Take this to your doctor

Physician’s Warranty of Vaccine Safety

I (Physician’s name, degree)_________________________, _____ am a physician licensed to
practice medicine in the State/Province of ________________, in the country of
_________________. My State/Province license number is _______________ , and (if the USA)
my DEA number is _______________. My medical specialty is ________________________
I have a thorough understanding of the risks and benefits of all the medications that I prescribe for
or administer to my patients. In the case of (Patient’s name) ___________________________ , age
_________ , whom I have examined, I find that certain risk factors exist that justify the
recommended vaccinations. The following is a list of said risk factors and the vaccinations that will
protect against them:
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
Risk Factor ____________________________________________
Vaccination ___________________________________________
I am aware that vaccines typically contain many of the following fillers:
* aluminum hydroxide
* aluminum phosphate
* ammonium sulfate
* amphotericin B
* animal tissues: pig blood, horse blood, rabbit brain,
* dog kidney, monkey kidney,
* chick embryo, chicken egg, duck egg
* calf (bovine) serum
* betapropiolactone
* fetal bovine serum
* formaldehyde
* formalin
* gelatin
* glycerol
* human diploid cells (originating from human aborted fetal tissue)
* hydrolized gelatin
* mercury thimerosol (thimerosal, Merthiolate(r))
* monosodium glutamate (MSG)
* neomycin
* neomycin sulfate
* phenol red indicator
* phenoxyethanol (antifreeze)
* potassium diphosphate
* potassium monophosphate
* polymyxin B
* polysorbate 20
* polysorbate 80
* porcine (pig) pancreatic hydrolysate of casein
* residual MRC5 proteins
* sorbitol
* tri(n)butylphosphate,
* VERO cells, a continuous line of monkey kidney cells, and
* washed sheep red blood
and, hereby, warrant that these ingredients are safe for injection into the body of my patient. I have
researched reports to the contrary, such as reports that mercury thimerosol causes severe
neurological and immunological damage, and find that they are not credible.
I am aware that some vaccines have been found to have been contaminated with Simian Virus 40
(SV 40) and that SV 40 is causally linked by some researchers to non-Hodgkin’s lymphoma and
mesotheliomas in humans as well as in experimental animals. I hereby warrant that the vaccines I
employ in my practice do not contain SV 40 or any other live viruses. (Alternately, I hereby warrant
that said SV-40 virus or other viruses pose no substantive risk to my patient.)
I hereby warrant that the vaccines I am recommending for the care of (Patient’s name)
_______________ _______________________ do not contain any tissue from aborted human
babies (also known as “fetuses”).
In order to protect my patient’s well being, I have taken the following steps to guarantee that the
vaccines I will use will contain no damaging contaminants.
STEPS TAKEN: ______________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
I have personally investigated the reports made to the VAERS (Vaccine Adverse Event Reporting
System) and state that it is my professional opinion that the vaccines I am recommending are safe
for administration to a child under the age of 5 years.
The bases for my opinion are itemized on Exhibit A, attached hereto, — “Physician’s Bases for
Professional Opinion of Vaccine Safety.” (Please itemize each recommended vaccine separately
along with the bases for arriving at the conclusion that the vaccine is safe for administration to a
child under the age of 5 years.)
The professional journal articles I have relied upon in the issuance of this Physician’s Warranty of
Vaccine Safety are itemized on Exhibit B , attached hereto, — “Scientific Articles in Support of
Physician’s Warranty of Vaccine Safety.”
The professional journal articles that I have read which contain opinions adverse to my opinion are
itemized on Exhibit C , attached hereto, — “Scientific Articles Contrary to Physician’s Opinion of
Vaccine Safety”
The reasons for my determining that the articles in Exhibit C were invalid are delineated in
Attachment D , attached hereto, — “Physician’s Reasons for Determining the Invalidity of Adverse
Scientific Opinions.”
Hepatitis B
I understand that 60 percent of patients who are vaccinated for Hepatitis B will lose detectable
antibodies to Hepatitis B within 12 years. I understand that in 1996 only 54 cases of Hepatitis B
were reported to the CDC in the 0-1 year age group. I understand that in the VAERS, there were
1,080 total reports of adverse reactions from Hepatitis B vaccine in 1996 in the 0-1 year age group,
with 47 deaths reported.
I understand that 50 percent of patients who contract Hepatitis B develop no symptoms after
exposure. I understand that 30 percent will develop only flu-like symptoms and will have lifetime
immunity. I understand that 20 percent will develop the symptoms of the disease, but that 95
percent will fully recover and have lifetime immunity.
I understand that 5 percent of the patients who are exposed to Hepatitis B will become chronic
carriers of the disease. I understand that 75 percent of the chronic carriers will live with an
asymptomatic infection and that only 25 percent of the chronic carriers will develop chronic liver
disease or liver cancer, 10-30 years after the acute infection. The following scientific studies have
been performed to demonstrate the safety of the Hepatitis B vaccine in children under the age of 5
years.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
In addition to the recommended vaccinations as protections against the above cited risk factors, I
have recommended other non-vaccine measures to protect the health of my patient and have
enumerated said non-vaccine measures on Exhibit D , attached hereto, “Non-vaccine Measures to
Protect Against Risk Factors” I am issuing this Physician’s Warranty of Vaccine Safety in my
professional capacity as the attending physician to (Patient’s name) _________________________.
Regardless of the legal entity under which I normally practice medicine, I am issuing this statement
in both my business and individual capacities and hereby waive any statutory, Common Law,
Constitutional, UCC, international treaty, and any other legal immunities from liability lawsuits in
the instant case. I issue this document of my own free will after consultation with competent legal
counsel whose name is _________________________, an attorney admitted to the Bar in the
State/Province of __________________.
__________________________________ (Name of Attending Physician)
__________________________________ L.S. (Signature of Attending Physician)
Signed on this _______ day of ______________ A.D. ________
Witness: _______________________________ Date: _____________________
Notary Public: ___________________________Date: ______________________

