Physician’s Warranty of Drug Safety
by Harvey Wysong
I (Physician’s name, degree) _________________________, _____ am a physician licensed to practice medicine in the State of ________________. My State license number is _______________, and my DEA number is _______________. My medical specialty is ________________________
I have a thorough understanding of the risks and benefits of all the medications that I prescribe for or administer to my patients. In the case of (Patient’s name) ___________________________,
age _________, whom I have examined, I find that certain risk factors exist that justify the recommended drug/s. The following is a list of said risk factors and this/these drugs will protect against them:
Risk Factor Drug
I am aware that drugs typically contain some of the following fillers:
• aluminum hydroxide
• aluminum phosphate
• ammonium sulfate
• human diploid cells (originating from human aborted fetal tissue)
• mercury thimerosol (thimerosal, Merthiolate®)
• monosodium glutamate (MSG)
• neomycin sulfate
• phenol red indicator
• phenoxyethanol (antifreeze)
• potassium diphosphate
• potassium monophosphate
• polymyxin B
• polysorbate 20
• polysorbate 80
• porcine (pig) pancreatic hydrolysate of casein
• residual MRC5 proteins
I hereby, warrant that these ingredients are safe for the body of my patient. I have researched reports to the contrary, that such reports might cause neurological and immunological damage, and find that they are not credible. I am aware that some drugs have been found to have side effects. I hereby warrant that the drug/s I employ in my practice are safe and pose no substantive risk to my patient.)
I hereby warrant that the drug/s I am recommending for the care of (Patient’s name) _______________ _______________________ are safe.
In order to protect my patient’s well being, I have taken the following steps to guarantee that the drug/s I will use will contain no damaging contaminants.
STEPS TAKEN: ____________________________________________________________________
I have personally investigated the reports made to the VAERS (Vaccine Adverse Event Reporting System) and state that it is my professional opinion that the drug/s I am recommending are safe for administration.
The bases for my opinion are itemized on Exhibit A, attached hereto, – “Physician’s Bases for Professional Opinion of Drug Safety.” (Please itemize each recommended drug separately along with the bases for arriving at the conclusion that the drug is safe for administration.
The professional journal articles I have relied upon in the issuance of this Physician’s Warranty of Drug Safety are itemized on Exhibit B , attached hereto, – “Scientific Articles in Support of Physician’s Drug of Safety.”
The professional journal articles that I have read which contain opinions adverse to my opinion are itemized on Exhibit C, attached hereto, – “Scientific Articles Contrary to Physician’s Opinion of Drug Safety.”
The reasons for my determining that the articles in Exhibit C were invalid are delineated in Attachment D , attached hereto, – “Physician’s Reasons for Determining the Invalidity of Adverse Scientific Opinions.”
I understand that the many drugs like I am prescribing as a licensed physician in the state of ____________ have been reported by the AMA to kill over 106,000 a year.
The following scientific studies have been performed to demonstrate the safety of the drug/s I am prescribing.
In addition to the recommended drug/s as protections against the above cited risk factors, I have recommended other safe natural measures to protect the health of my patient and have enumerated said measures on Exhibit D, attached hereto, “Non-Toxic Measures to Protect Against all Risk Factors.”
I am issuing this Physician’s Warranty of Drug Safety in my professional capacity as the attending physician to (Patient’s name) ________________________________. Regardless of the legal entity under which I normally practice medicine, I am issuing this statement in both my business and individual capacities and hereby waive any statutory, Common Law, Constitutional, UCC, international treaty, and any other legal immunities from liability lawsuits in the instant case.
I issue this document of my own free will after consultation with competent legal counsel whose name is _____________________________, an attorney admitted to the Bar in the State of __________________ .
__________________________________ (Name of Attending Physician)
__________________________________ L.S. (Signature of Attending Physician)
Signed on this _______ day of ______________ A.D. ________
Witness: ___________________________________ Date: ______________________
Notary Public: ______________________________ Date: _____________________