Vaccination Liberation Information

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

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

Minnesota

Current Statutes & Laws:
http://www.909shot.com/state-site/Minnesota.htm
Medical, Religious & Philosophical (notarization required on exemption for schools & colleges)

Free or Low-Cost Places to Get Your Conscientious Objection Form Notarized:
http://www.health.state.mn.us/divs/idepc/immunize/laws/notary.html

To do this, you may either...

Use the MDH pupil health record form (.pdf)
English: http://www.health.state.mn.us/divs/idepc/immunize/140-0155.pdf or
Spanish: http://www.health.state.mn.us/divs/idepc/immunize/140-0652.pdf, which has a place for a parent's/guardian's signature and the notary's stamp,

or...

Make your own form stating your conscientious objection to specific immunization(s) and sign it and have it notarized. Like this one... http://distance.minnesota.edu/programs/nursing/Conscientious.php

Note: The parent/guardian must sign the form in front of the notary

If a notarized statement signed by the minor child's parent or by the emancipated person is submitted to the person having supervision of the school or child care facility stating that the person has not been immunized as prescribed because of the conscientiously held beliefs of the parent of the minor child or of the emancipated person, the immunizations specified in the statement shall not be required. This statement must also be forwarded to the commissioner of the department of health.

PDF documents (.pdf)

A special reader, Acrobat Reader software for Windows(TM), Macintosh(TM), MS-DOS(TM), SGI(TM), and Sun(TM) is required and is available free from Adobe.

Download Acrobat Reader:


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.

IMPORTANT! Please download this if you're expecting a child or know someone who is!
This proves to the hospital that refusal is allowed for newborn screening in Minnesota.
Newborn Screening Provider Manual for Minnesota
B-4 Appendix Opt-Out Form
Parental Refusal of Newborn Blood Screening
Page 49-50 of the pdf document. Print front and back.
http://www.health.state.mn.us/divs/fh/mcshn/pdfdocs/nbsprovman.pdf

or you can download just the REFUSAL forms...
Refusal of Minnesota Newborn Screening (2 pages)
(WORD) http://www.health.state.mn.us/divs/fh/mcshn/Docs/nbsrefuse.doc (.doc)
(PDF) http://www.health.state.mn.us/divs/fh/mcshn/pdfdocs/nbsrefuse.pdf (.pdf)

http://www.health.state.mn.us/divs/fh/mcshn/nbshome.htm

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 package insert should be printed out and used along with the birth plan letter, the Refusal of Minnesota Newborn Screening form on pages 49-50 of the manual (above...), and your exemption letter or AFFIDAVIT. This shows the hospital or birthing center that you are aware of the risks of Vitamin K injection, and that they should be too.

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

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.

Sample Vaccine Letters From this website... http://www.vaccines.bizland.com/letters.htm

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.

(Links to model birth plan letter and acceptance of responsibility)
Acceptance of Responsibility. 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.nmaseminars.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.birthnaturally.org/GentleBirth/hospitalplan.htm
or...
Sample Birth Plan from The Center of Unhindered Living
http://www.unhinderedliving.com/sample.html

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 form, and that it succeeds. We want to hear about it if someone does succeed 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 is available in Microsoft Word (.doc) and WordPerfect (.wpd) format. Contact us.


AFFIDAVIT

I/We, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being(s), state Citizen(s) of the Minnesota 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 (I/we) 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 Minnesota 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 Minnesota

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___

The above AFFIDAVIT is available in Microsoft Word (.doc) and WordPerfect (.wpd) format.
Click here to Contact Donna.

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" forms put out by the American Academy of Pediatrics. Go to this page below and find out why signing this form is very dangerous. We all know about these forms and how they can be used to undermine parental rights...
http://www.vaclib.org/legal/donotsign.htm

"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


Generic Vaccine Refusal Form from Dr. Sherri Tenpenny's webpage.
(.pdf) http://www.nmaseminars.com/files/Vaccine_Refusal_Form.pdf

State Form Required: No.

However, there is a standard immunization form, that includes the exemption, that is used for preschools, schools & colleges.

