Vaccination Liberation Information
Main Page Links


Massachusetts State Exemption Page
VacLib.org & VaccineTruth.net Exemption Page


Statutes/L A W S
Link to state law.
National Vaccine Information Center:
NVIC link to state law.


For additional help with exemptions, birth plan, etc questions:
Check our Vaccination Liberation State Chapter and other resource organizations page for help in your state.

If your state specific help is not available, Contact us.


- - - Available Exemptions - - -
Medical  &  Religious



Your Choice.
Join thousands of other pioneers in refuting the presumed authority the corporate government has over your life.
Break the presumptions by negating adhesion contracts. Find out if your state's corporate statutes actually apply to you. Did you sign a contract binding you to adhere to their statutes? Not likely. To learn more, go to this page.

PDF documents (.pdf)

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Related Pages


State Resource Individuals

Finding Non_Vaccinating_Physicians


Information below on the left with a yellow background is Specific to your state. Information below on the right with a light grey/blue background is general information.
Page_Navigation_Links
New Born
NewBorn Birthing Plan and Birth Exemptions
BirthExemptions  |   Birthing_Plans  |   Vitamin_K  |   Hepatitis_B  |   Eyedrops  |   Newborn_Screening

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.

Steps:
  • Create the Birthplan. Or modify one of our ours to fit your state laws and any other personal circumstances. (see below)

  • Sign the birthplan in front of a Notary.

  • Submit the birth plan to your hospital or midwife. Keep a couple extra copies in case plans change.

  • Make sure affected parties (doctors, nurses, etc) understand your requirements and wishes.

  • Plan on having one or two trusted persons stay with the mother and child to watch the child at all times while in the hospital, so no unwanted injections are given the baby.

  • The birth plan arrangements and letter should be turned in before delivery date.

  • The "Refusal to Permit Medical Treatment" form below is optional.

  • The "Refusal to Register Live Birth" form below is also optional.

Birth Plans (To be used with hospitals and/or midwives)
(Links to model birth plan letters)

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...

Information on the Dangers of Hospital Birth and the Benefits of Home Birth from gentlebirth.org

Our best and most itemized birthplan:
Word-Document (.doc) birthplan-itemized.doc  |   PDF-Document (.pdf) birthplan-itemized.pdf

(HTML) BirthPlan-Itemized for reading on screen. Includes handy small dictionary of terms in the document.

Word-Document (.doc) Model Letter for Hospital Births (Model11425.doc)

Model Birth Plan Letter for Hospital Births. This one is more detailed.

Word-Document (.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)
Word-Document (.doc) Model letter for hospital births for adoptions.doc


The birth plan arrangements and letter should be turned in before delivery date.
This "Refusal to Permit Medical Treatment" form below is optional.

"Refusal to Permit Medical Treatment" form
A generic form.
PDF-file (.pdf) letters/refusal_treatment.pdf


It would be good idea to use the AFFIDAVIT below AND a model birth plan letter from above above.
Affidavit - Birth Exemptions
HTML (simple text) Affidavit to modify.

AFFIDAVIT in Microsoft Word Word-Document (.doc) format. (may be modified)

If your Title and Paragraph number of your state law is not pasted to the left, click here for the link to your state law.

Vitamin K Injection...

The Question of Vitamin K for Newborns
"Essentially all human infants are born with very low blood levels of vitamin K and, since low amounts of vitamin K crosses into breast milk, levels remain low for several weeks after birth in breastfed babies. The purpose of this natural, universal experience of low vitamin K levels in newborns is not known. ..."
"Mouse and epidemiologic studies indicate that the neonatal “deficiency” of vitamin K, which promotes cell turnover, may actually protect the developing fetus from damaging substances that “escape the primary placental screen.”
Read the rest of the article here:
http://www.thevaccinereaction.org/2016/08/the-question-of-vitamin-k-for-newborns/

