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Vaccination Liberation Information
North Carolina State Exemption Page
VacLib.org & VaccineTruth.net Exemption Page

Click for the desired information for your state

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Statutes/Laws
Link to state law.
National Vaccine Information Center:
http://www.nvic.org/Vaccine-Laws/state-vaccine-requirements/northcarolina.aspx


For additional help with exemptions, birth plan,etc questions:
Non_Vaccinating_Physicians

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


If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization. No child shall be exempt from the requirements of immunizations for the case of a personal belief or philosophy of a parent or guardian not founded upon a religious belief.

PDF documents (.pdf)

A PDF reader is required for PDF Files:
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Or Free Download of Acrobat Reader: [Adobe. 43 MB file size]


Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

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.

Newborn Screening Statute
(North Carolina)
§ 130A-125

§ 130A-125(b)
Note paragraph (b) which reads (in part):
"...screening shall not be required when the parents or the guardian of the infant object to such screening. If the parents or guardian object to the screening, the objection shall be presented in writing to the physician or other person responsible for administering the test, who shall place the written objection in the infant's medical record."

Hearing Screening...

NORTH CAROLINA

Statute: '130A-125. (b) Y The rules shall include, but shall not be limited to, the conditions for which screening shall be required, provided that screening shall not be required when the parents or the guardian of the infant object to such screening. If the parents or guardian object to the screening, the objection shall be presented in writing to the physician or other person responsible for administering the test, who shall place the written objection in the infant's medical record. [Source: CHAPTER 130A.]

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.

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.

"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.

Word-Document AFFIDAVIT in Microsoft Word (.doc) format. (may be modified)

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

Vitamin K Injection...

Vitamin K & Erythromycin information From PAVE
Archived: http://www.vaccines.bizland.com/vitk-eryth.html

Vitamin K & Erythromycin

Although the vitamin k injection and erythromycin are not vaccines, PAVE sometimes is asked whether these procedures are required by law. A North Carolina parent sent me the following information which she obtained from her investigation:

I phoned the legal department of the Maternity Center and they were unable to tell me which statute they were basing their requirements on. I explained to one of their solicitors that their maternity nurse told me I would be reported to DSS (Dept. of Social Services) for not complying as the procedure was mandated by NC law. The lawyer I spoke with said she could not 'advise' me on the topic. I told her I didn't want advice, I wanted to know what law required me to have the procedures performed on my child. She told me to call my obstetrician ... she was clueless.

I then called the Mecklenburg County Department of Youth and Family Services. This is what I have learned:

There are no NC laws mandating that a newborn receive the erythromycin eye treatment and vitamin K injection. However, the hospital can turn in or report a parent to DSS for not complying with the hospital's policies; for example, the vitamin K injection, vaccination, etc. If the child is not in a life threatening situation, ergo the child does NOT require the treatment to save their life, DSS will not accept the complaint. Basically, nothing will be done about it. The hospital can complain all they want, but no action will be taken as it is a parent's right to choose or decline any treatment for their child so long as it is not a life or death situation. So, it is up to me whether or not my child has any of these procedures performed. It is not law, it is simply the hospital's policy. The hospital maintains the right to notify DSS and file a complaint for investigation but DSS will not accept the complaint or investigate the family/parent.

I am outraged that the Maternity Center would manipulate their semantics in an attempt to pressure parents into having 'unnecessary' procedures performed. I am considering writing a letter to the hospital administrator to formally complain. Most people would have accepted the nurse's word that it was law and, by fear of being 'reported' to DSS, gone through with the procedure. This is unfair. Parents have the right to be informed, truthfully, of their rights.

I hope you will find this information useful!

PAVE wrote a letter to Carolinas Medical Center regarding the legality of the erythromycin drops and vitamin K injection, and Suzanne Freeman, president, replied. She said

"...the North Carolina Administrative Code requires in Section 15A N.C.A.C. 19A.0204(f) that all newborn infants be treated prophylactically against gonococcal ophthalmia neonatorum in accordance with the STD Treatment Guidelines of the U.S. Public Health Service. Such treatment guidelines include administering erythromycin to the eyes of all newborns no later than one hour after birth."
[Eye drops *are* mandatory but NOT vitamin k or newborn screening.]

