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ACCEPTANCE OF RESPONSIBILITYThe purpose of Acceptance of Responsibility documents is to make the doctor or other vaccine promoting individual aware that you are aware of the dangers of vaccination and that you insist that the promoters accept the responsibility that they so easily expect you to bear.
- documents -
Please read the "Your Choice" linked material here: vaclib.org//exemption.htm#yourchoice
It is important to note that this document has never been signed by a physician as far as we know. (12 June 2012)
Even more important is the recognition that
- if your doctor does sign an Acceptance of Responsibility document
- and you allow your child to be vaccinated
- and as a result your child is vaccine damaged,
it is very unlikely that any court in the USA in our present legal climate would honor your claim against the doctor.
We at VacLib are not lawyers, but the current laws regarding the federal vaccine court (NVICP) may (?) nullify such a contract.
Note: Some states, I.E. NY, require exemption requests to be in the applicants own words. It is important that you do not use our samples with out changing the language into your own wording. That means you may take out certain concepts and perhaps add something more applicable to your belief system.
Our newest, longest and best document is here:
Physician's Warranty of Vaccine Safety
MS Doc file that you can modify and print [consent09.doc]
An older form in HTML format that you can copy and paste
Sample letter to refuse employer mandates
REFUSAL OF RECOMMENDED VACCINES
With reasons and references why vaccines are dangerous
Dr. Moulden created a liability form and posted it on VIC (Vaccine Injury Coalition) website:
NJ Refusal Letter and information
Consent to Vaccination: (Text Files)
Consent to Vaccination, physician's consent to responsibility. .TXT 2K
Immunization Indemnification Certificate .TXT 4K
Page of links to forms and flyers
OSHA & HEP-B: "They have to provide you a declination form - 29 CFR 1910.1030, Appendix A,"
from well-within site: