The AAP website suggests that this form should be used as a tool to for the doctor to convince parents TO vaccinate. Here is the form, copyrighted 2002, and the suggestions of the AAP to physicians.Current AAP refusal form
Dr's can print it right from the site or order pads from the AAP.
:Order Your Pad Today
Besides the "I understand I'm endagering my child" statement, this also bothers me...
|My child's health care provider, has advised me that my child (named above) should receive the following vaccines:
It doesn't say "my dr had advised me the AAP, CDC, etc recommends my child receive these vaccines". It says I have been told my child SHOULD receive these vaccines, I understand that, yet am refusing anyway. Luckily, my DD's ped has not yet asked us to sign one, though she mentioned it in the prenatal appt (18 mos ago).
Secondly, how many of you have been given the CDC's Vaccine Information Sheet? I never have. And, the time the nurse tried vaxing DD, she came with a tray of needles, without me given any info in advance.