Daycare & Preschools:

Exemption form page only. This can be used for colleges too. It must be notarized.
(.pdf)
VaccineTruth.net/letters/MN11403.pdf

From this PAGE...
(.pdf) Child Care Immunization Record
I hereby certify by notarization that:
___   I am opposed to all immunizations.
___   I am opposed to only the vaccines indicated and have had my physician or health
care provider complete Section B above. Vaccine(s) I oppose are:  ______________
___________________________________________________________________

Registro de vacunación para guardería
(.pdf) Spanish version (PDF: 42 KB/ 2 pages)
Certifico ante notario que:
___   Me opongo a todas las vacunaciones.
___   Sólo me opongo a las vacunas indicadas y mi médico o proveedor de atención
médica ha completado la Sección B anterior. La vacuna o vacunas a las que me
opongo son:  ________________________________________________________
___________________________________________________________________

(.pdf) ECSE Immunization Record (PDF: 96KB/1 page)
Children in the Early Childhood Special Education (ECSE) program
must have this completed form on file with the school.
I hereby certify by notarization that:
___   I am opposed to all immunizations.
___   I am opposed to only the vaccines indicated and have had my physician or health
care provider complete Section B above. Vaccine(s) I oppose are:  ______________
___________________________________________________________________

INDEPENDENT SCHOOL DISTRICT 196
Rosemount, Minnesota 55068-4199
SERIES NUMBER 501.3P ADOPTED April 1994 REVISED June 1995
TITLE Conscientious Objection to Early Childhood Screening
(.pdf) http://www.isd196.k12.mn.us/pdf_files/onlinepolicies/500/501.3P.pdf

Duluth Public Schools
(.pdf) http://www.duluth.k12.mn.us/nurses/Forms/exemp.pdf

MN child care and school statute
121A.15 Health standards; immunizations; school children.

Schools:

This form is for use in all public schools. Exemption form page only. This can be used for colleges too. It must be notarized.
(.pdf) VaccineTruth.net/letters/MN11403.pdf

Forms
Farmington Public Schools - Independent School District 192
Immunization Record Form
( PDF Version or Microsoft Word)

This form is for use in all public schools in Minneapolis. Immunization Exemption is on page 2
(.pdf) http://health.mpls.k12.mn.us/sites/287ade6f-54c9-490d-b270-f0e7565f842e/uploads/Form_107_for_2004_2.pdf

(.doc) ISD #534 STEWARTVILLE PUBLIC SCHOOLS District Exempt.doc
(.pdf) ISD #534 STEWARTVILLE PUBLIC SCHOOLS District Exempt.pdf
(.wpd) ISD #534 STEWARTVILLE PUBLIC SCHOOLS District Exempt.wpd
This exemption form has been made available in Word Pefect and Adobe PDF format.

Duluth Public Schools
(.pdf) http://www.duluth.k12.mn.us/nurses/Forms/exemp.pdf

MN child care and school statute
121A.15 Health standards; immunizations; school children.

Camps/Other:

MN Teen Challenge pg 23
(.pdf) http://www.mntc.org/pdf/LC_Adolescent.pdf

Opt-Outs:

Military Recruiters:

STUDENT OPT OUT FORM regarding the
RELEASE OF NAME, ADDRESS, AND TELEPHONE NUMBER TO MILITARY RECRUITERS
(.pdf) http://www.militaryfreeschools.org/PDF/optout2.pdf

UNDERGROUND ACTION ALLIANCE STUDENT OPT OUT FORM
(.pdf) http://www.militaryfreezone.org/opt_out.pdf
(.doc) http://veterans4peace.org/opt_out.doc

SAMPLE ENGLISH - BINGUAL FORMS FOR OPTING OUT
Act to Protect Your Privacy from Military Recruiters
(.pdf) http://www.afsc.org/pacificsw/documents/Opt-Out-Form.pdf

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) http://www.ccv.org/images/StudentOptOutNotice.PDF
(.pdf) http://www.catholiccitizens.org/content/img/f26422/opt%20out%20notice.pdf
(.html) http://www.ccv.org/images/StudentOptOutNotice.htm
Entire packet...
(.doc) http://www.mfc.org/respect/Website/Links%20on%20Web%20Page/Opt-Out%20Packet.doc

STUDENT OPT-OUT NOTICE - Google Search

Colleges and Universities:

Exemption form page only. This can be used for colleges too. It must be notarized.
(.pdf)
VaccineTruth.net/letters/MN11403.pdf

Southwest Minnesota State University
(.pdf) http://www.southwest.msus.edu/edl/pdf/GradImmunizaonRecord5.0.pdf

Concordia University IMMUNIZATION RECORD FOR POST-SECONDARY SCHOOLS
(.doc) http://web.csp.edu/health_wellness/media/immunization_record_for_post.doc
Generic
This form is designed to provide Concordia University with the information required by Minnesota Law(M.S.135A.14) and will be available for review by the Minnesota Department of Health and the local community health board upon request.
If your school is not listed on this page, you may use above form and replace Concordia with the name of your college or university.

