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Puerto Rico State Exemption Page
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New Born Issues:Click for the desired information for your state Statutes/Laws | NewBornBirthingPlan&BirthExemptions | Waivers_CareInSigning | Letters_Forms_Affidavits School-Daycare-Preschool Issues: Schools [all] | DayCare | Preschool | K-12 | College | (options)_OptOutRegistry | Adult Issues: Employment | TB_and/or_LeadTesting | Statutes/Laws | Waivers_CareInSigning | Misc_Info, Sponsors, etc. |
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Statutes/Laws
Link to state law.Michie'sTM Legal Resources http://www.michie.com/puertorico/ Option: search Laws of Puerto Rico o Leyes de Puerto Rico 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 | |
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L.P.R.A. [downloaded 24 August 2011] Puerto Rico Laws of Puerto Rico TITLE 24 HEALTH AND SANITATION PART I HOSPITALS, INSTITUTIONS, AND HEALTH PROGRAMS CHAPTER 7B IMMUNIZATIONS FOR PRESCHOOL CHILDREN AND STUDENTS § 182d. Admission or enrollment - No immunization for religious or clinical reasons; epidemics. The certificate of immunization shall not be required for the admission or registration of that student or preschool child who presents a sworn statement that he or his parents belong to a religious organization whose dogmas are in conflict with the immunization. The sworn statement must indicate the name of the religion or sect and must be signed by the student, or his parents, and by the minister of the religion or sect. Exemptions for religious reasons shall be void in case of any epidemic declared by the Secretary of Health. By the same token, a certificate of immunization shall not be required from that student or preschool child who presents a certificate signed by a doctor authorized to practice the profession in Puerto Rico, to the effect that one or more of the immunizations required by the Secretary of Health could be detrimental to the health of the student. The certificate must indicate the specific reason and the possible duration of the conditions or circumstances which contraindicate the immunization. Every student or preschool child shall be exempted from having to be immunized against those diseases he has already had. This shall be accredited by the corresponding medical certificate or sworn statement of the student, or the father, mother or guardian. The students or preschool children who are exempted from the provisions of this chapter may be immunized during an epidemic, as determined by an authorized representative of the Department of Health. (Sept. 25, 1983, No. 25, p. 419, § 5.) |
L.P.R.A. [downloaded 24 August 2011] Puerto Rico Leyes de Puerto Rico TITULO VEINTICUATRO Salud y Sanidad Parte I. Hospitales, Instituciones y Programas Sobre Salud Capítulo 7B. Inmunizaciones a Niños Preescolares y Estudiantes § 182d. Admisión o matrícula—No inmunización por motivos religiosos o clínicos; epidemias No se requerirá el certificado de inmunización para admisión o matrícula de aquel estudiante o niño preescolar que presente una declaración jurada de que él o sus padres pertenecen a una organización religiosa cuyos dogmas confligen con la inmunización. La declaración jurada deberá indicar el nombre de la religión o secta y deberá ser firmada por el estudiante, o sus padres, y por el ministro de la religión o secta. Las exenciones por razones religiosas serán nulas en cualquier caso de epidemia declarada por el Secretario de Salud. Igualmente no se requerirá certificado de inmunización de aquel estudiante o niño preescolar que presente una certificación firmada por un médico autorizado a ejercer la profesión en Puerto Rico a los efectos de que una o más de las inmunizaciones requeridas por el Secretario de Salud pueden ser detrimentales para la salud del estudiante. El certificado deberá indicar la razón específica y la posible duración de las condiciones o circunstancias contraindicadas de la inmunización. Todo estudiante o niño preescolar quedará exento de inmunizarse de aquellas enfermedades que haya padecido. Esto se acreditará mediante el correspondiente certificado médico o declaración jurada del estudiante, o del padre, madre o tutor. Los estudiantes o niños preescolares exentos de las disposiciones de este capítulo podrán ser inmunizados durante una epidemia, según lo determine un representante autorizado del Departamento de Salud. —Septiembre 25, 1983, Núm. 25, p. 438, art. 5. |
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PDF documents (.pdf) A PDF reader is required for PDF Files: Free Foxit Reader 12 MB file size. Or Free Download of Acrobat Reader: [Adobe. 43 MB file size] |
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NewBorn Birthing Plan and Birth Exemptions
BirthExemptions |
Birthing_Plans |
Vitamin_K |
Hepatitis_B |
Eyedrops |
Newborn_ScreeningBirth 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:
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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: (.pdf) birthplan-itemized.pdf(HTML) BirthPlan-Itemized for reading on screen. Includes handy small dictionary of terms in the document. Model Birth Plan Letter for Hospital Births. This one is more detailed. 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)
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It would be good idea to use the AFFIDAVIT below AND a model birth plan letter from above.
Affidavit - Birth Exemptions
HTML (simple text) Affidavit to modify. AFFIDAVIT in Microsoft Word 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.] If your Title and Paragraph number of your state law is not pasted above, click here for the link to your state law. |
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Vitamin K Injection... 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. |
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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 |
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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 |
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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) ncsl.org/IssuesResearch/Health/NewbornGeneticandMetabolicScreeningLaws/tabid/14416/Default.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 |
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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! 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 |
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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/ 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 |
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DayCare - Preschool - Schools - Colleges
DayCare-Preschool-K-12-CollegesDayCare | Preschool | K thru 12 | Colleges Puerto Rico forms
Exemption Letter (English) Religious Objection to Immunization Child's Name ________________________________ Parent's Name _______________________________ Address ____________________________________ City/State/ZIP _______________________________ School _____________________________________ Address ____________________________________ City/State/ZIP _______________________________ Re: Immunization Exemption (Religious) Dear (Name of director), In accordance with the PRL 24 7B. 182d, regarding exceptions to immunization requirements, we hereby certify that the administration of vaccine and other immunizing agents to our child, ______________________, conflicts with the tenets and practice of a recognized religion, of which we are adherents. We therefore request that our child be exempted from the school immunization requirements. We are informed of and we fully understand the alleged risks of non-immunization for our child. We affirm that all of the foregoing statements are true to the best of our information, knowledge, and belief. Parent ________________________ Date _________ Parent ________________________ Date _________ Exceptions: There are two exceptions: PRL 24 7B. 182d. 3) Not required for the student or preschool child who presents a sworn statement that he or his parents belong to a religious organization whose dogmas are in conflict with the immunization. Exemptions for religious reasons shall be void in case of any epidemic declared by the Secretary of Health.' 4) Not required for the student or preschool child who presents a certificate signed by a doctor, to the effect that one or more of the immunizations required, could be detrimental to the health of the student.
Colleges/Universities
An Adult Affidavit, with Christian beliefs, is here. (MSDOC file)
Feel free to modify as needed.
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OptOutRegistry for Vaccines
Vaccine Registry Opt-Outs:and various other 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) http://www.militaryfreeschools.org/PDF/optout2.pdfUNDERGROUND ACTION ALLIANCE STUDENT OPT OUT FORM 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) http://www.catholiccitizens.org/content/img/f26422/opt%20out%20notice.pdfSTUDENT OPT-OUT NOTICE - Google Search |
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Employment
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)
http://www.fws.gov/forms/3-2283.pdfClick here for an Affidavit for Adult (college & employment religious exemption) ... Edit as needed... |
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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 QXCI-BioMeridian Providers, etc below |
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Misc Info - Sponsors - Etc.
Global Quantum Quest; Worldwide EPFX Resource CentreGeneral link for QXCI practitioners in Canada, USA, Africa and The Netherlands. http://theqxci.com/practitioners.php |