ASSESSMENT BY PHYSICIAN FAMILY MEDICINE LETTER OF MEDICAL EXEMPTION FAMILY BHYSICAN NAME & COLLEGE 1D NUMBER: DR, STEPHEN NALTHOUSE MD CPSBC Regist 08323 DOCTOR'S ADDRESS BABEAR 0 ex 0121, Klow. 1 Chml INA CANAD ma scmubcsssbimcn TELEPHONE: Ofc 183815 Fa. 1 54 085087 DATE: 6/24/2021 Towhom may concers BABES: eg const ma sly onder me oben EXPERT ging he rs of MEDICAL 0 PICHGEOUAL EMPTON by vue of. (1) my CHOKE OF PROFSSON & my SCE OF PRACTICE, (3 my COULGE OF TSCA & SURGRONSASSUED ALINE MEDAL LENCE 1) my GOOD RAPRORT, ATTENTION T0 SOUNDARES ad bose, PROFESSOUAL COMMUNICATON, with he prin, 4) FOCUSED, yt THOROUGH, UNBIASED ASSSSHENT 5) my CONTIG PAESSONAL OFVEOPVENT (CP) ACCREOTATON with he COLGE OF FAY PHYSGANS OF CANADA (CHP, and (6 GEOCATON tt rer OF APPRORIMATELY TWOOECADES of FLL TIE MEDKAL PRACTE UE DUTY TO ACCOMMODATE: Asan EXPERT, | rey POUTEYREGUES hat ts ter of MEDIAL EXEMPTION 86 CONSOERED SAFCENY BAGGY, at b COURT EVIDENCE, tet he cnt MEDICAL or PYGHGAOCIAL CONDOS) wi be enson or » zu of BB var) ps he ie Sn hs MEDICAL EXEMPTION te, snc, SPECIAL nt hos a evr. suh thre eed as o 5, LAGE UPHOLD THEIR DUTY TO ACCOMMODATE et wiht pera martetenior asim MUM BGHTS § IMORMED MEDIAL CORSET: Tis MEDIAL BXCHPTON eter vs writen for he purpose of Combing wih THE PATENTS HUMAN GATS 5 Gs) Uversah.Aced Gncmrs Geri Hrs Rc Felton o formed Meda Coa wl, 3 Te Coa Charro Fm hs rcs whic rt of 1983 Conan Contain Ac. Mee se. low ached fr del ADDENDUM 10 MEDAL XEHPTION 10k ou yu asd i positon of author a sprit, an oranation ht wkd 59a vou n ooh 1 mons REQUESTING ety ee OTE DUTY TO ACCNMOOAT rio ih MEDGA. EXEMPTION Fs ese Ntsc Une ecraton on Beetham anon AG 13 cob 208, Ark 6. Crier Secons 13,8 rie, Lt of the rember Code imbrer or, and Comins cher reds et 28-7, 3 fh Condon Contsion tof 93 CONPDATIATY PANACY. yiclsg hs MEDICAL EXEMPTION te 0 yo, my tnt DOES NOT GRANT YoU 4804350 to or cass wih aan without EXPRESSED VERSA ar WAITEN CONSENT se do nt aes, or it reser, elt io CHANGE TE SATUS OFT MEDIAL EXEMPTION, of ek fom hr an ANATE MEDC PCHOROGAL FORMATION beyond hate hs tr Wyant nd 4D OBUGATIONa sre he DEALS. RESON) OAGNOSS ar CONOTIONS) fr heh hey re medal pt REGAROES OF WHET 6 MEDIAL PHOSOCAL OR SOT. he loan ersrt theca reumstancsb ahh a phn cd ens andes, REACH CONTOENTITY ) CON EATON, THREAT of RS. ()OIORL TREATS, RAS AM (OTHERS) 5) SUSPECTED, or NOW ABUSE F(A) CHLRER OR DEPENDANT) ADULTS). As ofthe dat of this etter, 0 thebestof my knowledge, his patient as thorugh dics he subjective MEDICALE PCHOSOCIAL istry am, and pon bcs EXAMINATION, hve sss ht media emt ro Wearing facemask o covering. any Kind due to ihr medal condition (Whhi not COVID 19 rete) COVID19 Vaccine, or ay Vaccine without explicit nord consent bythe pain or thi gard caregiver a Yer THOUSE, MO a or on STEPHEN C MATL nsatec [|r Stepien lL ThoUS E " Gotege POISE pnicaton oT i cian and CPSC RSC Cp ppguanona 0 Fa ear Ema Signature & College 1D Numbo (RED) ———— HUMAN RIGHTS, EXEMPTIONS & INFORMED CONSENT CONSIDERATIONS ADDENDUM: LAWS PROTECTING MEDICAL EXEMPTION(S) & INFORMED CONSENT [1 me Constitution of Canada ren cottution as cand) te spree in Cora. cuties Canad system of government ad th il and human igs of hs who ar ens of Canada and ncn n Canad. The Canadian Charter of Rights and Freedoms of 1982 so canada’ omsutio’ tems of Medco. rchosocl Exemption, we are party concarod with ecions 1. 