How to opt out of vaccines, all ages & forms

This link is for Arizona. (type your state in the url)
http://www.vaclib. org/exempt/ arizona.htm
http://www.vaccinet ruth.net/


Statues/Laws Letters/Forms Schools http://hh2.cfsd. k12.az.us/ static/gems/ districtSite/ Exemptions. pdf Colleges/Employment /TB/OptOutRegist ry
ARIZONA - IMMUNIZATION EXEMPTIONS by State (includes current statutes, letters & forms)
http://www.hs. state.az. us/phs/immun/ immun_rec. htm
School and Child Care Immunization Requirements
Azizona College (only) Exemption form.pdf 7k
Note: this form was posted in year 2002.
[Check with grade & high schools for forms]
Arizona: ADHS Religious Exemption.
Arizona: Schools have on file a form to be filled in by parent/guardian to refuse vaccines on philosophical grounds.
exact info here:

http://www.azavenue .com/kelly/ Arizona%20Rules% 20and%20Regulati ons.htm
15-872 . Proof of immunization; noncompliance; notice to parents; civil immunity.

IMMUNIZATION EXEMPTIONS by State (includes current statutes, letters & forms)

Arizona

Current Statutes & Laws: http://www.909shot. com/state- site/Arizona. htm
Medical & Religious

Signed statement to school administrator that parent "has received information about immunizations provided by the department of health services, understands the risks and benefits of immunizations and the potential risks of non-immunization and that due to personal beliefs, the parent or guardian does not consent to the immunization of the pupil."

Exemption Letters & Forms...

Birth Exemptions:

For those who are planning a hospital birth but want to evade invasive routine post natal procedures such as a Hep B shot, vitamin K injection, newborn screening, or the application of silver nitrate in the newborn's eyes, a very specific birthing plan must be submitted to the hospital in advance of the birth. Hospital staff must be informed, in advance, of your needs, wants and desires where your baby and birthing experience are concerned. The same applies to midwives.

ARIZONA NEWBORN SCREENING PROGRAM GUIDELINES
(.pdf) http://www.azdhs. gov/phs/owch/ pdf/az_nbs_ scrn_guide_ 2003.pdf
3.9 Parental Refusal of Consent
The newborn screening tests are automatically ordered for all infants and performed prior to discharge from the hospital, or immediate care of the practitioner attending the birth, unless consent for the test is specifically refused. Parents/guardians may refuse consent for the newborn screening test for their infant after they have received information about the screening program and acknowledged that they understand the potential risks of refusal. Parental refusal of the newborn screening test must be clearly and prominently documented in the infant’s medical record or birth record. The specimen collection kit documenting the refusal shall be submitted with a completed form to the newborn screening laboratory no later than 24 hours or the next working day after the form is completed.

Arizona Newborn Screening Practitioner’ s Manual – MSGN

(.pdf) http://www.colegiop ediatrasyucatan. org.mx/tamiz_ metabolico_ neonatal. pdf
National Newborn Screening Programme Inherited Metabolic Disorders

Vitamin K Injection...

The prescribing information on Vitamin K shot states that fatalities are an adverse reaction accordinllow" target="_blank" href="http://www.vaclib.org/legal/accept1.htm">http://www.vaclib. org/legal/ accept1.htm

Model Birth Plan Letter for Hospital Births. You can attach an exemption from immunizations. In some states, there are religious exemptions from newborn screening tests such as PKU, etc...

(.doc) Model Letter for Hospital Births (Model11425. doc)

Model Birth Plan Letter for Hospital Births. This one is more detailed. You can attach an exemption from immunizations. In some states, there are religious exemptions from newborn screening tests such as PKU, etc...

