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MEDICAL INDEMNITY FORM FOR MEDICAL PRACTITIONERS WHO ADMINISTER THE COVID-19 VACCINATION

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Indemnity Form. Copy and Print: Invite healthcare professionals who wish to use a syringe to inject into you what they call the Covid-19 Vaccine to complete and sign it. Translate this form to your language and share with your friends and family.

One for the Dr or nurse wanting to jab you
Conditional Acceptance Vaccine Safety Clause and Professional Declaration
Complete and sign this Acceptance and clause before the vaccine shall be administered.
1. I am the Soul / Guardian / Carer of the Beneficiary and NHS patient, granted and assigned with full powers of attorney, over the biological estate of calling / name ___________________________________ / Born Day /D.O.B_____/________/________
2. I am the patient……. calling / name__________________________________
3. Born Day / D.O.B_____/________/________
Today’s Date: ___ / ___ / ___
Full Name position and title of nurse/administrator/medical professional_______________________
Hospital/Practice CEO name and office___________________________________________
please delete as applicable.
As a medical practitioner, I am held by The Hippocratic oath. Yes / No – please delete as applicable.
“The first point of the Hippocratic is to do no harm. And I will use treatments for the benefit
of the ill in accordance with my ability and my judgment, but from what is to their harm and
injustice I will keep them.”
Please tick the answer Yes, or No to the following questions:
I the administer of the vaccine have read the list of ingredients Yes | No
I have studied all of the ingredients in the vaccine and can say they are safe to administer: Yes | No
I understand all of the ingredients in the vaccine and the possible side effects: Yes | No
I understand the vaccine contains MRC-5 aborted foetal cells, or any other form of DNA. Yes | No
I understand there is a possibility of an Iatrogenic Reaction (adverse reaction from multiple compounds or drugs interacting with each other) from the vaccine Yes | No
I hereby can also prove I have qualifications in chemistry and have studied chemistry to the level of understanding the chemical reactions that will occur as a result of the combination of ingredients within the vaccine Yes | No
I the vaccine giver will not only be held professionally and personally responsible for any resulting medical complications as a result of this vaccine. Yes | No
If the answer is No to any of the above, then we agree that due to the Hippocratic oath and
my duty of care, which is to the patient, that I grant the patient the right to decline the
vaccine today
In the case of (Patient’s name) ______________ Age _____
Signed __________________________
Practice _______________________
Witnessed by in the presence of:
Calling / Name ____________________________________
Date______/_______/2021
Telephone number not essential optional:_______________________
Email address:____________________________________________
Witnessed by in the presence of:
Calling / Name ____________________________________
Date______/_______/2021
Telephone number not essential optional:_______________________
Email address:____________________________________________

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MICHAEL WALSH is a journalist, broadcaster and the author of RISE OF THE SUN WHEELEUROPE ARISE TROTSKY’S WHITE NEGROESMEGACAUST,  DEATH OF A CITYWITNESS TO HISTORY, THE BUSINESS BOOSTERTHE FIFTH COLUMN VOLUME I and IIFOR THOSE WHO CANNOT SPEAKIMMORTAL BELOVEDTHE ALL LIES INVASIONINSPIRE A NATION Volume IINSPIRE A NATION Volume II , SLAUGHTER OF A DYNASTY , REICH AND WRONG,  THE RED BRIGANDSRANSACKING THE REICH ,    SCULPTURES OF THE THIRD RIECH: ARNO BREKER AND REICH SCULPTORS  SCULPTURES OF THE THIRD RIECH:  JOSEF THORAK AND REICH SCULPTORS ,   SCULPTURES OF THE THIRD REICH VOLUME III Porcelain and Reich Sculptors, The Exiled Duke Romanov Who Turned Desert Into Paradise , THE DOVETAILS , SEX FEST AT TIFFANY’STHE AMOROUS GHOST AND ENCOUNTERS and other book titles. These illustrated best-selling books are essential for the libraries of informed readers.

MICHAEL WALSH NOVELS

The revenge of a predator is a city-vigilante epic better than Death Wish A LEOPARD IN LIVERPOOL , 55 lavishly illustrated first-hand stories by a Liverpool sailor THE LEAVING OF LIVERPOOL, Latest Killer-Thriller From Michael Walsh the City Vigilante Supremo The Stigma Enigma , A powerful thought-provoking paranormal romance The Soul Meets, How to form a naughty ménage a trois THE DOVETAILS and SEX FEST AT TIFFANY’S.

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MICHAEL WALSH is a journalist, author, and broadcaster. His 70 books include best-selling RHODESIA’S DEATH EUROPE’S FUNERAL, AFRICA’S KILLING FIELDS,  THE LAST GLADIATORS, A Leopard in Liverpool, RISE OF THE SUN WHEELEUROPE ARISE, FOR THOSE WHO CANNOT SPEAK, THE ALL LIES INVASIONINSPIRE A NATION Volume IINSPIRE A NATION Volume II, and many other book titles. These illustrated best-selling books are essential for the libraries of informed readers.

The author’s books available for purchase by visiting his website BOOKSTORE, and POETRY  links.

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BUY FROM AUTHOR

MEGACAUST Michael Walsh. R. J. Rummel,   Power Kills: Genocide and Mass Murder (Journal of Peace Research) 164 million people have been killed in cold blood this century by Capitalist / Communist governments. 

SLAUGHTER OF A DYNASTY  Michael Walsh. Covertly sponsored by Wall Street banks and the White House Bolsheviks seized Tsarist Russia (regime change). For 36 years news of Bolshevik atrocities and 70 million martyred Christians were censored by Western media.  Lavishly illustrated, this expose reveals secrets removed from Western history books.

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BOOKS THAT CHALLENGE, INSPIRE, INFORM Michael Walsh, ‘Writer of the Year’ with a strong global following. Nearly 70 interesting Amazon book titles famed for changing and improving lives. CLICK TO VIEW

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