Category Archives: Pediatricians

Doctor offers vaccination contract to parent of sick child!

CONTRACTS SIGNED UNDER DURESS OR COERCION ARE NOT ENFORCEABLE – UNLESS THEY CONTAIN NO EVIDENCE OF EITHER THREAT OR COERCION!

Earlier this year a relatively ill advised physician in California permitted his office personnel to administer a nasty little contract agreement to his new patients, that is if he even knew about the paper work they were handing out to all new patients.  Many times physicians foolishly allow business managers to process whatever paperwork they feel appropriate and are completely in the dark.

Excerpts from an article found on jeffereyjaxen.com/blog titled Doctor’s Refusing Care Unless Patients Sign “Immunization Contract” Forcing Full Schedule of Shots

It was a day like any other at the Carmichael, California practice of Matthew T. Cohan, MD. A father entered the waiting room with his daughter by his side. The daughter — a new patient — was experiencing upper respiratory congestion. Before she could be seen, standard new patient paperwork needed to be filled out. However, on the final page of this paperwork, the office required new documentation to be complete before the patient could be seen.

Here is Dr. Cohan’s Immunization Contract:

Immunization Contract

As the father was seeking medical attention for his sick daughter, it is unlikely the physician would have vaccinated the girl during that visit anyway. However, by demanding this agreement be signed PRIOR to the child seeing the doctor, it could easily be seen as a denial of care.  Unfortunately there is no indication on the contract that the child was even ill.

So, why would a pediatrician deny care to a child whose parent prefers not to vaccinate per the CDC schedule, outside of the fact he is grossly ignorant of the nature of the CDC itself?

Was it the carrot or the stick?

In the case of this physician it could be BOTH the carrot and the stick. Continue reading

So, you’ve signed the Refusal to Vaccinate document?

Refusal to Vaccinate form header - sm 2Perhaps you missed DO NOT SIGN the “Refusal to Vaccinate” Form and unwittingly signed the form!

What to do next?

Start by asking for the original back. Tell the doctor (or whoever) that your “family” decided for many reasons (we came up with 12) that it was not good to have it in your (or your child’s) file. It is best not to offer any more information than that or engage in any discussion, but to remain firm but pleasant. When it comes to vaccines, anything you tell them can be used against you, believe it or not!

The doctors have been warned that if they don’t have this form on file, the parent could sue the doctor should the child get one of the diseases the vaccine was ‘supposed’ to prevent. The lawyers for the vaccine agenda have pitted the doctors against the health and safety of their patients. Sad, huh? We have proof of this because we’ve read the instruction page that accompanied the Refusal to Vaccinate form that was given to physicians, et al.

If the doctor’s office does not cooperate, you will have to send them a certified letter “rescinding your signature” thus nullifying the form. It is also recommended that you send them a Vaccination Notice to end all disputes regarding vaccines.

Here is a sample letter reflecting what I would write:

Dear Doctor Bloohoo,

Unfortunately, I mistakenly signed the Refusal to Vaccinate form regarding my son (or daughter) that your office asked me to sign. After discussion with my family, I have decided that this form was not in our best interest to sign and have placed in my son’s (or daughter’s) file.

I hereby rescind my signature on that form making it null and void and require that your office return the original to me.

I (we) have concluded, after much research, that vaccinations today are neither safe nor effective and that the theory of “herd immunity” has been scientifically proven invalid many times.  So I am sending you my (our) own Vaccination Notice. Please include this notice in my son’s (or daughter’s) medical record.

Appreciatively,

Jane Doe (Mother of Sally Doe)
125 Maple Canyon
Canton, Ohio

Enclosed: Vaccination Notice


The Vaccination Notice instructions and link can be found on this page.