Vaccination Liberation Information

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

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

Massachusetts

Current Statutes & Laws:
http://www.909shot.com/state-site/Massachusetts.htm
Medical & Religious

"No child whose parent or guardian states in writing that vaccination or immunization conflicts with his sincere religious beliefs shall be required to present said physician's certificate in order to be admitted to school."

PDF documents (.pdf)

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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.

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.state.ma.us/legis/laws/mgl/111%2D110a.htm

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]

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, 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 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

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
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 Massachusetts 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 US Constitution and M.G.L. c. 76, ss 15C;, Mass. Acts, Chap. 111 § 10A, and Statute: Sec. 67F 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 Massachusetts

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


State Form Required: No.

Daycare & Preschools:

(.doc)
VaccineTruth.net/letters/AFFIDAVIT for Massachusetts Older Child.doc

Schools:

(.doc) VaccineTruth.net/letters/AFFIDAVIT for Massachusetts Older Child.doc

(.pdf) CONCORD PUBLIC SCHOOLS REQUEST FOR EXEMPTION FROM IMMUNIZATION

Text from the AFFIDAVIT for Massachusetts Older Child.doc below...


AFFIDAVIT

I/We, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being(s), state Citizen(s) of the Massachusetts 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/Children). 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 body or any of my children’s bodies.

This written statement to exempt (my/our) child from any immunizations, TB testing, and other shots/injections, because (I/we) hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures and experimentation. The practice of vaccination and the injection 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 attenuated virus used to produce the Rubella vaccine (RA27/3) was obtained from an aborted fetus and then cultivated on fetal tissue from another aborted baby (WI-38) and is also in the rubella portion of the MMR-II vaccine. The Chickenpox vaccine containing WI-38, MRC-5 and Hepatitis-A vaccine (MRC-5) were obtained from human babies that were electively aborted. A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God's commandment "Thou Shall Not Kill" applies to the practice of abortion. The acceptance of these vaccines promotes abortion and violates the Sixth Commandment of "Thou Shall Not Kill". 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.

(We / I) {First and Last name(s)}, as the {(parent (s) / guardian(s)}of _________________________(name of child) are/am exercising our rights under the First Amendment of the US Constitution and M.G.L. c. 76, ss 15C; to receive Religious Exemption from Vaccination.

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 Yahweh 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) 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 Massachusetts

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___
______________________________________________

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.

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:

220.600: Immunization Requirements for Postsecondary Students
Here are the laws that pertain to Post Secondary Schools (colleges and universities)
http://www.mass.gov/dph/regs/reg105cmr220.htm
Here it is in PDF and Word format, as PROOF that your son is allowed religious exemption. This should be downloaded and printed out.
(.pdf) http://www.mass.gov/dph/regs/reg105cmr220.pdf
(.doc) http://www.mass.gov/dph/regs/reg105cmr220.doc
(Religious exemption is mentioned on page 3)
M.G.L. - Chapter 76, Section 15c
http://www.mass.gov/legis/laws/mgl/76-15c.htm

MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
>From Mass.Gov
Waiver is on page 2
(.pdf) http://www.mass.gov/dph/cdc/epii/menin/menin_info_waiver.pdf

Tufts University
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
(.pdf) http://ase.tufts.edu/healthservices/documents/meningococcal-vac-waive.pdf
(.pdf) http://www.tufts.edu/saha/images/MenInfoWaiv2005.pdf

Andover Newton Theological School
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 3
(.pdf) http://www.ants.edu/student/registrar/forms/ImmWaiverInfo2005.pdf

Pine Manor College
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 2
(.doc) http://community.pmc.edu/healthandwellness/MeningWaiver.doc

University of Massachusetts Amherst
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 2
(.pdf) http://www.umass.edu/uhs/forms/ReqImmunForm.pdf
You will need to submit your statement of religious exemption for other required vaccines.

