Physician’s Informed Consent

by in Vaccine Safety January 27, 2014

The forms below may be helpful to ask your doctor to fill out and sign if he/she may be pressuring you to vaccinate your child or if your doctor demands that vaccines are safe.

Take all the time you need to educate yourself (and partner) – whether you should vaccinate via CDC/Alternate Schedule or not at all.

Reviewed/Updated: 09/14
Content Created: 05/14



Trusted by Mom’s Everywhere

From foundational guidance to vaccination support, our products are pharmaceutical grade, organic, and scientifically studied to enhance your child’s immune system and neurological system. 


Dr.Ashley Mayer, founder of Dr.Green Mom®, is on a mission to provide you and your family with the tools to live a healthy life, TODAY. You deserve quality heatlhcare information that’s easy to understand, and even easier to implement.

Sign up today to get VIP access to her eBooks, health tips, and
up-to-date vaccine information for FREE!

FREE Guide to
Prepare for Vaccines
7 Secrets to
Prevent Sick Kids

Yes, sign me up for marketing emails from Dr. Ashley. For more information on how we use your information, check out our Privacy Policy. You can change your mind anytime by unsubscribing.

Order your Vaccine
Strategy Guide Today!