Vaccination Liberation Information
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Vaccination Liberation Information

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


Statutes/L A W S
State specific information ↓
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  &  Philosophical/Other


"Quick Fact: NVIC Note: Loss of personal exemption for MMR effective July 28, 2019." [But medical and religious are still OK for MMR ...]

OLDER
* * * Important Change to Washington State Exemption Law * * *

Changes to School and Child Care Immunization Exemptions

On May 10, 2011, Governor Gregoire signed a bill that requires a licensed health care provider to sign the Certificate of Exemption for a parent or guardian to exempt their child from school and child care immunization requirements. The signature verifies that the provider gave the parent or guardian information about the benefits and risks of immunization. A parent or guardian can also turn in a signed letter from a health care provider stating the same information.

The law took effect on July 22, 2011. It only applies to exemptions requested after this date. A health care provider doesn't need to sign the form for parents or guardians who demonstrate membership in a church or religious group that does not allow a health care provider to provide medical treatment to a child.
See information under schools for exemption forms and waivers.
Related Pages


State Resource Individuals

If you can not find Resource Individuals for your state, then Contact us.

Finding Physicians friendly to non-vaccination or alternate schedules


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)

A PDF reader is required for PDF Files:
Free Foxit Reader 5 MB file size.

Or Free Download of Acrobat Reader: [Adobe. 43 MB file size]

Information Links
Should Any Vaccines Be Required for Children?
Pro Claims vs Anti Claims

History of Vaccines

Table of State Vaccination Exemptions for Children Entering Public Schools

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
State specific information ↓
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.
State specific information ↓

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.

State specific information ↓
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)

Replace the paragraph (near bottom of page 1) of the generic AFFIDAVIT above with your state law as follows: [Make sure you replace with your name, status, and name of child.]

(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, RCW 70.83.020 and RCW 28A.210.090 to receive Religious Exemption from Vaccination, ALL injections, & testing.

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

"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.

Affidavit: Definition and some terms.
State specific information ↓

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/

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/
"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/

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:

Good article with links to sources of oral and natural vitamin K
http://www.thehealthyhomeeconomist.com/oral-vitamin-k-better-vitamin-k-shot/

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/

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

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
State specific information ↓

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 Washington state

Religious Exemption from newborn screening allowed.
Wash. Rev. Code § 70.83.020

RCW 70.83.020
Screening tests of newborn infants. It shall be the duty of the department of health to require screening tests of all newborn infants before they are discharged from the hospital for the detection of phenylketonuria and other heritable or metabolic disorders leading to mental retardation or physical defects as defined by the state board of health: PROVIDED, That no such tests shall be given to any newborn infant whose parents or guardian object thereto on the grounds that such tests conflict with their religious tenets and practices.

[1991 c 3 § 348; 1975-'76 2nd ex.s. c 27 § 1; 1967 c 82 § 2.]

http://apps.leg.wa.gov/RCW/default.aspx?cite=70.83.020

For the print version there is a link in the upper right of the page linked above.

IMPORTANT! Please download this if you're expecting a child or know someone who is!
The Washington State Newborn Screening Program
Provider Manual - Washington State Dept. of Health
http://www.doh.wa.gov/portals/1/Documents/5220/ProviderManual.pdf

Parental Right to Refuse
(iv) The legal right of parents or responsible parties to refuse testing because of religious tenets or practices as specified in RCW 70.83.020
PARENTAL RIGHT TO REFUSE
According to law (Chapter 70.83 RCW – PHENYLKETONURIA AND OTHER PREVENTABLE HERITABLE DISORDERS), a newborn screening specimen should not be obtained on any newborn infant "whose parents or guardians object thereto on the grounds that such tests conflict with their religious tenets and practices". If parents do refuse, it is the responsibility of the health care facility to obtain the signature from the parent(s) on the reverse side of the screening card to document the refusal. The provider must make certain that the parent(s) understand the risks of refusing the screening. As with collected specimens, the demographic information should be completed and the signed card forwarded to the Newborn Screening Program within 24 hours. The refusal should be noted in the infant's medical record.