(.doc) Model letter for hospital births 2.doc (11426)

Model Birth Plan Letter for Hospital Births for an adopted child...
Model letter for hospital births for adoptions -- Dear Doctor and Medical Staff.doc (11427)

(.doc) VaccineTruth. net/letters/ Model letter for hospital births for adoptions.doc
The above documents can also be made available in WordPerfect (.wpd) format.
Please contact us if you want the model birth plan letters in WordPerfect.
Hepatitis B Vaccine Refusal from Dr. Sherri Tenpenny's webpage:
(.pdf) http://www.nmasemin ars.com/files/ Hep_B_in_ the_hospital_ 1_.pdf
This form is generic. It can be used in other states.

Or you can do your own model birth plan letter online...
Hospital Birth Preference Plan ~ Birth Naturally, LLC
http://www.birthnat urally.org/ GentleBirth/ hospitalplan. htm
The birth plan arrangements and letter should be turned in before delievery date.
The birth plan arrangements and letter should be turned in before delievery date.
This "Refusal to Permit Medical Treatment" form is optional to use.

"Refusal to Permit Medical Treatment" form
Refusal to Permit Medical Treatment. A generic form.
(.pdf) http://www.scpie. com/riskmgmt/ forms/refusal_ treatment. pdf

It would be good idea to use with the AFFIDAVIT below AND model birth plan letter. We hope someone uses this affidavit, model birth plan letter and refusal forms, and succeeds. We want to hear about it when someone is successful with this. The ACCEPTANCE OF RESPONSIBILITY is imperative in exercising your rights for legal exemptions from forced medical experimentation and legalized bioterrorism. DO be prepared to fight for your baby's rights!

Birth plan religious AFFIDAVIT text below. Use with model birth plan letter and/or refusal forms, and edit as needed...



AFFIDAVIT

I/We, ____________ _________ ____, Sui Juris, Free, Natural Flesh and Blood Human Being(s), state Citizen(s) of the Arizona Republic affirm: Be it known to all courts, governments, and other parties that:

Being (a person/people) of Strong Christian Morals, it is against (my/our) Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into (my Body/our Bodies) or the Body of (my/our) Child. This includes, but is not limited to, any and all, Vaccinations, Shots, Tests for Diseases, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon (my/our) newborn's body.

This written statement to exempt (my/our) newborn from any immunizations, newborn screening, and the Vitamin K shot, because (Iwe) hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures & experimentation. The practice of vaccination and the injection or application of any foreign substance is contrary to (my/our) conscientiously held religious beliefs and practices, and violates the free exercise of (my/our) religious principles.

The Hepatitis-B vaccine supposedly protects against a disease that is only transmitted through multiple sexual partners or street IV drug users and therefore usurps (my/our) parental authority to condemn such activity in (my/our) child. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of (my/our) faith.

The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert.
http://www.fda. gov/medwatch/ SAFETY/2003/ 03Feb_PI/ AquaMEPHYTON_ PI.pdf

"WARNING - INTRAVENOUS USE Severe reactions, including fatalities, have occurred during and immediately after the parenteral administration of AquaMEPHYTON® (Phytonadione) ."
A conflict arises because (my/our) religious convictions are predicated on the belief that all life is sacred. God's commandment "Thou Shall Not Kill" applies to the practice of injection of carcinogenic substances that can kill.

(We / I) {First and Last name(s)}, as the {(parent (s) / guardian(s)} of ____________ _________ _(name of newborn child) are exercising (our/my) rights under the First Amendment of the US Constitution and [insert Arizona immunization/ testing exemptions birth statutes here] to receive Religious Exemption from Vaccination, ALL injections, & testing.

Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.

Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

The Lord Jesus Christ and Our Creator are the only source of protection of (my body/our bodies) and that of (my/our) family that (I/we) can accept.

(I/We) affirm that vaccination & injections of any foreign substances and proteins conflict with (my/our) religious beliefs as stated above. Therefore, (I/we) would request that you accommodate (my/our) religious beliefs and practices by exempting (my/our) newborn child from any vaccinations, injections and testing of any kind.

Rest assured that (my family and I/our family) do practice a form of immunization that keeps our immune systems strong and is in keeping with Biblical principles.

