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____NAME_______________ NOTICE TO ANY Hospital or Medical facility for the REFUSAL of recommended treatment for Covid 19 from the NIH, CDC, FDA using Sedation, ventilation, Remdesivir protocols. To whom it may concern: I, ____Name_________, being of sound mind, with this document am hereby notifying this and any Hospital or Medical…
____NAME_______________
NOTICE TO ANY Hospital or Medical facility for the
REFUSAL of recommended treatment for Covid 19 from the NIH, CDC, FDA using Sedation, ventilation, Remdesivir protocols.
To whom it may concern:
I, ____Name_________, being of sound mind, with this document am hereby notifying this and any Hospital or Medical Facility that I am REFUSING and DO NOT consent to any Covid 19 Treatment using the sedation, ventilation, Remdesivir protocol treatment. Administration of the foregoing, whether individually or in combination, shall be deemed AGAINST MY WILL.
I am informing this facility that I am refusing the protocol using Sedation, ventilation, Remdesivir because it is deadly. It is my expressed intent for this document to be kept in a prominent place in my records visible to anyone responsible for my care. This is formal notice that any person or facility administering the aforementioned treatment protocol against my will shall be subject to legal consequences, including wrongful death claims.
Further, In the event that I am unable to make medical decisions for myself, I appoint my Trusted family member NAME_____as the sole and exclusive designee to act on my behalf.
I do NOT give any of my medical rights or consent to deviate from my wishes outlined in this document to this facility or to ANY PERSON period.
I do NOT have a DNR In place and it is my desire to be resuscitated if needed. I do not give authorization to this facility to restrain, imprison, or keep me against my will and I have the right to leave on my own free will at any time I wish to do so.
These are my wishes with respect to COVID treatment and this document shall remain in full force and effect unless I terminate them by express written notice at a future date.
Notwithstanding anything to the contrary stated elsewhere, any consent forms I may sign authorizing treatment should not be misconstrued to negate or erode the directives set forth herein regarding the Covid treatment protocol noted above.
___NAME___________ Witness:
_____________________________________________________________
Date:
Witness:
_______________________________
Date:
NOTARY:
We do not need additional proof.
We need a form like this that has been vetted by qualified lawyers who will take the case if any medical facility deviates from it.
Also, take the case if you are refused treatment.
Same with denying acceptor family and friends.
Same with work and store access when that comes back around.
If the particular lawyer’s form is used, we have paid a retainer, and he has already agreed to take the case, there will be no question in your mind.
Then the hospital, store, employer will take notice.
Thank you Brutus I am not a lawyer but I felt I needed something in case i was hospitalized with Covid. This came about because i am unvaxed and had to go to the hospital for another reason than Covid. First thing i was asked was if i was vaxed which i said no and they started treating me bad and i felt very unconfutable after that. They demanded me to take a covid test before proceeding to treat the reason i was there for. I had no protection and felt if this test comes back positive they can do anything they want to me it was terrifying. So after that i created this document with a friend so at least i would have something. I do like your idea of getting it vetted by a qualified lawyer who will take the case if any medical facility deviates from it.
Excuse me Jimmy but there is ZERO mention of the Covid Vaccine in this form. Yes it can be assumed that a vaccine injection would be part of a recommended treatment for Covid-19 but unless the word...VACCINE... is specifically used, the absence of the word Vaccine could be construed as an exception to the meaning of the document. All Hospital lawyers are very evil people. And by presenting this document upon entrance to a hospital there is a good chance the hospital will not accept you, since the Hospital can say you are a hostile patient. But, I guess it's worth a try. Maybe it won't backfire.
It would be better to know that BEFORE you enter the hospital if that is the case!