It is important to note that religious reasons are the only valid basis for refusal. Newborn screening statistics indicate that the majority of infants whose parents signed a refusal in the hospital were later tested, indicating that the initial refusal was not truly based on religious principles. Affected infants could have a delayed diagnosis for several days or possibly weeks, thus placing them at significant risk of permanent damage or possibly death. The risk of refusal should be made clear to parents and refusals should not be accepted for any other reason.
This proves to the hospital that religious exemption is allowed for newborn screening in Washington State. It can and should be used with the Model Birth Plan letters. Since there is no refusal form or religious exemption form in the manual, you will need a typed religious exemption affidavit to go along with the Model Birth Plan letter. It is important to cite the state code RCW 70.83.020


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 - pdf

Newborn Genetic Screening Privacy Laws
(includes links to laws for various states)
Archived Copy:

Newborn screening From Wikipedia, the free encyclopedia
en.wikipedia.org/

Federal NewBorn Screening Law
ncbi.nlm.nih.gov/


Page_Navigation_Links
Waivers: Read - Modify or Do Not Sign
State specific information ↓
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/ ...

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 [archive] 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.

Black's Law Dictionary - Sixth Edition - the definition of Affidavit. This is the dictionary used by the American Bar Association and all judges/magistrates/attorneys.

Affidavit - A written or printed declaration or statement of facts, made voluntarily, and confirmed by oath or affirmation of the party making it, taken before a person having authority to administer such oath or affirmation. [notary]

Warning: Any affidavit we supply is a suggestion or template for you to modify to fit your beliefs or understanding of facts. The "facts" are those of the person signing the affidavit.
Some definitions for terms on AFFIDAVIT:

Further Affiant Saith Not

Affiant: a person who makes an affidavit.

Saith: A third person singular present tense of say.

Sui Juris: having full legal capacity to act on one's own behalf : not subject to the authority of another

Propria Persona: In ones own proper person.


Page_Navigation_Links
Letters Forms Affidavits
State specific information ↓
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 had the following forms on her web site. (Now Archived) The forms are generic and may be used in any state. Check any references that might need updating.

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

web.archive.org

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

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.
experimentalvaccines.org/vaccine-exemption-forms/


Page_Navigation_Links
DayCare - Preschool - Schools - Colleges
State specific information ↓
DayCare-Preschool-K-12-Colleges
DayCare  |   Preschool  |   K thru 12  |   Colleges


Preschool
See School Exemptions below

Kindergarten & Schools
See School Exemptions below

School Exemptions
Available Exemptions: Medical | Religious and Philosophical

State form required: Yes (see links below)
Also note that Certificate of Immunization Status (CIS) forms are now separate from Certificate of Exemption (COE) forms.

Religious and philosophical or personal exemption forms must be signed by a "health care practitioner."* ((MD, DO, ND, PA, ARNP).

Exception: "I am a member of a church or religious body whose beliefs or teachings do not allow for medical treatment from a health care practitioner. By supplying the information requested below, no further proof or signed provider statement is required for this religious exemption.” * A letter may substitute for a signed ‘Provider Statement’ on the COE. To be accepted, the letter must reference the child’s name on the certificate, confirm that the child’s parent or guardian got information on the risks and benefits of immunization to their child, and be signed by a licensed health care provider.

Changes to State Immunization Rules for Schools and Child Cares Effective August 1, 2020

Here

Revised Code of Washington (RCW)

Page of Links

28A.210.090 - Immunization program — Exemptions.
RCW 28A.210.090
Immunization program—Exemptions.
[Exerpts below, see link for current and complete reading.]
(1) Any child shall be exempt in whole or in part from the immunization measures required by RCW 28A.210.060 through 28A.210.170 upon the presentation of any one or more of the certifications required by this section, on a form prescribed by the department of health:
(a) A written certification signed by a health care practitioner that a particular vaccine required by rule of the state board of health is, in his or her judgment, not advisable for the child: PROVIDED, That when it is determined that this particular vaccine is no longer contraindicated, the child will be required to have the vaccine;
(b) A written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the religious beliefs of the signator are contrary to the required immunization measures; or
(c) A written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the signator has either a philosophical or personal objection to the immunization of the child. A philosophical or personal objection may not be used to exempt a child from the measles, mumps, and rubella vaccine.
(2)(a) The form presented on or after July 22, 2011, must include a statement to be signed by a health care practitioner stating that he or she provided the signator with information about the benefits and risks of immunization to the child. The form may be signed by a health care practitioner at any time prior to the enrollment of the child in a school or licensed day care. Photocopies of the signed form or a letter from the health care practitioner referencing the child's name shall be accepted in lieu of the original form.

