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You Want To Vaccinate My Child? No Problem, Just Sign This Form.

You Want To Vaccinate My Child? No Problem, Just Sign This Form

(Before It's News)

Informed_consent2893 (1)

I have yet to meet a Physician that will sign this form now downloaded by hundreds of parents. The reason they won’t sign is two-fold: First, they do not want to place themselves in a vulnerable position of being negligent for not providing informed consent to thousands of other parents; and second, many of them realize after their own extensive research that the risks far outweigh any benefits when it comes to vaccination.

It’s been over a year since hundreds of parents have downloaded this form and there are still no reports of any signatures. Many physicians won’t even look at the form while they dismiss a parent’s anti-vaccination stance as ridiculous. The behavior is a clear indication of a very misinformed Physician who does not have his or her patient’s best interests at heart. They are not willing to inform their patients of the risks, only the benefits they feel are acceptable. They are not open-minded to any other side of the debate except their own biased view passed down through the medical system.

Then are those Physicians who have questioned the vaccination schedules and will pursue their own research. Many of them are now awakening themselves thanks to ongoing research and pressure from parents and even other colleagues to look at other perspectives besides their own indoctrination. If you are pressured by any Physician to vaccinate, please download and print this form (and send us a Physician signed copy if possible). Assertively state to your Doctor that it is the only way you will fully informed to consider vaccination, and that an analyses of the risks and benefits will better allow you evaluate the decision.

100% of Physicians approached with this form have so far declined to sign it.

Physician’s Warranty of Vaccine Safety Form

The following form was adapted from Ken Anderson’s original.

Download PDF English
Physician’s Warranty of Vaccine Safety

Download PDF Espanol
Garantia Medica para la Seguridad en las Vacunas

Download PDF Francais
Formulaire a faire signer (Vaccins)

PHYSICIAN’S WARRANTY OF VACCINE SAFETYI (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 bloodand, 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: ______________________

I’m really anxious to hear back from any readers whose doctor decides to sign this document in an effort to satisfy your peace of mind. I also have a lengthy list of legal professionals who are very curious as well.

Source:

preventdisease.com

Philosophers stone – selected views from the boathttp://philosophers-stone.co.uk



Source: http://philosophers-stone.co.uk/wordpress/2015/04/you-want-to-vacci...

http://beforeitsnews.com/alternative/2015/04/you-want-to-vaccinate-...

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Comment by Besimi on April 21, 2015 at 1:46pm

Benjamin Fulford - April 20th 2015: US Corporate government goes bankrupt on April 17th, refuses to acknowledge

Benjamin Fulford - April 20th 2015: US Corporate government goes bankrupt on April 17th, refuses to acknowledge

 
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The UNITED STATES OF AMERICA CORPORATIONbased in the Washington D.C. extra-territorial enclave inside the Republic of the United States of America failed to make a payment on March 31st and was given until April 17th to come up with the goods but was unable to, according to Chinese government and CIA sources. For that reason the US corporate government has gone bankrupt, the sources say. However, the folk in Washington do not plan to go quietly and are still fighting to survive.

Related: The National Debt Is Not For Americans To Payback | History of The ...

This can be confirmed in the corporate propaganda and government news wires around the world in reports about the Washington IMF/World Bank meetings that ran from April 16-18. The news reports to the general public do not mention the word bankruptcy but rather say things like 19 out of the 20 so-called G20 countries are angry that the US will not give up its veto over the World Bank and IMF. In other words the US government has been publicly repudiated by leaders of 19 out of the 20 top economies.

The current US situation reminds of an old joke my mother told me about a woman watching a military parade and shouting proudly “look my son is the only one marching in step.”

Underneath the surface too, there is a lot of spy movie type subterfuge going on involving high denomination bonds, identity theft, murder and secret negotiations as various players jockey for position in the emerging new financial system.

A new set of meetings between the White Dragon Society and Chinese communist government representatives last week ended with

a basic agreement that China was to get a 20% voting share in the new system and that China would not be seeking world hegemony. There was a lot of other stuff discussed that cannot yet be made public for security reasons but involve a plan to seriously help the vast majority of humanity.

There were also negotiations involving the WDS and representatives of Iranian, Chinese, Japanese and Korean royal families. In each case, the genuine heirs to historical gold fortunes told the WDS many of their relatives had been murdered and that they also feared for their lives. In several cases cabal members were caught trying to pass themselves off as genuine Korean, Persian, Chinese etc. royals, according to Japanese military intelligence and other sources. A representative of the Japanese emperor, Akihiko Yamaguchi, who was wrongly arrested in Chiasso, Italy and had billions of dollars worth of bonds stolen from him, also told once this writer that at least 4 different people had been caught trying to impersonate him at financial institutions.

The story that all these different sources tell is that Khazarian gangsters acquired the rights from various royal families around the world to use their gold as backing for huge denomination financial instruments. As mentioned before in this newsletter, Lord Blackheath discussed one such case in detail at the House of Lords in England in 2012. For those of you who have not yet seen his testimony, please take 11 minutes of your time and watch it at this link:
 


What Lord Blackheath discusses is the use of 700 tons of gold owned by an Indochinese royal to fabricate 750,000 tons worth of gold backed certificates that were used to create $15 trillion that was used to bail out the Federal Reserve Board after the Lehman crisis of 2008.

