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Professionals for Medical Informed Consent and Non-Discrimination (PROMIC) share forms to provide medical information for medical professionals declaring conditions for Covid-19 vaccination exemption

The forms below have been prepared to assist and empower an individual to make a fully informed choice as to whether they want to receive the COVID-19 vaccination. No guarantees are provided as to whether (1) any health professional will accept or sign the form (2) the form will be recognised by any organisation. The forms are not intended to give, nor do they give, any medical or legal advice. If an individual has any concerns about the COVID-19 vaccine or if they are being told or recommended to have the COVID-19 vaccine, they are encouraged to seek independent legal and medical advice.

Exemption Forms:





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(UN General Assembly, 1948) The Universal Declaration of Human Rights: 1. All human beings are free and equal 2. No discrimination 3. Right to life 4. No slavery 5. No torture and inhuman treatment 6. Same right to use law 7. Equal before the law 8. Right to be treated fair by court 9. No unfair detainment 10. Right to trial 11. Innocent until proved guilty 12. Right to privacy 13. Freedom to movement and residence 14. Right to asylum 15. Right to nationality 16. Rights to marry and have family 17. Right to own things 18. Freedom of thought and religion 19. Freedom of opinion and expression 20. Right to assemble 21. Right to democracy 22. Right to social security 23. Right to work 24. Right to rest and holiday 25. Right of social service 26. Right to education 27. Right of cultural and art 28. Freedom around the world 29. Subject to law 30. Human rights can’t be taken away