REFUSING and DO NOT consent to any Covid 19 Treatment

Date:   2/9/2023 6:44:40 AM ( 21 mon ago)

February 8, 2023 - NOTICE - To Any Hospital or Medical Facility -

for the REFUSAL of recommended treatment for Covid 19 from the NIH, CDC, FDA using Sedation, ventilation, Remdesivir protocols.

To whom it may concern:

I, ____________________
Name
being of sound mind, with this document am hereby notifying this and any Hospital or Medical Facility that I am REFUSING and DO NOT consent to any Covid 19 Treatment using the sedation, ventilation, Remdesivir protocol treatment. Administration of the foregoing, whether individually or in combination, shall be deemed AGAINST MY WILL.

I am informing this facility that I am refusing the protocol using Sedation, ventilation, Remdesivir because it is deadly. It is my expressed intent for this document to be kept in a prominent place in my records visible to anyone responsible for my care. This is formal notice that any person or facility administering the aforementioned treatment protocol against my will shall be subject to legal consequences, including wrongful death claims.

Further, In the event that I am unable to make medical decisions for myself, I appoint my Trusted family member ______________
Name
as the sole and exclusive designee to act on my behalf.

I do NOT give any of my medical rights or consent to deviate from my wishes outlined in this document to this facility or to ANY PERSON period.

I do NOT have a DNR in place and it is my desire to be resuscitated if needed. I do not give authorization to this facility to restrain, imprison, or keep me against my will and I have the right to leave on my own free will at any time I wish to do so.

These are my wishes with respect to COVID treatment and this document shall remain in full force and effect unless I terminate them by express written notice at a future date.

Notwithstanding anything to the contrary stated elsewhere, any consent forms I may sign authorizing treatment should not be misconstrued to negate or erode the directives set forth herein regarding the Covid treatment protocol noted above.[1]

______________ Date: ____________
Name

Witness: ___________ ​​​ Date: ____________



Witness: ___________ ​​​ Date: ____________


NOTARY:
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***
Notes:

[1] https://jeanmarcbenoitmd.substack.com/p/jan-24-2023-landmark-skidmore-paper/comments
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