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

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Cal. Health & Safety Code § 125000(d)
(d) This section shall not apply if a parent or guardian of the newborn child objects to a test on the ground that the test conflicts with his or her religious beliefs or practices.

http://www.ncsl.org/programs/health/screeningprivacy.htm

Newborn Screening Practitioner's Manual

The California Newborn Screening Program
To order any of these forms, please call (510) 540-3302.
Newborn Screening Test Refusal (NBS-TR): English or Spanish
Completed and signed by parent(s) who are refusing for religious reasons to have a newborn screening specimen collected on their child.

Also see...
UCSF Children's Hospital
Intensive Care Nursery House Staff Manual
(.pdf) http://www.ucsfhealth.org/childrens/health_professionals/manuals/24_WellBabyNursery.pdf
from UCSF Medical Center
Some excerpts...

EYE PROPHYLAXIS against gonococcal opthalmia neonatorum is mandatory for all neonates. A 1-2cm ribbon of sterile ophthalmic ointment containing 0.5% erythromycin should be administered within 1 hour of birth. Although California state law mandates neonatal eye prophylaxis, parents who refuse may sign a special waiver. This form is entitled "Refusal to Allow Treatment of Eyes of Infant with Prophylactic-Efficient Agent" and is located in the cabinet behind the unit clerk's desk in the WBN.

VITAMIN K ADMINISTRATION: Every neonate should receive a single parenteral 0.5-1.0 mg dose of vitamin K oxide or phytonadione (AquaMEPHYTON®) within 1 hour of birth for prevention of vitamin K deficiency bleeding (Hemorrhagic Disease of the Newborn). Occasionally parents will refuse vitamin K or request oral administration.
If parents persist in their refusal, they must sign the "Refusal to Permit Medical Treatment" form. These forms are kept in the file cabinet behind the unit clerk's desk in the WBN.

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

Vitamin K Injection...

The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert.
(.pdf) 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)."
fatalities=death

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.nmaseminars.com/files/Hep_B_in_the_hospital_1_.pdf
This form is generic. It can be used in other states.

Sample Birth Plan from The Center of Unhindered Living

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. I 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...

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"By endorsing this particular waiver, parents would essentially be signing an admittance of neglect and or "abuse" for refusing vaccines. The language contained in this waiver could put parents and caregivers in jeopardy down-the-line if they should ever find themselves in the courts due to their child's health problems, when confronted with child protective services, divorce, or just about any matter pertaining to that child that could be used against the parent(s).

Please read any waiver provided by your child's doctor carefully before signing. Instead, offer a formally written and signed letter that simply says that you do not wish to vaccinate your child. If you are unsure of the language in the waiver, buy some time by telling your doctor that you need to consult with a lawyer before signing it. "

Anai Rhoads Ford
Human Rights Journalist
Why Signing a Waiver to Avoid Vaccines Can Be Considered Abuse by Anai Rhoads Ford, released 15 November 2005.
http://www.anairhoads.org/

Media Contact (703) 491-1903

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Daycare & Preschools:

(.pdf)

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SAMPLE EXEMPTION LETTER

Date
School/ Institution
1776 Independence Way
Anytown, CA

To Whom it May Concern,

This letter is to serve as an affidavit, stating that vaccinations are contrary to what I believe is healthy for my child, Child's Name.

Health & Safety Code #120365. states that, it is my legal right to decline such vaccinations for my child.

Thank you kindly,

Legal Parent / Guardian

" Some schools my have their own exemption form, or may use a form provided by the county health dept. However, a straightforward personal communication is better assurance that your rights will be respected.
" The California philosophical belief exemption (health & safety Code #120365.) is your legal right as a parent, to enroll your child in public school without vaccinations.
" The right also applies to legal adults seeking admission to a community college.
" Under the law school authorities can not deny this right. However, they may be unaware of the legal exemption and know only to follow general procedure.
" Private schools are sometimes a challenge and may have their own policies.
" Terrorizing parents with threats of disease to their child for non vaccine compliance is a common practice.
" The media, health agencies and doctors, etc., who proclaim that children (and or college students) can not be admitted to school without hepatitis-B and other vaccines are simply parroting false information.
" Something is very wrong when people are told they do not have rights that they do in fact have.
" The bottom line is; money is made each time any body is vaccinated and "free vaccinations" are not free. They have simply been paid for in advance with your tax dollars.

Note: This information does not constitute legal or medical advice.

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Colleges & Universities:

Biola University Student Health Center
13800 Biola Ave.
La Mirada, CA 90638
Meningitis Vaccine Waiver (Bottom of page, Section D)
(.pdf)

Cbswork Quality Orgone Products from
http://www.vaccinetruth.net/cbswork/cbswork.htm!


(.pdf) CbsworkOrderForm2007.pdf
(.doc) CbsworkOrderForm2007.doc
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