Parents HPV Letter to School

To: By Certified Mail

________________ School
Legal Department
______________________
______________________
______________________


NOTICE OF WARNING REGARDING UNDISCLOSED VACCINATIONS

As the parent of ______________________ I hereby instruct any and all persons associated with____________________ school that no injections, vaccines, or inoculations of any kind shall be administered to my child without my express knowledge and written consent. Any violation of my wishes for informed consent so clearly expressed may result in civil and criminal actions being initiated against any and all parties directly or indirectly responsible for such unauthorized medical procedures, to the fullest extent of the law.

Signed and witnessed this __________________________________
Date

Parent

__________________________ __________________________________
Sign print

Witness

_____________________
Sign
___________________
print