She said, "Vitamin K shots are not required by state law, but they are recommended by the American Academy of Pediatrics as the standard of care for newborns."

If you would like to look up details on the vitamin K injection in the Physician's Desk Reference, here is some information from a registered nurse:

AquaMEPHYTON Injection(Phytonadione) is how it's found in the PDR. The oral and the injectable are very much the same, except for the properties which make it a tablet. If a mom has a diet with good Vit. K intake (eggs, alphalfa sprouts, etc.) then there would be no reason to consider it.

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/drugs/drug-9003-Aqua-Mephyton+Inj.aspx?drugid=9003&drugname=Aqua-Mephyton+Inj
"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/chapter/inserts.htm#vitK

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. Or order directly from Amazon.com

Biotics Research, Bio-K Mulsion 1 fl oz

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.

North Carolina Resource Contact
PAVE (Parents Advocating Vaccine Education)
Lisa Jillani
P.O. Box 36701
Charlotte, NC 28236
WeRPAVE@yahoo.com
http://www.vaccines.bizland.com

Sample vaccine letters

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

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


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 - http://genes-r-us.uthscsa.edu/sites/genes-r-us/files/nbsdisorders.pdf

Newborn Genetic Screening Privacy Laws
(includes links to laws for various states)
Archived Copy: http://web.archive.org/web/20130603035608/http://www.ncsl.org/issues-research/health/newborn-genetic-and-metabolic-screening-laws.aspx

Newborn screening From Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Newborn_screening

Federal NewBorn Screening Law (from Families of Spinal Muscular Atrophy)
http://www.fsma.org

Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

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!

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. 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 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.


Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

Letters Forms Affidavits
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 has the following forms on her web site. The forms are generic and may be used in any state.

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

http://drtenpenny.com/forms/

Up to date Religious Exemption Sample Letter for NC:
NORTH CAROLINA IMMUNIZATION LAW
RELIGIOUS EXEMPTION
NORTH CAROLINA GENERAL STATUTE 130A-157
http://www.vaccineeducation.com/exemptions-NC.htm

Older sample Vaccine Letters. from www.vaccines.bizland.com/letters.htm archived on VacLib.org/letters/doctor.htm

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.
http://experimentalvaccines.org/vaccine-exemption-forms/


Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

DayCare - Preschool - Schools - Colleges
DayCare-Preschool-K-12-Colleges
DayCare  |   Preschool  |   K thru 12  |   Colleges



Kindergarten & Schools
See below for link to sample letter.

Colleges/Universities
See below for link to sample letter.

State Form is NOT required. NC officials prefer a "non-form" letter:
Up to date Religious Exemption Sample Letter for NC:
NORTH CAROLINA IMMUNIZATION LAW
RELIGIOUS EXEMPTION
NORTH CAROLINA GENERAL STATUTE 130A-157
http://www.vaccineeducation.com/exemptions-NC.htm

Please be aware that there is NO OFFICIAL STATE FORM in North Carolina. According to a former director of the NC Dept. of Immunization, all a parent (or person seeking to claim an exemption) has to do is "write down on a sheet of paper that the immunization laws of North Carolina are contrary to their religious beliefs, sign it, and turn it in" to the person requesting their immunization records. Homeschooling parents should keep the form in their home with their homeschool documentation. No matter what an uninformed official may tell you, by law you DO NOT have to belong to any organized religion to claim your religious exemption, and the signature of a representative of a religious order is NOT required to obtain an exemption. It must only be your genuine, bona fide religious belief.

Additional Resources:

(.pdf) VaccineTruth.net/letters/NC-Exemption.pdf

(.doc) VaccineTruth.net/letters/NorthCarolina11436.doc

North Carolina Religious Exemption Statement.doc (11437)
(.doc) VaccineTruth.net/letters/NorthCarolina11437.doc

How to Write a Letter for a "Personal" Religious Exemption from Immunizations
http://web.archive.org/web/20050628080012/http://chetday.com/relexempt.html

An Adult Affidavit (longer, includes TB), with Christian beliefs, is here. (MSDOC file) Feel free to modify as needed.