The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert.
http://fdb.rxlist.com/drugs/drug-9003-Aqua-Mephyton+Inj.aspx?drugid=9003&drugname=Aqua-Mephyton+Inj
"The injectable form of vitamin K can rarely cause severe (sometimes fatal) allergic reactions when given by injection into a muscle or vein. Therefore, vitamin K should be injected into a muscle or vein only when it cannot be given by injection under the skin or taken by mouth, or when your doctor has judged that the benefit is greater than the risk. Seek immediate medical attention if you experience symptoms of an allergic reaction such as rash, itching, swelling, dizziness, or trouble breathing."
Potential exists for the newborn to experience hypersensitivity to any component of this medication.
Each milliliter contains: Phytonadione ............. 2 mg or 10 mg
Inactive ingredients:
Polyoxyethylated fatty acid derivative ................... 70 mg
Dextrose...................................................................... 37.5 mg
Water for Injection, q.s. .................................................. 1 mL
Added as preservative: Benzyl alcohol ...................... 0.9%

Links to prescribing information for Vitamin K:
http://vaclib.org/chapter/inserts.htm#vitK

Archive: Year 2002 Merck Vitamin K Package Insert - Aquamephyton PI | posted on Scribd

Alternatives to Vitamin K Prophylaxis...

Although oral vitamin K is not licensed for use as a drug by the FDA, drops for oral administration are available. Typically, one drop contains 2 mg. of vitamin K. Contact a midwife in your area, or a birthing supply company (such as birthwithlove.com), or Scientific Botanicals (206 527-5521) where your health care provider can order liquid vitamin K directly.

Here's another much safer alternative that your chiropractor or naturopath can order for you.

http://www.bioticsresearch.com/Products/BioK.htm

Or buy direct from Amazon.com:

A good organic whole food diet along with lots of leafy green vegetables is all that is necessary to prevent vitamin K deficiency in newborns.

More Information:
Daily Med - Package Insert:
http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=e8808230-2c44-44c6-8cab-8f29b6b34051

VRM: First Strike – The Dark Side of The Vitamin K Shot
http://vaccineresistancemovement.org/?p=6547

Hepatitis B Vaccine
Most states now require the Hepatitis B vaccine for newborns. Many parents are also cornered by emergency room personnel during accident visits. Hospitals nationally are under pressure to utilize every opportunity to score a "hit." If your pediatrician understands your views, get him involved with the hospital. As a last resort, protect your right to receive quality care in by asking hospital personal to sign the following waiver. Usually, you'll never find anybody in the hospital to sign this simple form, but you well get relief from demands to vaccinate your child.

"I certify that the (Name of Vaccine)________ vaccine being administered to (Name of Child)_________ is free from all known and yet unknown zoonotic or human viruses or viral fragments and will not cause acute or chronic illness in the recipient due to viral contamination or as a reaction to the components of this vaccine. (Signature of Physician and Date)_________."

If you do get a signature, hold on to the form.

See Birth Plans for more information on avoiding Hep B Vaccination at birth

Eyedrops
Some states require Prophylaxis against Gonococcal OPHTHALMIA NEONATORUM.

A discussion of medical and legal issues regarding Silver Nitrate in the eyes of the newborn is here:
PDF file: Statutory Law USA: Requiring Silver Nitrate in Eyes of Newborns at: http://www.rbs2.com/SilvNitr.pdf
Written by Dr. Ronald B. Standler, attorney in Massachusetts and consultant

Blog type discussion of pros and cons of eyedrops for newborn is here: http://answers.google.com/answers/threadview/id/20050.html

State specific information
New Born Screening
U.S. states now require screening of newborn babies for specific diseases.


Religious Exemption from newborn screening allowed.
Mass. Acts, Chap. 111 § 10A

May I refuse these tests?
Most states have specific laws regarding newborn screening. In Massachusetts you may refuse for religious reasons. If you do so, you may be asked to sign a refusal form. This form relieves your doctor of liability for damages that result from a disorder that could have been detected by screening.