Further Affiant Saith Not

The use of notary below is for identification only, and such use does NOT grant any jurisdiction to anyone.

Subscribed and sworn, without prejudice, and with all rights reserved, (Print Name Below)


____________ _________ _________ _________ _________ _________ _,
Principal, by Special Appearance, in Propria Persona, proceeding Sui Juris.


____________ _________ _________ _
Signature of Affiant

ACKNOWLEDGMENT

state of Arizona

county of ____________ _____:

On this _______ day of ____________ __, 200__, before me

personally appeared ____________ _________ _________ ____, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.


____________ _________ _________ _________
(Notary Public)

My Commission Expires ____________ _________ _________ , 200___


Above AFFIDAVIT now available in both Microsoft Word (.doc) and WordPerfect (.wpd) format.

Postnatal - 2 months (first "well baby" visit):

If you do take your new baby to an MD as opposed to a naturopath and/or chiropractor, please be aware and careful of any forms you sign.

We're referring to those "Refusal To Vaccinate" fo%20Packet. doc

STUDENT OPT-OUT NOTICE - Google Search

Colleges & Universities:

B. APPLICATION FOR RELIGIOUS EXEMPTION
TO IMMUNIZATION REQUIREMENTS OF INSTITUTIONS OF HIGHER EDUCATION ...
(.pdf) http://www.vaclib. org/pdf/azcolleg e.pdf

"The provisions of this Act shall not apply if the individual furnishes to the college or university written proof from a church or denomination official that such immunization conflicts with the religious tenets and practices of such recognized church or religious denomination of which said individual is an adherent or member." "To claim a religious exemption, students must demonstrate that the "religious tenets and practices" on which they base their objections to immunization are those of a "recognized" religion."

What about those who have sincere religious convictions against vaccinations, but don't belong to a church? Read on...

Often you will be requested to state your rationale for your vaccination exemption petition. What follows is what is used for public schools, parochial schools, private colleges, and public universities.

Q: What constitutes a religious conflict with vaccination?

Good religious reasons...

These constitute good reasons when a school or college asks for your religious reason on a form that says, state your reason here, attach rationale, letter from clergy on letterhead, or state why a particular vaccination is contrary to your religious beliefs, etc...

Often you will be requested to state your rationale for your vaccination exemption petition. What follows is what is used for public schools, parochial schools, private colleges, and public universities.

Q: What constitutes a religious conflict with vaccination?

A: All vaccines are made in violation of God’s Word. Vaccines are made with toxic chemicals that are injected into the bloodstream by vaccination. All vaccines are made with foreign proteins (viruses and bacteria), and some vaccines are made with genetically engineered viral and bacterial materials.

A conflict arises if you believe that man is made in God’s image and the injection of toxic chemicals and foreign proteins into the bloodstream is a violation of God’s directive to keep the body/temple holy and free from impurities.

Vaccines are produced in animal tissues. A conflict arises if you accept God’s warning not to mix the blood of man with the blood of animals. Some vaccines are produced in aborted fetal tissue.

A conflict arises if your religious convictions are predicated on the belief that all life is sacred. God’s commandment "Thou Shall Not Kill" applies to the practice of abortion. When it is believed that the practice of abortion should not be encouraged or supported in any manner, a conflict may arise with vaccines produced in aborted fetal tissue even though you didn’t have anything to do with the abortions from which the vaccines are made from.

The Hepatitis-A vaccine containing MRC-5 is obtained from human babies that were electively aborted. WI-38 was created from the tissue of an aborted fetus and is used for the rubella portion of the MMR-II vaccine. RA 273 was created from the tissue of an aborted fetus, and is used for MMR-II vaccine. A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God’s commandment "Thou Shall Not Kill" applies to the practice of abortion. The acceptance of this/these vaccine(s) promotes/promote abortion and violates the Sixth Commandment of "Thou Shall Not Kill".