See also "Employment" for Affidavits

Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

OptOutRegistry for Vaccines
and various other Opt-Outs
Vaccine Registry Opt-Outs:

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

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

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

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-file (.pdf) http://www.armenianchurchlibrary.com/files/national_opt-out.pdf

STUDENT OPT-OUT NOTICE - Google Search


Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

Employment
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

Employment:

This letter can also be used for Colleges & Universities as well...
North Carolina Adult Religious Exemption from Attorney.doc (11438)
(.doc) VaccineTruth.net/letters/NorthCarolina11438.doc

This AFFIDAVIT below also can be used for colleges.


AFFIDAVIT

I, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being, state Citizen of the Iowa 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 N.C.G.S. 130A-157 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.

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 and that of my family that I can accept.

I affirm that vaccination & injections of any foreign substances and proteins conflict with my religious beliefs as stated above. Therefore, I would request that you accommodate my religious beliefs and practices by exempting me from any vaccination or injections of any kind.

Rest assured that my family and I 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 North Carolina

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___



Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

TB and/or Lead Testing

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/QuantiFERON_TB_Gold_testimony

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 Misc for TB Testing alternatives...

Click for the desired information for your state

New Born Issues: NewBornBirthingPlan&BirthExemptions  |   Waivers_CareInSigning  |   Letters_Forms_Affidavits
School-Daycare-Preschool Issues: Schools  |   DayCare  |   Preschool  |   K-12  |   College  |   (options) OptOutRegistry  |  
Adult Issues: Employment  |   TB_and/or_LeadTesting
Statutes/Laws  |   Waivers_CareInSigning  |   Misc_Info, Sponsors, etc.

Misc Info - Sponsors - Etc.

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 L.I.F.E. System, and the F-Scan.

Here are some of the practitioners for North Carolina

North Carolina BEST™ BioMeridian Practitioners:

Bannard Family Chiropractic & Acupuncture Inc.
A Wellness Center
Dr. Daniel P. Bannard. DC F.I.A.M.A
915 Kildaire Farm Rd.
Cary, NC 27511
919-461-8400
http://thebannardcenter.com
DBannard@nc.rr.com
New Patient Forms
http://thebannardcenter.com/chiropratic/faq.html#anchor5

North Carolina QXCI Practitioners:

Peggy Lloyd BA, BHS, MT
Neuro Linguistic Programming (NLP) for 4 years
Three degrees in Biology, Chemistry, Medical Technology
Human Morphogenetic Field and Sacred Geometry
Durham, NC 27713
919-313-7129
919-572-5486
plloyd@pharmalinkfhi.com

Stuart Titus, PHD
Titus Research Foundation
Specializes in pain management
Fellow American Academy of Pain Management, and
Fellow American Academy of Interrative Medicine
240 Harmony Hill Lane
Waynesville, NC 28786
828-421-1454
864-982-3387 (cell)

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 1-407-672-6144.


Information on this page is sponsored by:

Lauana Lei's Magnetic Clay Baths       




Blessed Baths

REGARDING AUTISM & CLAY BATHS
We get asked again and again, "Are the baths gluten-free?" The answer is YES EXCEPT for the ARSENIC BATH! That one has a trace of oat flour and of course we would not suggest it for the Austistic child. The Environmental kit has worked very successfully (helps to remove the vaccination poisons and also some mercury and lead --besides the chemicals). Remember to go slow with the children, especially with mercury in the body!

Assistance with legal problems with exemptions in North Carolina.
Alan G. Phillips, Attorney at Law:
Author of the internationally published "Dispelling Vaccination Myths," which reveals 10 of the most commonly held beliefs about vaccines, and the authoritative facts contradicting those beliefs. Alan has a strong focus and background on vaccine religious exemptions and your rights to claim an exemption to immunizations under state law and the federal Constitution's First and Fourteenth Amendments.

Alan provides private consultations at a rate lower than most other attorneys anywhere in the country (in any area of practice), and has a sliding scale for low-income people and families.

Alan Phillips, J.D.
Attorney and Counselor at Law
attorney@vaccinerights.com
www.vaccinerights.com
828-575-2622