Chapter 111: Section 110A Tests of newborn children for treatable disorders or diseases Section 110A. The physician attending a newborn child shall cause said child to be subjected to tests for phenylketonuria, cretinism and such other specifically treatable genetic or biochemical disorders or treatable infectious diseases which may be determined by testing as specified by the commissioner. The commissioner may convene an advisory committee on newborn screening to assist him in determining which tests are necessary. The department shall make such rules pertaining to such tests as accepted medical practice shall indicate. The provisions of this section shall not apply if the parents of such child object thereto on the grounds that such test conflicts with their religious tenets and practices.

http://www.malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section110a

Hearing Screening...

MASSACHUSETTS

Statute: Sec. 67F. Such test shall not be performed if the parents or guardian of the newborn infant object to the test based upon the sincerely held religious beliefs of the parent or guardian. [Source: Chapter 243 of the Acts of 1998]


New Born Screening
U.S. states now require screening of newborn babies for specific diseases.

Conditions and legal status of "requirement" of newborn to be screened for each state:
National Newborn Screening Status Report - http://genes-r-us.uthscsa.edu/nbsdisorders.pdf

Newborn Genetic Screening Privacy Laws
(includes links to laws for various states)
Archived Copy: http://web.archive.org/web/20130603035608/http://www.ncsl.org/issues-research/health/newborn-genetic-and-metabolic-screening-laws.aspx

Newborn screening From Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Newborn_screening

Federal NewBorn Screening Law (from Families of Spinal Muscular Atrophy)
http://www.fsma.org


Page_Navigation_Links
Waivers: Read - Modify or Do Not Sign
Waivers - Take Care In Signing
If you take your new baby to an MD as opposed to a naturopath and/or chiropractor, please be aware of and careful of any forms you sign.

Our WARNING below is about signing (some) state approved and AAP created forms. See this letter from our director, Ingri Cassel, before you consider signing waiver forms.

WARNING!

To ALL who choose to partially vaccinate or NOT vaccinate their children:

We (here in Idaho) are hearing more reports of schools and daycares across our state not honoring legal and valid vaccine exemptions. The following article contains very important information as to why you do NOT want to sign AAP's (state adopted) exemption form: http://childhealthsafety.wordpress.com/2014/03/04/
why-you-must-not-sign-a-refusal-to-vaccinate-form-at-least-if-you-want-to-keep-your-kids-that-is/


Filing a NO Vaccination Notice – for patients, employees and students (Your_Choice)

Older letter regarding exemptions in Idaho (similar to many states today)

Dear VacLib Members and Friends -

Wanted to give you all a heads up on state issued exemption forms. I haven't had to deal with this personally for several years, and I always crossed out sentences or clauses, and often adding some of my own, before signing their exemption of medical release type of forms. When Donna Carrillo began to diligently search out existing exemption forms and posting them, I read over a couple of them and encouraged people to make up their own whenever possible. After having a "closer encounter" with such a form - a form provided to the state of Idaho by the American Academy of Pediatrics and the Centers for Disease Control and Prevention and used by licensed Idaho daycares, I was shocked into the VERY REAL danger of signing these forms without changing them significantly.

Any form one affixes their initials to, dates and affixes their signature to at the end is a LEGAL document. All statements prior to your signature you must agree to fully OR restrict your signature to say that you are signing under TDC - threat, duress, and coercion. The form that my daughter was told she needed to fill out for this daycare is posted here: ChildCareExemptForm.pdf ChildCareExemptForm.pdf. On this form, she crossed out all the "nots" and in her personal statement she further clarified that she understands fully the risks of vaccinating her child.

I have since found out that most public schools and daycares in other states also use a similar form. Basically, by initialing and signing this form as is, you are admitting to understanding that "vaccine preventable" diseases are extremely deadly and ALSO admitting to negligence for willfully denying your son/daughter the life saving protection that vaccines offer. These forms are MEANT to not only be intimidating but to catch the legally ignorant off guard. This is very serious to me since all states have adopted the federally funded Child Abuse Prevention and Treatment Act which gives states the right to literally steal your children for up to 48 hours -- the time they have to prove child neglect OR abuse.

