17A: GP - Refusal of Vaccine following repeated requests by GP to receive the vaccine

Following the increased pressure by G.P's to push the Covid vaccine amongst their patients and repeated harassment of telephone calls, letters and emails, we have put together this letter to send to your GP to refuse the vaccine and to request that no further letters, calls are made to push the Vaccine.

Simply copy and paste this letter, put in your details in the (Bracket) areas, sign the letter and obtain someone over the age of 18 years to witness sign it then send it either via email or tracked post to the GP practice.  You can if you wish send a copy to your local health authority to put on your health records.

**Remember to include your details in the relevant (Bracket) areas to personalise it**  *Please note this letter is available in a choice of formats, Microsoft Doc., ODT (Word) or PDF formats are available to download at the end of this letter.

Start your Copy & Paste here:

(Your Name) 

(Your Address)

 Tel: (   ) 

Email: (   )

Dated : (Today's Date)


For the attention of (Your GP) 

(Address of GP Practice)

To (Doctor's Name) 

Further to your request that I attend to receive the Covid 19 (SARS-CoV2) vaccination, I 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 rightsstatement”): 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 The consent should, where appropriate, be express and may be withdrawn by the person concerned at any time and for any reason without disadvantage or prejudice.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(SARS Cov2) testing or vaccinations to be conducted or performed on any part of my body and would kindly request that I do not receive any further requests from the practice or those representing the practice to be vaccinated. 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. 


Your Name


Witness Name

Download Microsoft Doc., PDF or ODT (Word) version here: