DOWNLOAD THIS VACCINE EXEMPTION FORM

Looking for a way to avoid both a vaccine injection and any following legal threats? Here’s a form to download and protect you against the damage

When you next feel forced by your child’s school, or GP/MD to take them for a mandatory vaccination, which is proven to do more harm than good, here’s the answer.

As here we focus on the true test and switch the moral obligation back to the medical profession itself. As, given the truth about the vaccinations and what’s they really contain, are they willing to sign their name to it’s effectiveness?

So, simply present this Vaccine_exemption_form to any healthcare worker wishing to vaccinate you, or your kin and ask them to sign and date it.

It details the facts about the vaccines that are administered today and makes the practitioner themselves duly responsible. As the form also goes on to state the harm that current vaccinations are proven to cause.

All Doctor’s sign the Hippocratic oath, as part of their training, which states they must: “First do no Harm”. There is some argument over the exact wording, but the sentiment remains, that as Doctor’s they are obliged to have the patient’s health as their primary objective.

The way things currently stand there is no accountability to the vaccine giver themselves. So this form changes that and makes any practitioner legally and morally responsible for the after effects of the injection.

To date we have not known a single doctor, or nurse sign this form.

With the outcome of:

  1. No signature
  2. Waivered responsibilities
  3. No vaccine
  4. NO DAMAGE DONE

So Please download and share the form as you measure of protection.

(It’s also in full in text below in case you cannot download the PDF)

Please feel free to donate towards our work and keeping us adverting free.

Love and Light

Amanda Mary Jewell


PHYSICIAN’S WARRANTY OF VACCINE SAFETY

I (Physician’s name and qualification) _______________, _____ 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 “foetuses”).

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 basis for my opinion is itemized on Exhibit A, attached hereto, — “Physician’s Basis for Professional Opinion of Vaccine Safety.” (Please itemize each recommended vaccine separately along with the basis 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: ______________________

About the Author

Amanda-Mary
With almost twenty years spent researching and treating Cancer, I am a well respected author, teacher and health coach.

I do have a list of qualifications, but I find them cumbersome and false. The fact I am a qualified Holistic Doctor is neither here, nor there. Medical education is entirely corrupt and something that can be used against you. I go on courses in order to learn, not to buy a badge to hide behind, or a stick to beat people with.

So much nonsense has been written about me that I never read, or choose to absorb. It’s all about them, never about me. I have been attacked and targeted simply because I have helped people and not been silenced. A common misconception is that I am holistic, but the truth is I do not sit on either side of the imaginary divide between what is “mainstream” and what is “holistic.” There is greed and corruption on both sides and examples of bad practice in every field.
Personally, I am only interested in what works and improves the life of the patient.

In some cases, radiation can work and so am happy to recommend that route, if it works and saves a life in an emergency situation. But there is no ‘one size fits all’ and no cookie cutter protocol. There are many variables in healing the body. We are all individual and all capable of change, so each case must be considered individually. What works for one, may not work for another. Mass medication is wrong.
My research and work has led me all over the world and got me into some tight spots at times, but I am thankful for every twist and turn and have learned a lot from each. I am wiser as a result and see that life teaches us all. I recovered from breast cancer 20 years ago, which has saved my life over and over and made me very aware of how fleeting and precious life is. I live each day to the full and as if it were my last.
I have twenty children, many of whom are adopted, four are mine naturally. I love and adore them all and am honored to have been able to raise them, for now they are strong and independent adults. My children are the most important people in my life.

I despise materialism, I have old fashioned views and feel the modern world has lost much in the way of values and common decency. So I travel the world with my partner and 6-year-old daughter, helping people and sharing knowledge. I am still learning and feel that everyday is a school day. The reason I started this blog was so I could pass on some of this knowledge to others.

I speak the truth about everything and my honest approach shocks many, as I tend to say the things most people would not. I focus on solutions, as I am a problem solver at heart and there is only one truth. Stick to the truth and you will never go far wrong.

I hope you enjoy our blog site and the articles we labor over for your benefit. Please donate to the cause on the page above, as we do not receive a penny in advertising, or sponsorship. It is all from the heart.

Love and light.
Amanda Mary Jewell

Be the first to comment on "DOWNLOAD THIS VACCINE EXEMPTION FORM"

Leave a comment