If it were ME, I would insist that they accept a form that I provide them since it satisfies the law. If there are any problems or they insist on me using their form, I would cite the law and ask the school or daycare provider where it actually says in state statute that this particular form is the only form that will satisfy the law. Since your parental rights are at stake here, it is best to be vigilant and err on the side of being overly cautious.


A modified AAP form is posted here that you may wish to use with your doctor: AAPmodified.htm

AAPmodified.doc MSWord .DOC file  |   AAPmodified.pdf PDF file, best for printing.

Not all State employees are aware of the law and many exhibit the Hitler Complex. Take a firm stand. Some individuals have had difficulty getting the required forms. Such arrogance on the part of State employees should be reported to the Director of your state Department of Health.

See:   AnaiRhoads.org Why Signing a Waiver to Avoid Vaccines Can Be Considered Abuse
She is referring to the Refusal To Vaccinate From developed by The American Academy of Pediatrics, not a regular religious or conscientious exemption letter or form.


Page_Navigation_Links
Letters Forms Affidavits
Links to Model birth plan letters (above).

Link to Refusal to Permit Medical Treatment form

Links to Affidavit - Birth

An Adult Affidavit, with Christian beliefs, is here. (MSDOC file) Feel free to modify as needed.


Dr. Tenpenny has the following forms on her web site. The forms are generic and may be used in any state.

Affidavit for Parents Participating in International Adoption (Word) (pdf)
Hep B vaccine in hospital for newborn refusal, sample (pdf)
OSHA Declination Statement Form (also, pdf)
Religious exemption letter that was approved in Florida (Word) (pdf)
School Vaccine Exemption Form, sample (Word) (pdf)
TB testing refusal, sample (pdf)
Childcare and School Immunization Requirements

http://drtenpenny.com/forms/

Sample Vaccine Letters. from www.vaccines.bizland.com/letters.htm archived on VacLib.org/letters/doctor.htm

Short Sample Vaccine Letter

Most states now require the Hepatitis B vaccine for newborns. Many parents are also cornered by emergency room personnel during accident visits. Hospitals nationally are under pressure to utilize every opportunity to score a "hit." If your pediatrician understands your views, get him involved with the hospital. As a last resort, protect your right to receive quality care in the following manner. (Usually, you'll never find anybody in the hospital to sign this simple form):

"I certify that the (Name of Vaccine)________ vaccine being administered to (Name of Child)_________ is free from all known and yet unknown zoonotic or human viruses or viral fragments and will not cause acute or chronic illness in the recipient due to viral contamination or as a reaction to the components of this vaccine. (Signature of Physician and Date)_________."

If you do get a signature, hold on to the form.

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!
An index page to various Acceptance of Responsibility) forms is here:
. http://www.vaclib.org/legal/accept.htm

Religious exemption forms will be listed below under Daycare Schools Colleges

Did not find your state exemption form on our site?
Then try this link to forms for all 50 states and D. of Columbia.
http://experimentalvaccines.org/vaccine-exemption-forms/


Page_Navigation_Links
DayCare - Preschool - Schools - Colleges
DayCare - Preschool - Schools - Colleges
DayCare-Preschool-K-12-Colleges
DayCare  |   Preschool  |   K thru 12  |   Colleges

DayCare
State form required: NO
1) a medical exemption is allowed if a physician submits documentation attesting that an immunization is medically contraindicated; and
2) a religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs.

See below under schools for a suggested letter:

Preschool
See below under schools for a suggested letter:

Kindergarten & Schools
1) a medical exemption is allowed if a physician submits documentation attesting that an immunization is medically contraindicated; and
2) a religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs.