Now, other Royals are coming out of the closet with their paper certificates theoretically worth trillions of dollars that were issued to them by the same Khazarian or Federal Reserve Board con-men as Lord Blackheath mentions.

The Persian/Iranian royal heir claims to have $45 trillion worth of such bonds. Two of this heir’s brothers, his parents and many other relatives have been killed by the Khazarians to prevent them from either cashing the bonds or claiming their rights to the dynastic gold that underwrites these bonds, the Persian royal claims.

In addition, a Manchurian/Korean/Chinese royal family has produced detailed documentary evidence that they handed over their gold to the Americans before and during World War 2 in exchange for a promise it would be used to create a Korean, Manchurian, Chinese federation. Instead, the gold was used to fund the post war Marshall Plan that rebuilt Europe and Japan but left everybody else out in the cold.

To put it another way, the post war prosperity of the US and Europe was financed with gold that was fraudulently obtained from ancient mostly non-European royal families. These families have been asking for their gold back and, it was the failure to come up with the gold that led to the bankruptcy of the US corporate government on April 17th. The European royals, for their part, have reached an accommodation with their counter-parts in the rest of the world and that is why England, France, Germany, Italy, Switzerland etc. agreed to ignore the US corporate governments’ objections and join China’s proposed Asian Infrastructure Investment Bank.

Related: AIIB News and Updates

We also have on the record public confirmation from IMF head Christine Lagarde that big money is about to be released. Here is what she said at last week’s IMF meeting in Washington:

“The Asian Infrastructure Investment bank is … the new kid on the block to actually respond to a massive need that is out there, which is infrastructure financing. People are talking not billions, they’re talking trillions needed to finance infrastructure in Asia.

“So if that institution is there to finance vital needs, that will push growth… and we can cooperate. If we can work together, that is excellent news. We are ourselves very supportive of this prospect, and we will happily cooperate and contribute to the extent helpful to this new institution.”

In other words, she is drooling at the mouth at the prospect of the IMF getting a share of some of the “trillions” that is about to released. World Bank head Jim Yong Kim also drooled at the prospect of the World Bank getting in on some of the expected new action that will come when these trillions are returned to their rightful owners.

With this as background we can understand why there has been so much radical activity taking place in the US recently. One such story was the plan announced by the NORAD military command to reopen the mothballed Cheyenne military base under the Rocky mountains to prepare for “an electromagnetic pulse attack.”

http://www.dailymail.co.uk/news/article-3031041/Why-military-moving...

The fact they have publicly announced they will reopen this base confirms that the newer underground bases built near Denver, Colorado, Washington D.C. and elsewhere have been seized by the white hats and taken out of cabal control.

There has also been a lot of speculation about why a bunch of Walmart stores located near USmilitary bases have been suddenly shut down.

http://money.cnn.com/2015/04/16/news/companies/walmart-closing-plum...

Related: Signs That The Elite Are Feverishly Preparing For Something BIG | A...

CIA sources say there are underground bunkers being built under these stores for the elite to hide in. However, a pentagon source says the Walmarts are being prepared as distribution centers for food and other essential products in preparation for a shut down and reboot of the banking system. Time will tell which of these sources is telling the truth.

The other odd event is the New York Federal Reserve Board’s plan to move most of its essential functions to Chicago. We have previously noted that the Chicago Fed has been filling its windows with concrete. We have also noted the US Treasury department has been stocking up with water purifiers, emergency food stocks, emergency blankets etc. This is hardly the sort of material needed during an ordinary financial crisis.

However, please do not get paranoid just because the Feds are, this is not the end of the world but rather the end of the fraudulent fiat money world. For the 99.99% of us humans, this will be a time of great liberation from ancient Hyksos debt slavery.

Related: Benjamin Fulford - March 31st, 2015: Interview with Mike Harris of ...

The Vatican, for example, will be holding a special meeting of experts on April 28th to discuss the end of this and other forms of....

http://www.casinapioiv.va/content/dam/accademia/booklet/booklet_ear...

Related: Debt Forgiveness? | Pope Francis' Holy Year of Mercy could be a tru...

In addition to this public forum, there will be secret meetings held later this month to discuss positive things. In particular, what will be discussed will be detailed mechanisms to ensure the trillions of dollars that are about to be released will not end up as fairy dust but actually lead to real improvements in the real world. What that will mean in reality is that instead of having a sudden, giant announcement, there will be a little snowball that will slowly but exponentially start getting bigger. At first there will be millions of dollars used for head-hunting, then there will be hundreds of millions spent on getting staff and headquarters set up, then there will be billions in pilot projects and only then will the trillions start to pour.

The important thing to keep in mind is that what we are setting out to do is create heaven on earth not create a new hell by seeking revenge. Seeking revenge for past crimes will only lead to a new set of nega.... The Khazarian mafiosi also need to be reminded that surrendering gracefully is their best option.

Related: Karmic Corrections For All After Disclosure, Blue Avian's Protectin...

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