interesting form

I don't know how I got on the Health Freedom's e-mail list, but I read today's report and found it interesting, in light of the fact that I had a little chat with my sweet pediatrician about vaccines recently. I respect him, but I found myself disagreeing with some of his logic. Health Freedom suggests (probably mildly tongue-in-cheek) bringing this form to your doctor's and having him or her sign it before giving your child a vaccine. See what you think. At the very least, it brings up some VERY interesting questions - do they REALLY use sheep's blood in vaccines? Yuck. I don't know what anyone else thinks about the whole vaccine thing but I can tell you that I HAD the measles, mumps and chicken pox when I was growing up, and now there are vaccines for absolutely everything, it seems. My smart friend Maggie says there's a test called the Tighter Method that can test for antibodies in your blood, and if you have them, then you don't need that vaccine. Now THAT makes sense to me. I haven't researched it yet, though. But for your viewing pleasure, here's the form from Health Freedom:

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 on this date __________________________________________, I find that in my professional judgment certain risk factors exist that justify the recommended vaccinations. The following is a list of said risk factors and the vaccinations that
will, in my professional judgment, protect against them:

Risk Factor Vaccination:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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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 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 cells 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:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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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 as well as for patients over that age.

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 basis for arriving at your professional conclusion that the vaccine is safe for administration to a child under the age of 5 years and indicate which information provides the basis for arriving at your professional conclusion that the vaccine is safe for administration to a patient over that age.)

The professional journal articles and other peer reviewed sources 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 or other peer reviewed sources 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 Lack of Validity of Adverse Scientific Opinions.”

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 reaction from Hepatitis B vaccine in 1996 in the 0-1 year age group, with 47 vaccination-associated 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 develop lifelong 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.
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__________________________________________________________________
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The following studies have been performed to demonstrate the safety of the Hepatitis B vaccine in patients over the age of 5 years.
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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 in 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 inthe State of __________________________________ .

__________________________________ (Name of Attending Physician)

__________________________________ L.S. (Signature of Attending Physician)

Signed on this _______ day of ______________ A.D. ________

Witness: ____________________________ Date:_________________________

Notary Public: Name______________________________ Signature ________________________________________ Seal___________________________________________ Signed Before Me This Date:_________________________