* * * Important Change to Washington State Exemption Law * * *

Changes to School and Child Care Immunization Exemptions

On May 10, 2011, Governor Gregoire signed a bill that requires a licensed health care provider to sign the Certificate of Exemption for a parent or guardian to exempt their child from school and child care immunization requirements. The signature verifies that the provider gave the parent or guardian information about the benefits and risks of immunization. A parent or guardian can also turn in a signed letter from a health care provider stating the same information.

The law took effect on July 22, 2011. It only applies to exemptions requested after this date. A health care provider doesn't need to sign the form for parents or guardians who demonstrate membership in a church or religious group that does not allow a health care provider to provide medical treatment to a child.
Links: General Immunization Forms and Publications You Can Download

Certificate of Exemption - Now dated October 2019
English (PDF)


Forms and Publications in Other Languages

Note: the form contains false statements. We suggest you modify the statement below (found on the exemption form) by crossing out the words "Exempting and "from" and writing above the words "Vaccinating" and "with" as follows:
Vaccinating my child with
Exempting my child from any or all required vaccine(s) may result in serious illness, disability, or death to my child or others. I understand the risks and possible outcomes of my decision to exempt my child. ______ (initial)
See the following link for Washington Law:

RCW 28A.210.090
Immunization program — Exemptions.
http://apps.leg.wa.gov/rcw/default.aspx?cite=28A.210.090


Colleges/Universities
If colleges refuse to grant a waiver, be prepared to get legal help. Use THE ACCEPTANCE OF RESPONSIBILITY FORM This form is imperative in exercising your rights for legal exemptions from forced medical experimentation and legalized bioterrorism. DO be prepared to fight for the right to own your body and to obtain a college education.

Evergreen State College - Olympia, Washington
Measles Immunization Waiver on page 2. Looks like this:
WAIVER
Due to medical, religious, personal or other reasons I choose to decline immunization. In the event of a Measles outbreak on campus, I agree to comply with quarantine or isolation procedures as recommeded by the Center for Disease Control and the local Public Health Department. I understand that this will likely result in missing classes or any other campus activity, including student employment, for the duration of exposure risk.
STUDENT SIGNATURE_________________________________ DATE:_______________
(.pdf) http://www.evergreen.edu/health/docs/MeaslesForm.pdf

University of Washington
Waiver Applications for the Practicum MPH Immunization Waiver Application
This form is no longer online, however you may ask for the above form at the school. Also you may use the affidavits below and/or perhaps try the Washington Certificate of Exemption Form.


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
State specific information ↓
Vaccine Registry Opt-Outs:
What if I do not wish to participate?

If you don't want your child's immunizations entered into the IIS, talk with your doctor or nurse. If they use the system, they can take steps to honor your request.

You may also contact the Washington State Department of Health at:

Washington State Immunization Information System
Office of Immunization and Child Profile
PO Box 47843
Olympia, Washington 98504-7843

Phone: 360-236-3595 or 1-866-397-0337

Vaccine Registry Opt-Outs:

KNOW YOUR RIGHTS
Confidentiality of Your Child’s Vaccination Records
FERPA: The Family Educational Rights and Privacy Act
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 militaryfreeschools.org

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

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

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

STUDENT OPT-OUT NOTICE - Google Search

Employment
State specific information ↓
Washington State OSHA Hepatitis B Vaccine Declination Form. [Archived]
Use with Chapter 296-823 WAC, Occupational Exposure to Bloodborne Pathogens

(.pdf) Adobe PDF [Archived]
(.doc) Microsoft Word [Archived]

The above two documents are from this page...
HT5 Hepatits B Vaccine Declination Form [Archived]

City of Spokane Forms...
(.doc) (Word) The City of Spokane Hepatitis B Vaccine Declination Form. Page 2 [Archived]
(.pdf) (Adobe PDF) The City of Spokane Hepatitis B Vaccine Declination Form. Page 2 [Archived]
Suggestions for dealing with Employer Mandates.

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
State specific information ↓
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.
State specific information ↓
Here are some of the practitioners for Washington state
Washington state QXCI Practitioners:

Accelerated Recovery Health Center
Vancouver, Wa 98665-6308
360-573-5923

Linda Melos ND
Naturopathic Medicine
Combining EPFX / QXCI with Kinesiology, Naet
Sequim, WA 98382
360-681-0886
Contact page

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:
energymedicinereview.com/qxci-scio-epfx.html [Now inactive]

National (USA) search results for EPFX (QXCI) / SCIO Practitioners.
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.
ihtbio.com/support-and-help/

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