I DO NOT CONSENT
This might work to exempt you from mandatory covid testing, Doubt it, but it sounds good
NOTICE AND WARNING
“NO CONSENT FOR MEDICAL TESTING AND TREATMENT”
1. All medical procedures, including testing, must be consensual and performed by a licensed
physician in order to be lawful.
2. Non-consensual administration of a medical procedure is felony assault and battery
whether or not administered by a licensed physician.
3. You may not conduct any medical procedure or testing on my body (or the bodies of my
children) without written consent from me.
4. “Protection” of any “group” such as “the general public” does not suspend my individual
rights.
5. Any person administering medicine without the consent of the patient and/or guardian is
subject to, and fully liable for major compensation and penalties owed to the victim.
6. Criminal charges may be filed against those who coerce, threaten or perform medical
procedures without patient consent.
7. By attempting any non-consensual medical procedure you are agreeing to all terms herein.
8. The United States Constitution prohibits non-consensual medical testing and treatment (4th
Amendment.)
9. Additionally, I will invoke any of the numerous state and local laws and codes which call for
penalties against the forced application of medicine and/or practicing medicine without a license.
10. I attest and witness that ” I DO NOT CONSENT” to medical testing and treatment.
Written name of individual refusing testing: _ ______________________________________
Signature: ___________________________________________ Date: __________________
Name of Institution requiring testing: _____________________________________________
Written name of person requiring testing:__________________________________________
Signature of person requiring testin: _________________________________ Date: ________