About Editor, cairnsnews

One of the few patriots left who understands the system and how it has been totally subverted under every citizen's nose. If we can help to turn it around we will, otherwise our children will have nothing. Our investigations show there is no 'government' of the people for the people of Australia. The removal of the Crown from Australian Parliaments, followed by the incorporation of Parliaments aided by the Australia Act 1987 has left us with corporate government with policies not laws, that apply only to members of political parties and the public service. There is no law, other than the Common Law. This fact will be borne out in the near future as numerous legal challenges in place now, come to a head soon.

Posted on May 22, 2020, in AMA, Vaccines, vitamin c, WHO and tagged , , . Bookmark the permalink. 7 Comments.

  1. How far and how fast can a doctor run? And how stupid would he/she be to sign such a document?

  2. Thank you Cairnsnews…this is the MOST SENSIBLE DOCUMENT to date..in the FIGHT AGAINST VAAX..

  3. Brendon Cahill

    Forgot one of the worst proteins ‘Nagalase’ which shuts down production of Vitamin B in the body, shuts down immune system, and opens the door to cancer and infections.

  4. Perfect!
    But unfortunately, their signature on any form won’t help much.
    The rot is at the TOP! And there are bigger pipers than the taxpayer.

  5. thank you much appreciated

    ________________________________

  6. Freifrau Gabriele

    Thank you, for enlightening the minds of ordinary men and women, by publishing this Form. The average hard working, law abiding citizen has no clue what ‘Big Pharma’ and their money hungry, greedy stockholders through mass-vaccinations and other dangerous subscription drugs has put into the body of hundred of millions of people around the globe during the past 65 years.
    The permanent bodily damages and death caused by vaccines and Pharma drugs have always left a trail of unimaginable suffering among victims and their families.
    For many decades now, millions of people have become dependent on multiple prescription drugs, and literally turned into walking pharmacies. We have been witnessing an epidemic of ‘Pharma’ drug addiction from teenagers to adults for how long? Street drugs are another problem which was deliberately planed and then introduced big time in the 1960’s.
    In the eyes of these coldblooded, calculating psychopathic control freaks ( some ‘High Degree Freemasons’, the ‘Elite’, the so-called ‘Chosen’ ones, the ‘Illuminati’, ‘Committee of 300’, ‘Jason Society’, Bankers, religious Leaders, etc. etc. ) the populaces are no more then human herds ( cattle, oxen, sheep) who can be programmed, brainwashed, mind controlled, lied to, manipulated, used for never ending warfare, etc. and through this turned any direction the powers want them to be. Ordinary people in every country on this planet suffer, because they allow a handful of psychopath to control their lives.
    ‘We, The People’ are the solution to our worldwide problems and conditions. When we stop feeding the beast that controls us, the world will change for the better. When we change from “un-conscious” to consciousness we realize that there are other, much better ways to deal with life itself, and learn to regain our responsibility without manipulation and interference from those who don’t mean us well.
    All the Best, Strength and Blessings for the times ahead.

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