Exemption Forms

Here: https://www.promic.info/exemption-forms

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.   

https://www.brighteon.com/embed/3ce1925f-8074-4f88-8742-b973297593a6

Please download whichever form is most relevant for your purposes. The forms are electronically editable as PDF documents, or they may be printed as hard copies and completed by hand.

PROMIC does not take responsibility for identifying doctors or other healthcare professionals who will declare exemptions. This is because PROMIC cannot expose such health professionals that may otherwise be targeted by licensing boards. We strongly advise you approach health professionals in your locality. In the event that your doctor or health professional is not prepared to make a declaration, we recommend you self-declare, which is your legal or constitutional right in most parts of the world.

PREVIEW OR DOWNLOAD CHILDREN UNDER 16 SELF-DECLARED COVID-19 VACCINATION EXEMPTION FORM

PREVIEW OR DOWNLOAD SELF-DECLARED COVID-19 VACCINATION EXEMPTION FORM

PREVIEW OR DOWNLOAD HEALTH PROFESSIONAL-DECLARED COVID-19 VACCINATION EXEMPTION FORM

HERE: https://www.promic.info/exemption-forms

Local Backup copies…

http://philosophers-stone.info/wp-content/uploads/2021/09/PROMIC_U1620Parent_Guardian20Exemption20Form_v10915_3.pdf

PROMIC_U1620Parent_Guardian20Exemption20Form_v10915_3

http://philosophers-stone.info/wp-content/uploads/2021/09/PROMIC_Self20Exemption20Form_v10821_1.pdf

PROMIC_Self20Exemption20Form_v10821_1

http://philosophers-stone.info/wp-content/uploads/2021/09/PROMIC_Health20Professional_Exemption20Form_v10821_2.pdf

PROMIC_Health20Professional_Exemption20Form_v10821_2

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