17. Declaration of Living Will No Testing/vaccinations


TEMPLATE LETTER FOR DECLARATION OF NON-CONSENT OF TESTING & VACCINATION

TO BE PLACED ON MEDICAL FILE AT HEALTH BOARD

This is a pre-empt Template, it was the very first template that Helping Hands Support Group produced, it started with us using it for our personal use and sending it to our local health board to keep on our medical files, however; as the surge in testing and soon-to-be vaccinations are taking place, this letter is a *Warning* letter to anyone in charge of your treatment i.e. Doctor (GP), Hospital, Medical Centres or referrals.  This letter exempts you from any Covid testing should you not be conscious or unable to make your wishes known, by signing and having this witnessed, the local health board have confirmed that it is legal and binding and when this letter is put on your medical file - you cannot be forced to have a Covid Test or Covid Vaccination at any time.

**Remember to include your details in the relevant (Bracket) areas to personalise it**  *Please note this letter is available in two formats, Microsoft Doc., ODT (Word) or PDF format.

Download Microsoft Doc version of letter here:  Letter 17 - Declaration of living will - no testing or vaccinations.doc

Download ODT (Word) version of letter here:  Letter 17 - Declaration of living will - no testing or vaccinations.odt

Download PDF version of letter here:  Declaration of non consent to Testing and Vaccinations to Health Board.pdf

Copy & Paste letter - Send the letter to 'The Medical Records Manager' at your Local Health Board - keep a copy for yourself.


(Your Name

Your Address)

Tell: (   )

Email: (   )


Dated : (Today's Date)

To The Medical Records Manager

(Address of Local Health Authority)


To whom it may concern

I “Your Name” wish it to be known and understood that as from the date appearing on this document and in the event that I am incapacitated in any way whatsoever and unable to voice or make  my decision known and “In accordance with my Human rights (Article 6.1 UK law and  Article 6.1 & 6.3 2005 UNESCO bioethics human rights statement”):

UNESCO Bioethics & Human Rights 2005

Article 6 – Consent

1. Any preventive, diagnostic and therapeutic medical intervention is only to be carried out with the prior, free and informed consent of the person concerned, based on adequate information. The consent should, where appropriate, be express and may be withdrawn by the person concerned at any time and for any reason without disadvantage or prejudice.

Article 6.3

In appropriate cases of research carried out on a group of persons or a community, additional agreement of the legal representatives of the group or community concerned may be sought.  In no case should a collective community agreement or the consent of a community leader or other authority substitute for an individual's informed consent.

I wish it to be known that I DO NOT give consent and I refuse to allow any form of Coronavirus, Covid19 or SARS Cov2 testing or vaccinations to be conducted or performed either internally or externally on any part of my body.

This request does not remove my rights to necessary NHS treatment that is deemed necessary for continued good health and only refers to testing and vaccination of SARS-CoV2.

Any such attempt in contravention of my wishes will be treated as common assault and in contravention of my human rights mentioned above and will be the subject of prosecution in law of those involved in this action.

Signed


Your Name


Witnessed


Witness Name


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