Bridgewater State College
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on pages 1 and 4
(.doc) http://www.bridgew.edu/HealthServices/Health%20Form%20and%20Meningitis%20Waiver.doc

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
(.doc) http://www.fsc.edu/healthserv/documents/MeningococcalInfoWaiver3-11-05.doc

Boston College
MDPH Meningococcal Information and Waiver Form and Health Form
Waiver for Students at Residential Schools and Colleges on page 6
(.pdf) http://www.bc.edu/offices/uhs/meta-elements/pdf/2005gradforms.pdf

Berklee College of Music
MDPH Meningococcal Information and Waiver Form
Waiver for Students at Residential Schools and Colleges
Waiver on page 3
(.pdf) http://www.berklee.edu/pdf/health/mening_waiver.pdf

Gordon-Conwell Theological Seminary
Official Decline of Meningococcal Vaccine
(.pdf) http://www.gordonconwell.edu/hamilton/registration/pdf/forms/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) https://www.amherst.edu/~dos/orientation/healthforms/meningitis.pdf

Wilbraham & Monson Academy
Waiver for Meningococcal Vaccination Requirement
(.pdf) http://wma.pvt.k12.ma.us/media/sp/SummerMail05/MeningWaiver.pdf

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

HAMPSHIRE COLLEGE HEALTH SERVICES
893 West Street
Amherst, MA 01002-3359
Waiver for Meningococcal Vaccination Requirement
(.pdf) http://www.hampshire.edu/upl/fpg_112_5417_1115833534.pdf

Emerson College Center for Health and Wellness
MENINGCOCCAL IMMUNIZATION VERIFICATION/ WAIVER FORM
(.pdf) http://www.emerson.edu/emplibrary/hs_emerson_meningitis_fall05.pdf
(.pdf) PART TIME & ADULT DEGREE STUDENTS Adult Meningitis Waiver Form
For other vaccines...
Emerson College Center for Health and Wellness
RELIGIOUS EXEMPTION – HEALTH / IMMUNIZATION
(.pdf) http://www.emerson.edu/emplibrary/hs_religious_exemptionform_fall05.pdf

For the other vaccine requirements (MMR, tetanus, Hepatitis B):
Use the AFFIDAVIT below if your college doesn't have a form.
It may be edited for your particular situation.
(.doc) AFFIDAVIT for Massachusetts Adult (college religious exemption) M.G.L. c. 76, ss 15C;.doc

Text from the AFFIDAVIT for Massachusetts Adult (college religious exemption) M.G.L. c. 76, ss 15C;.doc... Edit as needed...
AFFIDAVIT

I, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being, state Citizen of the Massachusetts Republic affirm... Be it known to all courts, governments, and other parties that:

Being a person of Strong Christian Morals, it is against my Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into my Body. 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 body.

This written statement to exempt myself from the immunization requirement, and the Mantoux (PPD) Tuberculin Test, because I hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures and experimentation. The practice of vaccination and the injection of any foreign substance is contrary to my conscientiously held religious beliefs and practices, and violates the free exercise of my religious principles.

The attenuated virus used to produce the Rubella vaccine (RA27/3) was obtained from an aborted fetus and then cultivated on fetal tissue from another aborted baby (WI-38), and is also in the rubella portion of the MMR-II vaccine. The Chickenpox vaccine containing WI-38, MRC-5 and Hepatitis-A vaccine (MRC-5) were obtained from human babies that were electively aborted. A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God's commandment "Thou Shall Not Kill" applies to the practice of abortion. The acceptance of these vaccines promotes abortion and violates the Sixth Commandment of "Thou Shall Not Kill". The Hepatitis-B vaccine protects against a disease that is only transmitted through multiple sexual partners or street IV drug users. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of my faith.

I, {First and Last name}, am exercising my rights under the First Amendment of the US Constitution and M.G.L. c. 76, ss 15C; to receive Religious Exemption from Vaccination & 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.

The Lord Jesus Christ and Our Creator are the only source of protection of my body and that of my family that I can accept.

I affirm that vaccination & injections of foreign proteins conflict with my religious belief as stated above. Therefore, I would request that you accommodate my religious beliefs and practices by exempting me from the college vaccination and TB testing requirement.