The Chickenpox (Varivax) vaccine containing MRC-5 and RA 273, is obtained from human babies that were electively aborted. The acceptance of this vaccine promotes abortion and violates the Sixth Commandment of "Thou Shall Not Kill".

The Hepatitis-B vaccine protects against a disease that is only transmitted through multiple sexual partners or street IV drug users. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of my faith.

For a child under age 18, where parent has to make the statement, concerning Hep B vaccine...
The Hepatitis-B vaccine protects against a disease that is only transmitted through multiple sexual partners or street IV drug users and therefore usurps my parental authority to condemn such activity in my child. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of our faith.

"I believe that inherent in each individual is an innate intelligence, provided by God, which will protect the host environment and provide homeostasis. " "Life and physical health are precious gifts entrusted to us by God. We must take reasonable care of them…" [2288 – Catechism of the Catholic Church 1994]

"The virtue of temperance disposes us to avoid every kind of excess: the abuse of ... medicine." [2290 – Catechism of the Catholic Church 1994]

"(Indicate rationale and attach statement from clergy or other authority.)"
You do not need to belong to a church or religious organization to claim religious exemption from vaccines.

Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.

Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

AFFIDAVIT for Arizona Adult (college or employment religious exemption) ... Edit as needed... AFFIDAVIT is available in Microsoft Word (.doc) and WordPerfect (.wpd) format. Contact us.



AFFIDAVIT

I, ____________ _________ ____, Sui Juris, Free, Natural Flesh and Blood Human Being, state Citizen of the Arizona Republic affirm: Be it known to all courts, governments, and other parties that:

Being a person of Strong Christian Morals, it is against my Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into my Body. This includes, but is not limited to, any and all, Vaccinations, Shots, Tests for Diseases, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon my body.

This written statement to exempt myself from the immunization requirement, and the Mantoux (PPD) Tuberculin Test, because I hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures and experimentation. The practice of vaccination and the injection of any foreign substance is contrary to my conscientiously held religious beliefs and practices, and violates the free exercise of my religious principles.

The attenuated virus used to produce the Rubella vaccine (RA27/3) was obtained from an aborted fetus and then cultivated on fetal tissue from another aborted baby (WI-38), and is also in the rubella portion of the MMR-II vaccine. The Chickenpox vaccine containing WI-38, MRC-5 and Hepatitis-A vaccine (MRC-5) were obtained from human babies that were electively aborted. A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God’s commandment "Thou Shall Not Kill" applies to the practice of abortion. The acceptance of these vaccines promotes abortion and violates the Sixth Commandment of "Thou Shall Not Kill". The Hepatitis-B vaccine protects against a disease that is only transmitted through multiple sexual partners or street IV drug users. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of my faith.

I, {First and Last name}, am exercising my rights under the First Amendment of the US Constitution and [insert Arizona college exemption statute here, or leave blank if for employment situations] to receive Religious Exemption from Vaccination & testing.

Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.

Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

The Lord Jesus Christ and Our Creator are the only source of protection of my body and that of my family that I can accept.

I affirm that vaccination & injections of foreign proteins conflict with my religious belief as stated above. Therefore, I would request that you accommodate my religious beliefs and practices by exempting me from the college vaccination and/or TB testing requirement.

Rest assured that I do practice a form of immunization that keeps my immune system strong and is in keeping with Biblical principles.

Further Affiant Saith Not

The use of notary below is for identification only, and such use does NOT grant any jurisdiction to anyone.

Subscribed and sworn, without prejudice, and with all rights reserved, (Print Name Below)


____________ _________ _________ _________ _________ _________ _,
Principal, by Special Appearance, in Propria Persona, proceeding Sui Juris.


____________ _________ _________ _
Signature of Affiant

ACKNOWLEDGMENT

state of Arizona

county of ____________ _____:

On this _______ day of ____________ __, 200__, before me

personally appeared ____________ _________ _________ ____, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth.


