When you are admitted to the hospital, you sign all sorts of releases from liability to protect the hospital. You do have a Patient’s Bill of Rights that the hospital must show you. Additionally, this writer has composed the legal document below for the purpose of avoiding being murdered in the hospital. Apparently in Nebraska, the Federal government pays the hospitals there $400K to handle COVID patients. Any conflict of interest there? Don’t sign anything until the below is signed – the hospital could get sued if they don’t admit you in an urgent situation, so they are between a rock and a hard place if you insist this be signed first. Follow the protocols carefully.

Provider & Patient Agreement

This agreement, hereafter referred to as Agreement, is voluntarily entered into between patient ___________________________________, hereafter referred to as Patient, and the hospital, or medical facility, ___________________________________, hereafter referred to as Provider, and all parties who are signatories to this Agreement do hereby recognize this Agreement as superseding any and all Provider agreements signed at the time of the Patient’s admission for and under the Provider’s care, and as such the signatories to this Agreement agree to the following list of 6 (Six) items, and anything not mentioned in this following list will then revert to the admissions agreement that the Provider requires for services, treatment and medications not listed in this Agreement and which are usual and customary in the Provider’s purview of its everyday business practices.  The Provider will have a signatory who is an officer of the corporation and/or a general administrator overseeing the entire operation of the Provider.  In all cases, the Provider will operate in the best interests of the Patient and Patient’s agents and assigns as they see fit, and if Patient is incapable (in an unconscious or delirious state) of representing him or herself, then an agent or assign of the Patient may sign on his/her behalf.  Signatories, for purposes of this agreement, recognize only two sexes/genders – male (him) and female (her). 

The following items will be forbidden to the Provider to utilize or benefit from in any way, shape, or form as designated below:

1.)  The Provider agrees that provider will receive no monies from any government agency, Federal, Regional, State, County or Municipal or related vehicle, whether formally or informally recognized by the Provider or any agents or assigns who represent the Provider, unless and until the Patient is released with a clean bill of health, and the following points immediately below are also observed faithfully and completely.

2.)  The Provider agrees that the Provider will under no circumstances perform any testing for COVID or any diseases related to (Example – “Variants”) or of a similar nature to COVID.  This would specifically apply to any testing for viruses which will not be allowed nor paid for by the Patient or Patient’s agents or assigns.  Necessary testing for other purposes including bacterial infections will be permissible. 

 3.)  The Provider agrees that under no circumstances will they intubate the Patient for purposes of using a ventilator unless necessary for the patient to be sedated for purposes of surgery or significant physical trauma and as such, help in breathing is required, and in which case a qualified and certified respiratory therapist would be assigned and utilized by provider to administer and supervise the ventilator’s use.                                                                                                                                                           4.)  The Provider agrees to refrain from using any medications which are known to have deadly side effects or highly deleterious side effects such as Remdesivir, and vaccines or euthanasia drugs unless requested in writing by the Patient if competent or 2 (two) of the Patient’s agents and/or assigns,but not limited specifically to those listed medications only.                                                                                                                                                                   

5.)  The Provider is admitting the Patient as mentally competent (unless attested to otherwise and in writing by at least two (2) of Patient’s agents and/or assigns) and as such, Patient may be, upon 60, or less, minutes notice, at Patient’s (or Patient’s agents and/or assigns) own request, discharged and released from the Provider’s facility without delays and/or disputation on the part of the Provider or Provider’s agents or assigns.  Additionally, upon admittance, the Patient’s immediate family members, agents and/or assigns will be allowed to visit during normal posted visiting hours, and if no posted hours exist, then Patient’s agents and assigns will be able to visit the patient, up to 2 (two) at a time, 7 (Seven) days a week between the hours of 1 p.m. to 5 p.m. in person and in close proximity – meaning less than 6.1 (six and one tenth) feet anywhere in Provider’s facility except for med/surg.  Patient will be allowed to have a spouse, one sibling, or one child to sleep in the Patient’s room overnight if Patient or Patient’s agents or assigns deem it necessary or appropriate.  Patient’s breathing will not be impaired or impeded by having to wear a face or head covering (oxygen administration according to doctor’s orders and to be supervised by a respiratory therapist or nurse on duty excepted). 

6.)  If there is any doubt or disputation as to the veracity and efficacy of any Federal, State or local government’s regulations and/or protocols from the NIH, CDC, HHS, Medicare, Medicaid or any other Federal, State or local agency not listed here, then the Provider and its agents and assigns will be, not only free to, but obligated to, pursue that which is by medical consensus considered an acceptable and beneficial practice(s) to aid in the Patient’s full recovery with that as the sole goal, and that can, with judicious and prudent practices, include off label uses of well-established and safe drugs such as Ivermectin and Hydroxychloroquine as just two examples, but not limited to these examples only.  Provider further agrees to comply with Patient or Patient’s agents and/or assigns request to take such action if appropriate in Patient’s or Patient’s agents and/or assigns opinion.

Any disputes to this agreement will be resolved as final, utilizing the closest to the Patient’s residence American Arbitration Association office.  The losing party will pay both parties legal expenses.  This is the entire agreement, and no changes may be made to this agreement except in writing and signed by the Patient or patient’s agents and/or assigns and the Provider.

___________________________________________________            ___________________________________________________

Provider Signature & Title                         Date                 Patient Signature or Representative          Date

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