type of waiver.

~Robyn

cynthia brunet wrote:

> So I brought my 2 1/2 month old to the ped yesterday. I didn't go in

> for the norm 2 mth visit cause i wasn't vaxing and my DS was healthy.

> But he had been having some ear wax drainage and i wanted to check on

> it. Well while there, she did his 2 month check and brought in a

> waiver for me to sign. ( we had already had the argument about vaxing

> 5 weeks prior) I read thru it, but didn't want to sign it till I ran

> it past you guys! LOL! They were not happy that I didn't want to sign

> it. I told them I needed to pass it by the DH first. His orders....

> Not really, but whatever.

> So the Dr just made a note in his chart that I refused the shots. Yet

> I still need to sign this waiver....

>

> So here is basically what the form says.:

>

> I have been read the CDC Vaccine Information Sheets explaining the

> vaccines and the diseases they prevent. I have had the opportunity to

> discuss with my child's health care provider, who has answered all of

> my questions regarding the recommedned vaccines. I understand the

> following:

>

> -The purpose of and the need for the recommeded vaccine

> -The risks and benefits of the recommened vaccine

> -If my child does not receive the vaxxinethe consequenses man include:

> --Contracting the illness the vaccine should prevent

> --Transmitting the dieseas to others

> the need form my child to stay out of child care or school during

> diesease outbreaks

>

> -My health care provider, the AAP, the AAFP and the CDC have strongly

> recommeded that the vaccines be given

>

> Nevertheless I have decded to decline the vaccines recommeded for my

> child as indicated above, by checking the appropriate box under the

> column titled declined.

>

> I know that failure to follow the recommendations about vaccination

> may endanger the health or life of my child and others that my child

> might come in contact with.

>

> I know that I may re-address this issue with my health care provider

> at any time, and that I may change my mind and accept vaccination for

> my child anytime in the future.

>

> That was the form, and at the top it had a list of the vax's I was

> declining. Hep B, DTaP, Hib, Pneumoccal conjugate vaccine, Polio(IPV)

> and Rotovirus. Six jabs on my 10 week old? yuck.

> So I told her I'd fax it back to her today, signed after DH looked at

> it. Is there anything I need to change? Scratchout? Initial? Or do I

> write my own? Any advise from you wonderful people would be much

> apprecieated. At least this time when I went, she didn't argue with me

> why I wasn't vaxing......But you can tell the Dr, thinks less fo me.

> Oh well.

> TIA,

>

> ---------------------------------

> Be a better Globetrotter. Get better travel answers from someone who

> knows.

> Answers - Check it out.

>

July 27, 2007

I second the opinion of not signing at all. But if forced to sign to

remain a patient, I would create my own and I would definitely scratch

out some of their stuff if you wanted to use theirs. Later in a court of

law admitting you’re threatening your childs life can be used against

you and possibly taking your child from you.

NOW you *could* turn the tables and draw up your own form and have

*them* sign it! I bet they wouldn’t be willing to. Some little gem like

this!

To Whom it may concern,

I have received and read the appropriate pamphlets on the various

vaccines this doctor _______wishes my child to receive.

I understand they are thought to be “preventative” measures in the

effective containment of disease. However, after further research and

enlightenment, I understand that there are some adverse conditions that

could happen. I understand there is no way to tell if such adverse

reactions will affect my child before he/she receives the shots. I

understand that every vaccine is applied in a “one size fits all” and I

understand that every child is unique.

I also understand that vaccines enter the body through a totally foreign

mechanism aside from the natural way a germ would enter the body and

thereby puts the body and its immune system on constant alert, thereby

constantly stressing the body and its immune system. I understand

vaccines have been linked to (various numbers of autoimmune, skin,

allergies.. whatever you want to put here). Therefore, I will agree to

these vaccines, in an effort to protect my child from the unfriendly

diseases, if the doctor can absolutely guarantee that my child will not

react to any of the listed ingredients on the insert, is not

contraindicated for any reason and will be there to help me to take care

of my child in any unforeseen adverse reaction, I will consent to the

following vaccination program.

And dr. sign________________

And you sign___________________

And I bet they won’t go near it and they’ll tell you there’s no way they

can absolutely guarantee no reaction. However, I would venture to say

not even they have read the package inserts and are fully aware of

exactly what the contraindications are.