____________ _________ _________ _________
(Notary Public)

My Commission Expires ____________ _________ _________ , 200___


____________ _________ _________ _________ _________ _________ _


First Amendment of the US Constitution

Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.

FOURTH AMENDMENT [U.S. Constitution] - 'The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.'

Unreasonable Searches And Seizures.

Non-consensual extraction of blood implicates Fourth Amendment privacy rights. Skinner v. Railway Labor Executives' Ass'n, 489 U.S. 602, 16 ('89) ('this physical intrusion, penetrating beneath the skin, infringes [a reasonable] expectation of privacy'); Schmerber v. California, 384 U.S. 757, 67 ('66) (compulsory blood test 'plainly involves the broadly conceived reach of a search and seizure under the Fourth Amendment'). ' '[f]or the Fourth Amendment does not proscribe all searches and seizures, but only those that are unreasonable. ' Skinner, 489 U.S. at 619; accord Vernonia School Dist. 47J v. Acton, No. 95-590, 1995 WL 373274, at *3 (June 26,'95) ('the ultimate measure of the constitutionality of a governmental search is `reasonableness' '). A search's reasonableness under the Fourth Amendment generally depends on whether the search was made pursuant to a warrant issued upon probable cause. U.S. v. Place, 462 U.S. 696, 701 ('83)

These Google searches are mostly the college and school exemptions. There are always new forms coming online. Keep a regular check on these to look for newly added forms. Some are for daycare too. The links are the actual keywords that are used.

Immunization Exemption Form

Vaccine Exemption Form

Immunization Waiver

Employment:

See AFFIDAVIT for Arizona Adult above...

Most of these are the Hepatitis B vaccine declination forms, such as the OSHA form. There are hundreds of these forms. Rather than linking to each one, here are the Google Search results for these keywords. There are other vaccines that one can decline that are worded like the OSHA forms.

Vaccine Declination Form
or
Hep B vaccine waiver

TB Test:

TB Testing Exemption Letter:
HTML
Sample Exemption Letter for TB testing. May be modified to your use. http://www.vaclib. org/letters/ TBwaiverGen. htm
Microsoft Word Document (.doc)
Sample Exemption Letter for TB testing. May be modified to your use. http://www.vaclib. org/letters/ TBwaiverGen. doc

TB Testing Exemption Letter for Adults:
Microsoft Word Document (.doc)
Sample Exemption Letter for TB testing. May be modified to your use. http://www.vaclib. org/letters/ TBTestingWaiverA dult.doc
WordPerfect Document (.wpd)
Sample Exemption Letter for TB testing. May be modified to your use. http://www.vaclib. org/letters/ TBTestingWaiverA dult.wpd
PDF document (.pdf)
Sample Exemption Letter for TB testing. http://www.vaclib. org/letters/ TBTestingWaiverA dult.pdf
Extra link from Dr. Sheri Tenpenny's webpage:
(.pdf) http://www.nmasemin ars.com/files/ Exemption_ for_TB_testing_ 1_.pdf

Lead Testing Exemption Letter:
HTML
Sample Exemption Letter for Lead testing. May be modified to your use. http://www.vaclib. org/letters/ Lead_testing_ waiverGen. htm
Microsoft Word Document (.doc)
Sample Exemption Letter for Lead testing. May be modified to your use. http://www.vaclib. org/letters/ Lead_testing_ waiverGen. doc

The above TB and Lead exemption letters courtesy of Deirdre DeVane of Wash DC. Thank you Deirdre!
The adult TB letters were edited by Sherri Tenpenny. Thank you Sherri!


TB Testing Alternatives. ..

TB can be detected by biofeedback machines that are hooked up to a computer, such as the QXCI, Best BioMeridian MSAS (Meridian Stress Assessment) or Electro Dermal Screening, Quantum Life System, and the F-Scan. You will need to ask specifically for a pathogen scan, especially TB. You will also need to request a printout with the results.