Ridgewater College
(.pdf) http://www.ridgewater.edu/Common/assets/pdf/Immunization%20Form.pdf

Winona State University
P.O. Box 5838
Winona, MN 55987
(.pdf) http://www.winona.edu/graduatestudy/forms/ImmForm.pdf

Universith of Minnesota - Crookston
Student Health Services, 145F Student Center, U of MN, Crookston, MN 56716
Conscientious Exemption on page 2 of Health History Form.
(.pdf) http://www.umcrookston.edu/services/healthservices/Forms/MedHistory-Fm.pdf

University of Minnesota
(.pdf) http://www.unite.umn.edu/MainSite/Forms/Immunization%20Form.pdf

University of St. Thomas
(.pdf) http://www.stthomas.edu/oiss/orientation/files/Immunization.pdf

Crossroads College - Rochester, MN
(.pdf) http://www.crossroadscollege.edu/images/PDF/Admissons/Health%20form.PDF

Anoka - Ramsey Community College
(.pdf) http://www.an.cc.mn.us/resources/pdf/immunization/immunization.pdf

Bethel College
(.pdf) http://cas.bethel.edu/student-development/health-services/cgcs-immunization.pdf

College of St. Scholastica
(.pdf) http://grad.css.edu/pdfs/StudentImmform7.pdf

Metropolitan State University
1) Medical Exemption: An immunization may not be medically advisable for certain persons. If this applies to you, or if you had any of these diseases, Part 4 of the immunization form must be signed by your doctor.
2) Conscientious Exemption: Some people may be exempt from immunizations based on their religious or other conscientiously held beliefs. If you request a conscientious exemption, you must complete and have notarized the bottom portion of the immunization form.
(.pdf) http://www.metrostate.edu/studentaff/pdf/immunization.pdf

Gustavus Adolphus College
Student Health Services
800 West College Avenue / St. Peter, MN 56082
CONSCIENTIOUS / RELIGIOUS EXEMPTION
On page 2

(.pdf) http://www.gustavus.edu/oncampus/healthservice/MedicalHistory.pdf

Saint John�s Health Center, Box 7177, Collegeville, MN, 56321-7177
Immunization Waiver at the bottom of page 1 of health form.
Sign and have notarized.
(.pdf) http://www.csbsju.edu/admission/accepted/pdf/SJUHealthForm.pdf

MN college statute
135A.14 Statement of immunization of postsecondary students.

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:

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:

Mandatory for COLLEGE OF SAINT BENEDICT. Tuberculosis Mantoux Test (Required by the College of St. Benedict)

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/TBTestingWaiverAdult.doc
WordPerfect Document (.wpd)
Sample Exemption Letter for TB testing. May be modified to your use. http://www.vaclib.org/letters/TBTestingWaiverAdult.wpd
PDF document (.pdf)
Sample Exemption Letter for TB testing. http://www.vaclib.org/letters/TBTestingWaiverAdult.pdf
Extra link from Dr. Sheri Tenpenny's webpage:
(.pdf) http://www.nmaseminars.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.

Here are some of the practitioners for Minnesota

Minnesota BEST™ BioMeridian Practitioners:

Benessere Body in Balance
Kay Troan
125 Main St. SE, Suite 237
Minneapolis, Minnesota
612-378-WELL (9355) / 1-888-499-WELL (9355)
http://www.benesserebodyinbalance.com/
MSAS, Meridian Stress Assessment System. The MSAS is the latest technology available in meridian stress assessment. The MSAS' primary objectives are to disclose patterns of stress and to provide feedback for use in a program that helps restore each system and meridian to a natural balance. It is a completely non-invasive method for gaining valuable information about the body's vital functions.

Please call contact below to find additional BioMeridian practitioners in your area or closeby.

Oksana Gorodetsky
Marketing/Administrative Coordinator
BioMeridian International
12411 South 265 West, Suite F
Draper, UT 84020
T 801-501-7517
F 801-501-7518
Toll Free 888-224-2337
ogorodetsky@biomeridian.com

Minnesota QXCI Practitioners:

http://www.theqxci.com/practitioners.php#central

Main page of practitioners:
http://www.theqxci.com/information.php

Kathy Beehler
Quantum Consultant
General EPFX / QXCI Practitioner
Bemidji, MN 56601
218-243-2958

For information on purchase or lease of the new Quantum Life BioFeedback L.I.F.E. System, please email Donna and leave your name, mailing address, phone number and email. If you're inquiring for another interested individual or practitioner, please leave their information. The company will then send information and contact the interested parties.
Or you may call 1-888-249-1421.

Immunization Registry Opt Out:

Minnesota ImmuLink Immunization Registry Opt Out Form
http://www.co.hennepin.mn.us/vgn/images/portal/cit_100003616/16/52/100450364OPT%20OUT%20FORM%202000.doc

The Opt Out Form can be made available in PDF format. Email us if you want it converted to PDF.
Information on this page is provided and sponsored by:


Vaccination Liberation - Idaho Chapter
Contact: Vaccination Liberation

"Free Your Mind....From The Vaccine Paradigm"
www.vaclib.org

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