[Short Form]
Notice of Religious Exemption to Vaccinations To whom this may concern, We, parents names, are exempting our child, (child's name,)___________________ from all vaccinations because it conflicts with our sincerely held religious belief.
Exceptions: MGL 76, &15.
1) Upon certification that a doctor has personally examined the child and found "that his health would be endangered by such vaccination or by any of such immunizations."

2) No "child whose parent or guardian states in writing that vaccination or immunization conflicts with sincere religious beliefs shall be required to present" the certificate in order to be admitted.
Exemption does not require the objecting persons to be a member of a recognized church or religious denomination. Dallo v. Board of Education, 358 Mass 753, 267 NE 2d 219

220.500: Immunization Requirements for Preschool, Elementary, Middle and High School Students

(C)     The requirements in 105 CMR 220.500 (A) and (B) shall not apply:
  1. upon presentation of written documentation that the student meets the standards for medical or religious exemption set forth in M.G.L. c. 76, ss 15;
  2. upon presentation of appropriate documentation, including a copy of a school immunization record, indicating receipt of the required immunizations;
  3. in the case of measles, mumps, rubella and hepatitis B, upon presentation of laboratory evidence of immunity; or
  4. in the case of varicella, upon presentation of laboratory evidence of immunity or a statement signed by a physician that the student has a history of chickenpox disease.
Sincerely,


_________________________ Name(s) of Parent(s)


Colleges/Universities

220.600: Immunization Requirements for Postsecondary Students
Here are the laws that pertain to Post Secondary Schools (colleges and universities)
They are in PDF and .RTF format, as PROOF that your son is allowed religious exemption. It should be downloaded and printed out.
(.pdf) http://www.mass.gov/eohhs/docs/dph/regs/105cmr220.pdf
(.rtf) http://www.mass.gov/eohhs/docs/dph/regs/105cmr220.rtf
(Religious exemption is mentioned on page 3)

M.G.L. - Chapter 76, Section 15c
http://www.malegislature.gov/Laws/GeneralLaws/PartI/TitleXII/Chapter76/Section15c

(CMR = Code of Massachusetts Regulations)
(Exemption Information)

Suggested letter follows:

Notice of Religious Exemption to Vaccinationsbr>
NAME of SCHOOL ____________________________

As per General Laws of Massachusetts chapter 76, section 15C (Vaccination and Immunization; Exceptions by Reason of Physical Condition or Religious Belief) I am exempting myself from vaccination because it conflicts with my sincerely held religious belief.

Title 105 CMR 220.600: Immunization Requirements for Postsecondary Students
...
(D) The requirements of 105 CMR 220.600 shall not apply where:
(1) the student provides written documentation that he or she meets the standards for medical or religious exemption set forth in M.G.L. c. 76, § 15C;

Sincerely,



_____________________ ________________
Name/Signature of Student

MDPH Information about Meningococcal Disease and Vaccination from Mass.Gov and
Waiver for Students at Residential Schools and Colleges
http://www.mass.gov/eohhs/docs/dph/cdc/meningitis/info-waiver.pdf
Waiver is at bottom of page 2.

Tufts University
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
(.pdf) Meningococcal Disease and Vaccine Information and Waiver PDF

Other Immunization Forms listed by Shool:

Andover Newton Theological School
MDPH Meningococcal Information and Waiver Form
See the Registrar for information about waiving this requirement.

Pine Manor College
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 2
(.pdf) http://www.pmc.edu/Websites/pmc/Images/health_wellness/MeningWaiver.pdf

University of Massachusetts Amherst
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 2
(.pdf) https://www.umass.edu/uhs/sites/default/files/documents/forms/UHS%20Immun%20form%202016_FINAL.pdf
Waiver is on page 2 of the pdf file. You will need to submit your statement of religious exemption for other required vaccines.