How do I know? From my own experience!! They wanted to shoot peter up

when he was very congested w/ a bad cold at 6 months with some rot and I

came home and looked it up and part of the contraindications were one of

his very symptoms I took him to the doctor for! And all they could say

“oh, it’s OK to give their shots as long as they don’t have a fever”..

can’t remember exactly if that was the doctor or the PA or the nurse..

but nobody apparently was reading the package insert! YOU have to look

out for YOUR child, 100% on practically everything and the only

difference b/t you and that white coat, is the piece of paper on the

wall and MAYBE lots of experience seeing lots of sick kids.. they’re not

smarter, and for sure, YOU are guaranteed to be much more concerned

about what goes into YOUR child. It’s not their kid and it’s not any

skin off their nose if your child has a reaction to the vaccine.

Was it genetics? Was it shots? Was it susceptibility? That caused

’s asperger’s.. I don’t know. I don’t really care. The end point is

she’s got it and nobody, not one of the long line of doctors is here w/

me now dealing with her. They weren’t here as a 10 y.o. she’s still

having accidents about getting to the potty and having to interrupt

herself. They’re not here to stop the meltdown b/c as a 6 y.o. her

teacher has her sleep in spot B rather than spot A at nap time… etc etc

etc. don’t let them bully you and DON’T let them force you to sign

anything that says you realize you’re endangering your childs health.

You could put in your letter that you realize vaccinating endangers

their health and you realize the vaccines won’t guarantee your child NOT

getting the disease they’re designed to prevent!

Nita, yes my hands are full, but not my heart: 14, Jon 12,

10, 8, 6, Christian (RIP: 7/16/03 to 8/22/04), 1,

and due 2/08

Some minds are like concrete:

Thoroughly mixed up and permanently set.

advice on waiver form to sign for Ped.

So I brought my 2 1/2 month old to the ped yesterday. I didn't go in for

the norm 2 mth visit cause i wasn't vaxing and my DS was healthy. But he

had been having some ear wax drainage and i wanted to check on it. Well

while there, she did his 2 month check and brought in a waiver for me to

sign. ( we had already had the argument about vaxing 5 weeks prior) I

read thru it, but didn't want to sign it till I ran it past you guys!

LOL! They were not happy that I didn't want to sign it. I told them I

needed to pass it by the DH first. His orders.... Not really, but

whatever.

So the Dr just made a note in his chart that I refused the shots. Yet I

still need to sign this waiver....

So here is basically what the form says.:

I have been read the CDC Vaccine Information Sheets explaining the

vaccines and the diseases they prevent. I have had the opportunity to

discuss with my child's health care provider, who has answered all of my

questions regarding the recommedned vaccines. I understand the

following:

-The purpose of and the need for the recommeded vaccine

-The risks and benefits of the recommened vaccine

-If my child does not receive the vaxxine the consequences can include:

--Contracting the illness the vaccine should prevent

--Transmitting the disease to others

the need form my child to stay out of child care or school during

disease outbreaks

-My health care provider, the AAP, the AAFP and the CDC have strongly

recommeded that the vaccines be given—and I’d add that they’re ONLY

recommeneded, not mandated

Nevertheless I have decided to decline the vaccines recommended for my

child as indicated above, by checking the appropriate box under the

column titled declined.

( would cross this whole sentence out and say how you know VACCINATED

children can risk your child’s health) I know that failure to follow the

recommendations about vaccination may endanger the health or life of my

child and others that my child might come in contact with.

I know that I may re-address this issue with my health care provider at

any time, and that I may change my mind and accept vaccination for my

child anytime in the future.

I would add here that you are open at any time to intelligent,

respectful discussions w/ your HCP where you can have a calm discussion

w/o being forced to sign and w/o being subjected to Gestapo techniques.

And that they realize that you and your husband have the final say on

any and all healthcare decisions for YOUR child. This is not the gov’ts

child, it is not their child. It’s not their practices child.

Was it here or soemthwere else that someone came up w/ a much better

wored letter that just completely turned the tables, such as I have

tried to exemplify.. I can’t remember but you can get creative.

OR if you really don’t want to sign at all, call up and say ‘my lawyer

has recommended we don’t need to sign this b/c this is OUR child and you

are not “endangering” your child, as they are wont to put it.”.. It

just really frosts my cookies, the things they’re coming up with to coer

their butts but then can say oh so innocently, “oh I’m sorry your child

has regressed beyond all reason. I’m SURE it wasn’t the vaccinations and

the 10 billion jabs we gave them in one day that did it. It must been

something else. It just MUST HAVE!” enough children have been sacrificed

on the “vaccines save” altar/lie

And if it ever comes up she does think less of you, you can say “ditto

babe! I can’t believe you’re into legal poisoining. I had such high

hopes for you!”

