If You Believe that COVID-19 is the "Kung Flu"...

Then please execute several copies of this waiver and ensure that your doctor and the local hospital have copies on file. If you don't, then you're tacitly acknowledging that your bleatings about "kung flu" and "it's just the flu" and similar things are not what you truly believe, that you're only saying that because you are a slavish follower of All Things Trump.

But if you truly believe that COVID-19 isn't a real threat, sign the waiver.



COVID-19 MEDICAL ATTENTION WAIVER

I, ____________________________, with a date of birth of ___________________________,
(Print your name) (month, day and year)

residing at ___________________________ in the County of ________________________.
(print your street address)

in the state of ___________________, ZIP Code _________, state the following:

WHEREAS, the news media is spreading stories about a disease that has been called “the Coronavirus”, “COVID-19”, “SARS-CoV-2” or other similar names (hereinafter “the Disease”); and

WHEREAS, I am convinced that the news stories alleging that the Disease is now a pandemic are hoaxes; and

WHEREAS, I believe that the Disease is no worse than the common influenza; and

WHEREAS, I believe that the so-called patients who are filling up hospitals are actually crisis actors; and

WHEREAS, I believe that the mandates to wear face masks and maintain “social distancing” are designed to train Americans into surrendering their God-given rights upon demand; and

WHEREAS, I believe that the requirements to close some businesses and limit the use of other businesses are a ploy to cripple the world's greatest economy and make Americans dependent on the government for their basic needs;

NOW, THEREFORE, I do knowingly make this Waiver of Medical Attention and state the following as an act of my free will and deed:

1. Medical Attention: I hereby demand and direct that any medical attention that is given to me, should I be diagnosed as having the Disease, be limited to those therapies that are commonly prescribed and given to those patients who have influenza.

2. Waiver of Hospital Admission: I hereby waive admission to a hospital or any other care facility for treatment of the Disease. I demand that all treatments and therapies be limited to home-based treatments.

3. Waiver of Respiratory Assistance: I hereby waive the use of any respiratory assistance, including but not limited to by reason of specification herein, ventilators, forced breathing, mechanical ventilation, or any similar device.

4. Waiver of Claim for Medical Malpractice: I hereby waive the right to pursue any claims for medical malpractice against any individual, hospital, partnership and/or corporation that declines to treat me in accordance with this Waiver of Medical Attention. My waiver of any such claims is binding on my administrators, executors, heirs and assigns.


5. Medical Power of Attorney: In the event that I have previously executed a medical power of attorney, any such medical power is hereby revoked or modified, as need be, in order to give full force and effect to this Waiver of Medical Attention.

6. Right to Pursue Claims of Assault: I hereby retain the right to pursue civil claims and criminal charges of assault and battery against any person or persons who administer treatment in contravention of this waiver. I hereby retain the right to pursue civil claims of assault and battery against any organization, entity or corporation that employs any such person as an employee or contractor.

I hereby execute this Waiver of Medical Assistance as an act of my free will and deed.

Dated this _______ day of ____________, 202__.

________________________________
(Sign your name)

________________________________
(Print your name)

Each of the undersigned declares that the person who signed this document did so in his or her presence; that said person is personally known to him or her and appears to be of sound mind and acting willingly and free from duress or undue influence; and that he or she is 18 years of age or older and is not designated as the person's Health Care Agent.

_______________________________residing at: _____________________________

_____________________________

_______________________________residing at: _____________________________

_____________________________


_______________________________residing at: _____________________________

_____________________________

Sworn to before me this ____
day of _________________, 202___


______________________________
Notary Public