Bridgewater State College - International Immunization Form & waiver
https://www.bridgew.edu/sites/default/files/relatedfiles/HigherEd_Intl_Immunization_Form.pdf

Fitchburg State College - 160 Pearl St., Fitchburg MA
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 2
(.pdf) http://www.fitchburgstate.edu/uploads/files/HealthServices/MeningococcalInfoWaiver.pdf

Boston College
MDPH Meningococcal Information and Waiver Form and Health Form
Waiver for Students at Residential Schools and Colleges on page 6
(.pdf) https://www.bc.edu/content/dam/files/offices/uhs/pdf/20162017menwaiv.pdf

Gordon-Conwell Theological Seminary
Official Decline of Meningococcal Vaccine
(.pdf) http://www.gordonconwell.edu/hamilton/current/documents/hamreg_immu_mening_waiv.pdf

Amherst College
MDPH Meningococcal Information and Waiver Form and Health Form
Waiver for Students at Residential Schools and Colleges on page 2
(.pdf) New Student Immunization Form Fall 2016 - Amherst College

Wellesley College
MDPH Meningococcal Information and Waiver Form (page 11) and Health Form
Waiver for Students at Residential Schools and Colleges on page 2
(.pdf) http://www.wellesley.edu/sites/default/files/assets/health_history_2013_0.pdf

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. States can only go against this if they can prove a compelling state interest is at stake. But recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon "personal" religious beliefs. [Sherr and Levy vs. Northport East-Northport Union Free School District, 672 F. Supp. 81, (E.D.N.Y., 1987); Allanson vs. Clinton Central School District, U.S.. District Court, Northern District Court, Northern District of New York (84 CV 174), 1984; Campain vs. Marlboro Central School District, Supreme Court Ulster County Special Term, November 15, 1985; Brown vs. City School District, 429 NYS2d 355; Maier vs. Besser, 73 Misc.2d 241].

On the U.S. Supreme Court level in Frazee v. Illinois Dept. of Security, 489 U.S. 829, 1989, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization. In addition, the Supreme Court has noted that nontraditional beliefs, including secular humanism, atheism, and nontheistic faiths, are all "religion" for the purpose of free exercise analysis. The Supreme Court in Fowler v. Rhode Island, 345 U.S. 67 (1953) held that it was "no business of the courts to say what is a religious practice or activity for one group is not religion under the protection of the First Amendment."
Section 15C. No full-time student under thirty years of age or any full-time or part-time undergraduate or graduate students in a health science who is in contact with patients shall, except as hereinafter provided, be registered at an institution of higher education except upon presentation of a medical certificate that such student has been immunized against measles, mumps, rubella, tetanus and diphtheria; provided, however, that a student may be registered at such institution upon certification made, in writing, by a physician who has personally examined such student and in whose opinion the physical condition of such student is such that his health would be endangered by any such immunization; and provided, further, that students who have attended an elementary or secondary school in the commonwealth may submit a copy of their school immunization record, indicating receipt of the above required immunizations, in lieu of such certificate; and provided, further, that unimmunized students may be registered on the condition that the required immunizations be obtained within ten days of registration.

In the absence of an emergency or epidemic of disease declared by the department of public health, no student who states in writing that such immunization would conflict with his religious beliefs shall be required to present such medical certificate in order to be admitted to such institution.
* Nowhere in the above text does it mention that a letter from clergy is required.

http://www.emerson.edu/sites/default/files/Files/StudentLife/health-center-meningococcal-info-waiver.pdf Emerson College Center for Health and Wellness
http://www.emerson.edu/student-life/health-safety/center-health-wellness/health-forms

Meningitis Information and Vaccination Waiver - Required for all Undergraduate Students**
(.pdf) health-center-meningococcal-info-waiver.pdf

For other vaccines...
Emerson College Center for Health and Wellness
RELIGIOUS EXEMPTION — HEALTH / IMMUNIZATION
(.pdf) health-center-religious-exemption.pdf

For all other colleges vaccine requirements (MMR, tetanus, Hepatitis B):
Use the letter at Colleges or you can modify this AFFIDAVIT. Be sure to cite the law at the bottom of the affidavit. Edit to satisfy the college or university requirements.
(.doc) AFFIDAVIT for Massachusetts Adult (college religious exemption) M.G.L. c. 76, ss 15C;.doc


An Adult Affidavit, with Christian beliefs, is here. (MSDOC file) Feel free to modify as needed.