Rest assured that I do practice a form of immunization that keeps my immune system 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 Massachusetts

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___

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:

Adult Immunizations Massachusetts Recommendations and Requirements for 2005
(.pdf) http://masswildlife.org/dph/cdc/epii/imm/adult/adultguidelines_ma.pdf

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

Use the AFFIDAVIT below for employment situations.
It may be edited for your particular situation, and you may take out the statute that references college requirements and exemptions.
(.doc) AFFIDAVIT for Massachusetts Adult (college religious exemption) M.G.L. c. 76, ss 15C;.doc
You may also use the adult TB waivers below.

TB Test:

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

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 Massachusetts

Massachusetts BEST™ BioMeridian Practitioners:

Harmony Center
Beverly Holt, MPH, RD, CDE
315 North St., Medfield, MA 02052
http://www.harmony-center.org
harmony-center@verizon.net
Beverly Holt, MPH, RD, CDE rediscovered her own green world of flower essences in 1988. As a health coach, she provides allergy relief, homeopathy, and Meridian Stress Assessment to clients in Dover and Boston. Licensed by the state of Massachusetts as a nutritionist, she has trained in Homeopathy in the US and Canada. As a certified Diabetes Educator she provides consulting services to individuals and groups.

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

Allied Wellness Affiliates of Cape Cod
All-Well Holistic Healthcare

Thomas E. Bober, D.C.
1046 Main Street
Osterville, MA 02655
http://www.all-well.net/
drtbober@cape.com
Meridian Stress Assessment

Massachusetts QXCI Practitioners:

http://www.qxciscio.com/qxci-northeast-coast-usa.html

Heart Weaver-Energetics
David Alden
General EPFX / QXCI Practitioner
37 Warren St
Brookline, Mass 02445
619-731-0536
alden2001@comcast.net

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:


This unique debut CD introduces the listening world to the provocative vaccine song, "The Shot." Jamie Murphy also takes on the TV and movie media with his searing lyric in "Talk To Me." His soul searching stories in "For What I Am" and "Pockets Full of Tales" round out an impressive CD that combines folk-rock, blues, and jazz.

Jamie Murphy is a singer-songwriter and played guitar with Van Morrison and band at the Electric Factory in Philadelphia and the Wang Center in Boston. He has also been a guitarist-vocalist in several local Boston bands.

Jamie Murphy is the author of the book, What Every Parent Should Know About Childhood Immunization (10th printing, 2005) and is a respected spokesperson for the anti-vaccination movement.

Also check out his book...
"What Every Parent Should Know About Childhood Immunization". By Jamie Murphy $15 + S&H        192 pp. 
http://www.vaclib.org/basic/products.htm
Murphy has really done his homework, extensively reviewing the medical literature as he was researching all aspects of the vaccination question. We can see from his book that although we are told that "the benefits of vaccines outweigh the risks" it is clear that doctors and public health officers don't have a clue as to what vaccine risks are. This book is extremely well written and covers a lot of ground. -- If you don't understand what natural immunity is and why vaccine immunity is based on a faulty premise, antibody production, this book is a must read.

Jamie Murphy is also the director of V.I.A.L., which is our Massachusetts Vaccination Liberation state Chapter.

Jamie Murphy Issues in D.

V.I.A.L. - Massachusetts Chapter
Jamie Murphy, director
425 Mt. Auburn Street
Watertown, MA 02472
(617) 780-1754
jpmurphy1@neaccess.net
Telephone Hours: Monday - Friday, 5 PM - 8 PM (EST)
Sunday, 1 PM - 5 PM

What can be said but political dissent takes a lot of styles. In this case, musician and author Jamie Murphy goes at the rather unique topic of vaccinations. Murphy, a critic of childhood immunization, wrote the song from the perspective of an infant receiving vaccines. Not for the faint of heart, but intriguing nonetheless; chances are you've never heard a protest song against shots.

Click here to listen to the Flash presentation of "The Shot" by Jamie Murphy.
Sorry, this is NOT a downloadable file.


You can buy Jamie's CD, "Issues in D" from Here

Vaccination Liberation - Idaho Chapter
Contact: Vaccination Liberation

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

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Index of Articles for Vaccination Liberation.       Home page of Vaccination Liberation