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July 27, 2007

,

Here is something I saved from Jagganath, a list-member who put this together

and posted it a while ago:

Physicianâ€™s Warranty of Vaccine Safety

I (Physicianâ€™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 (Patientâ€™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:

Â· aluminum hydroxide

Â· aluminum phosphate

Â· ammonium sulfate

Â· amphotericin B

Â· animal tissues: pig blood, horse blood, rabbit brain,

Â· dog kidney, monkey kidney,

Â· chick embryo, chicken egg, duck egg

Â· calf (bovine) serum

Â· betapropiolactone

Â· fetal bovine serum

Â· formaldehyde

Â· formalin

Â· gelatin

Â· glycerol

Â· human diploid cells (originating from human aborted fetal tissue)

Â· hydrolized gelatin

Â· mercury thimerosol

Â· monosodium glutamate (MSG)

Â· neomycin

Â· neomycin sulfate

Â· phenol red indicator

Â· phenoxyethanol (antifreeze)

Â· potassium diphosphate

Â· potassium monophosphate

Â· polymyxin B

Â· polysorbate 20

Â· polysorbate 80

Â· porcine (pig) pancreatic hydrolysate of casein

Â· residual MRC5 proteins

Â· sorbitol

Â· sucrose

Â· tri(n)butylphosphate,

Â· VERO cells, a continuous line of monkey kidney cells, and

Â· 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-Hodgkinâ€™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

(Patientâ€™s name) _______________ _______________________ do not contain

any tissue from aborted human babies (also known as â€œfetusesâ€).

In order to protect my patientâ€™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,

â€“ â€œPhysicianâ€™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 Physicianâ€™s Warranty of Vaccine Safety are itemized on Exhibit

B , attached hereto, â€“ â€œScientific Articles in Support of

Physicianâ€™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,

â€“ â€œScientific Articles Contrary to Physicianâ€™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, â€“

â€œPhysicianâ€™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, â€œNon-vaccine Measures to

Protect Against Risk Factors.â€

I am issuing this Physicianâ€™s Warranty of Vaccine Safety in my

professional capacity as the attending physician to (Patientâ€™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:

________________________

cynthia brunet <csbbrunet@...> wrote:

So I brought my 2 1/2 month old to the ped yesterday. I didn't go in for the

norm 2 mth visit cause i wasn't vaxing and my DS was healthy. But he had been

having some ear wax drainage and i wanted to check on it. Well while there, she

did his 2 month check and brought in a waiver for me to sign. ( we had already

had the argument about vaxing 5 weeks prior) I read thru it, but didn't want to

sign it till I ran it past you guys! LOL! They were not happy that I didn't want

to sign it. I told them I needed to pass it by the DH first. His orders.... Not

really, but whatever.

So the Dr just made a note in his chart that I refused the shots. Yet I still

need to sign this waiver....

So here is basically what the form says.:

I have been read the CDC Vaccine Information Sheets explaining the vaccines and

the diseases they prevent. I have had the opportunity to discuss with my child's

health care provider, who has answered all of my questions regarding the

recommedned vaccines. I understand the following:

-The purpose of and the need for the recommeded vaccine

-The risks and benefits of the recommened vaccine

-If my child does not receive the vaxxinethe consequenses man include:

--Contracting the illness the vaccine should prevent

--Transmitting the dieseas to others

the need form my child to stay out of child care or school during diesease

outbreaks

-My health care provider, the AAP, the AAFP and the CDC have strongly recommeded

that the vaccines be given

Nevertheless I have decded to decline the vaccines recommeded for my child as

indicated above, by checking the appropriate box under the column titled

declined.

I know that failure to follow the recommendations about vaccination may endanger

the health or life of my child and others that my child might come in contact

with.

I know that I may re-address this issue with my health care provider at any

time, and that I may change my mind and accept vaccination for my child anytime

in the future.

That was the form, and at the top it had a list of the vax's I was declining.

Hep B, DTaP, Hib, Pneumoccal conjugate vaccine, Polio(IPV) and Rotovirus. Six

jabs on my 10 week old? yuck.

So I told her I'd fax it back to her today, signed after DH looked at it. Is

there anything I need to change? Scratchout? Initial? Or do I write my own? Any

advise from you wonderful people would be much apprecieated. At least this time

when I went, she didn't argue with me why I wasn't vaxing......But you can tell

the Dr, thinks less fo me. Oh well.

TIA,

---------------------------------

Be a better Globetrotter. Get better travel answers from someone who knows.

Answers - Check it out.

---------------------------------

Boardwalk for $500? In 2007? Ha!

Play Monopoly Here and Now (it's updated for today's economy) at Games.

July 27, 2007

You're right, Nita (that's my nickname too :~), that no doctor will sign this,

good and true as it is. They may not read the inserts, but they all know about

VAERS and the compensation program.......Anita

Venita Garner <nitagarner@...> wrote: I second the opinion of not

signing at all. But if forced to sign to