Page_Navigation_Links
OptOutRegistry for Vaccines
and various other Opt-Outs
Vaccine Registry Opt-Outs:

KNOW YOUR RIGHTS
Confidentiality of Your Child’s Vaccination Records
FERPA: The Family Educational Rights and Privacy Act
http://www.vaxchoicevt.com

     - - - - Other Opt-Outs - - - -:

Birth Certificate and Marriage License Opt-Out:

Did you know that you can REFUSE to sign the hospital birth certificates and that there is no law that requires you to do so?
See: Marriage Licenses, Birth Certificates & #SSNs

Military Recruiters:

STUDENT OPT OUT FORM regarding the
RELEASE OF NAME, ADDRESS, AND TELEPHONE NUMBER TO MILITARY RECRUITERS
(.pdf) Archived letter from www.militaryfreeschools.org

UNDERGROUND ACTION ALLIANCE STUDENT OPT OUT FORM
Word-Document (.doc) Archived on VacLib.org: http://veterans4peace.org/opt_out.doc

SAMPLE ENGLISH - BILINGUAL FORMS FOR OPTING OUT
Act to Protect Your Privacy from Military Recruiters
Information links and forms at AFSC site

STUDENT OPT-OUT - Google Search

STUDENT OPT-OUT NOTICE regarding the instruction of sexuality to children:
STUDENT OPT-OUT NOTICE Valid in all 50 states
PDF-file (.pdf) http://www.armenianchurchlibrary.com/files/national_opt-out.pdf

STUDENT OPT-OUT NOTICE - Google Search

Employment
OSHA
Standard Interpretations
09/23/1997 - The Bloodborne Pathogen Standard and the Enforcement Procedures for TB.
"Finally, be aware that participation in the employer's skin testing program is voluntary on the part of the employee. OSHA does not require that employees participate in TB skin testing, only that the employer make such skin testing available to employees."
See TB Testing for more information.

US Fish and Wildlife Service Form 3-2283
Hepatitis B Immunization Consent/Refusal Form
PDF-file (.pdf) http://www.fws.gov/forms/3-2283.pdf


Page_Navigation_Links
TB and/or Lead Testing
TB-Links/Exemptions

Generic letter for Exemption to TB Testing:
HTML (text): Exemption-tb-test.html

MS Doc file: Exemption-tb-test.doc

OSHA
Standard Interpretations
09/23/1997 - The Bloodborne Pathogen Standard and the Enforcement Procedures for TB.
"Finally, be aware that participation in the employer's skin testing program is voluntary on the part of the employee. OSHA does not require that employees participate in TB skin testing, only that the employer make such skin testing available to employees."
TB and Lead Testing Links:
F L Y E R    LETTER    Exemption_Letters    OSHA_and_TB_test    Tubersol    Treatment    TB_Screening    Alternatives/Additional_Information

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

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.

See below in Misc some QXCI, etc practitioners.

Misc Info - QXCI - Etc.
General Information
QXCI SCIO EPFX Overview
(The SCIO and the EPFX are the same device.
It is known as the EPFX in the USA and the SCIO world wide.)
Source:
http://www.energymedicinereview.com/qxci-scio-epfx.html

National (USA) search results for EPFX (QXCI) / SCIO Practitioners.
http://www.alternativesforhealing.com/cgi_bin/practitioner-epfxqxciscio.php


Use Google or other search engine to find a BioMeridian Practitioner in your area.

If you do not find a practitioner, you can contact the current device manufacturer for the practitioner in your area.
http://www.ihtbio.com/ihtblog/contact-support/

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