DIR Return Create A Forum - Home
---------------------------------------------------------
Rose Chapel .Net 🌹 Home of Sacred Medical
HTML https://rosechapel.createaforum.com
---------------------------------------------------------
*****************************************************
DIR Return to: General Open Discussion
*****************************************************
#Post#: 107--------------------------------------------------
Vaccine Contract?
By: Timur2020 Date: November 9, 2018, 12:08 pm
---------------------------------------------------------
(I think I got this at GLP I can't recall. I doubt you will get
one signed, but it was worth the laughs. Post here if you ever
use it? I know I am not signing one. But, I don't sell them in
the first place. Barbarity like that can stay out in the public
sector where they can get away with it)
May 2, 2012
If Your Doctor Insists That Vaccines Are Safe, Then Have Them
Sign This Form
The average person that consents to a vaccine injection, either
for themselves or for their children, genuinely believes it is
for the betterment of health. What they are not aware of is that
even their doctor is likely unfamiliar with the toxic
ingredients contained in vaccines which can immediately begin to
degrade both short- and long-term health. If your doctor insists
that vaccines are safe, then they should have absolutely no
problem in signing this form so that you may archive it for your
own records on the event of an adverse reaction.
The reality of vaccines is that they are a far greater risk to
human health than benefit and always have been. In fact, two
centuries of official death statistics show conclusively and
scientifically that modern medicine is not responsible for and
played little part in substantially improving life expectancy
and survival from diseases in developed nations.
In North America, Europe, and the South Pacific, major declines
in life-threatening infectious diseases occurred historically
either without, or far in advance vaccination efforts for
specific diseases.
Whenever I personally inform medical doctors of these realities,
many of them are quite shocked with the data. That's not
surprising considering the fact that medical students are still
brainwashed that vaccines immunize which is a myth in itself,
since natural or "real" immunity can never be artificially
induced by a vaccine.
Other misinformed educators also still rely on the myth of herd
immunity which is nothing short of medical fraud. It is a shame
and embarrassment that brilliant students are deceptively led
down the path of ignorance every single year at prestigious
medical institutions in the hopes of obtaining an education.
These students then become the physicians of a good percentage
of the population.
One of the problems we have in a society filled with
misinformation about health, is that people sit on the fence.
They want to conform to the societal norms ingrained in our
minds about conventional medicine, but they also want to stand
up for their beliefs and conscience. These fence sitters are
made up of those who understand that current vaccination
practices are unsafe, yet somehow also believe you can make
vaccines safer or more effective. That is where we have to shift
the opinions of those who are on the fence and have them fall
off on the side of natural health rather than conventional
medicine. See my article When It Comes to Vaccines, Don't Sit On
The Fence!
I have previously written that if your doctor cannot answer
these 4 questions, don't vaccinate. Well, if your doctor does
make an attempt to answer these questions and a verbal response
and statement is not satisfactory for your own peace of mind,
then your doctor should be at least willing to provide you with
his or her personal declaration of the safety and efficacy of
the vaccines he or she (or attending physician or nurse) is
about to inject in your or your child's body. Effectively, this
becomes your doctor's warranty that the risk factors he or she
has identified justify the recommended vaccinations with the
benefits exceeding the risks.
Physician’s Warranty of Vaccine Safety Form
The following form was adapted from Ken Anderson's original.
Perhaps you can find a physician that will sign it because I
have no record of that ever happening:
PHYSICIAN'S WARRANTY OF VACCINE SAFETY
I (Physician’s name, degree)_______________, _____ am a
physician licensed to practice medicine in the State/Province of
_________. My State/Provincial 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 __________________________
I am aware that vaccines may contain many of the following
chemicals, excipients, preservatives and fillers:
* aluminum hydroxide
* aluminum phosphate
* ammonium sulfate
* amphotericin B
* animal tissues: pig blood, horse blood, rabbit brain,
* arginine hydrochloride
* dog kidney, monkey kidney,
* dibasic potassium phosphate
* chick embryo, chicken egg, duck egg
* calf (bovine) serum
* betapropiolactone
* fetal bovine serum
* formaldehyde
* formalin
* gelatin
* gentamicin sulfate
* glycerol
* human diploid cells (originating from human aborted fetal
tissue)
* hydrocortisone
* hydrolized gelatin
* mercury thimerosol (thimerosal, Merthiolate(r))
* monosodium glutamate (MSG)
* monobasic potassium phosphate
* neomycin
* neomycin sulfate
* nonylphenol ethoxylate
* octylphenol ethoxylate
* octoxynol 10
* phenol red indicator
* phenoxyethanol (antifreeze)
* potassium chloride
* potassium diphosphate
* potassium monophosphate
* polymyxin B
* polysorbate 20
* polysorbate 80
* porcine (pig) pancreatic hydrolysate of casein
* residual MRC5 proteins
* sodium deoxycholate
* sorbitol
* thimerosal
* 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 thimerosal 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 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 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 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: __________________
*****************************************************