Anonymous ID: 6876b1 Sept. 5, 2021, 7:08 p.m. No.14528127   ๐Ÿ—„๏ธ.is ๐Ÿ”—kun   >>8154

>>14528115

Doesn't matter. It's still signed and all rights of the patient have been waived. There is zero recourse in any court of law due to the consent form being signed. My emotion and opinions are irrelevant at this juncture due to the sheep signing the contract. Only person that will be held accountable are those that lined up to get the shot and begged for it.

Anonymous ID: 6876b1 Sept. 5, 2021, 7:18 p.m. No.14528185   ๐Ÿ—„๏ธ.is ๐Ÿ”—kun   >>8204 >>8214

>>14528154 What's so complicated about this contract?

Page 2 of 2 DOH COVID-19 Vaccination Consent Form

Effective Date: 1/25/2021

DH8010-DCHP-01/2021

โ€ข I understand that this product has not been approved or licensed by FDA, but has been authorized for emergency use by FDA, under an EUA to

prevent Coronavirus Disease 2019 (COVID-19) for use in individuals either 16 years of age or older or 18 years of age and older; and the

emergency use of this product is only authorized for the duration of the declaration that circumstances exist justifying the authorization of

emergency use of the medical product under Section 564(b)(1) of the FD&C Act unless the declaration is terminated or authorization revoked

sooner.

โ€ข I understand that it is not possible to predict all possible side effects or complications associated with receiving vaccine(s). I understand the

risks and benefits associated with the above vaccine and have received, read and/or had explained to me the Emergency Use Authorization

Fact Sheet on the COVID-19 vaccine I have elected to receive. I also acknowledge that I have had a chance to ask questions and that such

questions were answered to my satisfaction.

โ€ข I acknowledge that I have been advised to remain near the vaccination location for approximately 15 minutes (or more in specific cases) after

administration for observation. If I experience a severe reaction, I will call 9-1-1 or go to the nearest hospital.

โ€ข On behalf of myself, my heirs and personal representatives, I hereby release and hold harmless the State of Florida, the Florida Department of

Health (DOH), the Florida Division of Emergency Management (FDEM) and their staff, agents, successors, divisions, affiliates, subsidiaries,

officers, directors, contractors and employees from any and all liabilities or claims whether known or unknown arising out of, in connection with,

or in any way related to the administration of the vaccine listed above.

โ€ข I acknowledge that: (a) I understand the purposes/benefits of Florida SHOTS, Floridaโ€™s immunization registry and (b) DOH will include my

personal immunization information in Florida SHOTS and my personal immunization information will be shared with the Centers for Disease

Control (CDC) or other federal agencies.

โ€ข I further authorize DOH, FDEM, or its agents to submit a claim to my insurance provider or Medicare Part B without supplemental coverage

payment for me for the above requested items and services. I assign and request payment of authorized benefits be made on my behalf to

DOH, FDEM, or its agents with respect to the above requested items and services. I understand that any payment for which I am financially

responsible is due at the time of service or if DOH invoices me after the time of service, upon receipt of such invoice.

โ€ข I acknowledge receipt of the DOH Notice of Privacy Practice

Anonymous ID: 6876b1 Sept. 5, 2021, 7:45 p.m. No.14528361   ๐Ÿ—„๏ธ.is ๐Ÿ”—kun   >>8411

>>14528344

chek't. It doesn't state any side effects. It just says there could be some and if there are you are not to hold anyone accountable and you are on your own. It's really simple anon. I get what you are saying but we are talking legalese here and with the signature on that consent form nobody else will ever be held accountable except the one that took the shot. It's that simple. Science is one big oops. With the consent form signed and science says in a few years woops we messed up the history books will be kind to the makers of the jab. Please do not ignore reality.