2871 1 Guarates of hts and freedoms - SECTION, Candin Carta of Rights and Freedoms arinees heights and readoms st out subec any o sch ress Is reed oy 5 canbe Germans sd 131 and demos soc” 2 Fondomeralreedoms SECTIONZ, Teryone hs th folowing fandamena redo: 2 mado of conscncs and region om ke coon sn rcs, cin endo ft res nd sos maf fred of pecs samy; and {redo of ssocstion: 7. Ut, ary sect of he parson - SECTION 2 Chnacan Chater of Rehts ad reeds “Een hs the rightto fe, erty an secuty of the person an the ight not 0 dad href Hep 1 Serban ih th ANC f nda S. TN] provncat Human rights comissons sa te Canadian Human Rights Act, 1976-77, ¢.33, 5.1 monitor and puis frm of scrminton including ATTICA 3 spclid for of dcriminatin) om povnce a province. ecpl wt MEDICAL EXEMPTIONS cannot be discriminated saint, o haraad, by public seces, usineses, ec. [I] United Nations Educational, Scientific and Cultural Organization (UNESCO) 123 pecs gency of the UN ai at pramoting rid esc curt hough ntematonl coppestion n education, scans, ature unescos ‘Universal Declaration on Bioethics and Human Rights” 1s ocober 2005 rid Coser Seton. Scion, Scion 3 rs action o deranged Medio Corr Sacto. oy presenti, digas and therapeutic medical nterverton's ony to be cried out ith the pri, Tre nd informed consent of th person concrred based on adequate formation. The consent shoul, where Coproote ve cessed 9d maybe wih he pero coed ay endfor ay econ wit noavamoge or pede’ 2. Secon. Seen reich shoukdonly be card cut ith the pri fre, pres and formed coset of the peronconcered The formation shoud ade, proved 1 Comprehensive form an shoud nde lis or iharowa of onsen. Consent mo be wou the pers cocered ot rye ond or ary Tecan bout any Grachange of rues. eepion 0 i pci shout oe ook any cedars wih Coca ond eg stands odeted by Stes conten wih 1 cols ond revs ons se ut hs Decoration. porter Arle 27 ond neratonl umn hts 5. Socom. In cpropiat ots fer ori uk 039700 of prors oa commit, aftr agremert fhe egl representatives of th rau of coryriy conc b sought nro cone should 0 cole. Commun ayeement oh onset of o Comm oder of thr shart Subst te for n ahr ome consen” 27. Avil 2" tation on tha socio of th ints. he alcation of he princes of ts Deron ire 001d 5 by ow, En ows inh rests of pul ey fo se esigaion deacon ond prosecution of inal ffrces, for he recon of pul echo fr te ocho sh ges andes of ter. Any ch vt Sev 00 constant i meron) ho ges [IV] ne Nuremberg Code (emn: bers odes set of esearch ethics pincies or urn xprimeraton ened a esto the Nurambarg is th en fe Second ia Wh Narember Co 1537) FONT 1 Th vhtry consent f he human subject absltely ssntol ET ——— Gnfirmed by a CPSBC Canadian Board-Certified Medical Doctor (MD) licensed by the CPS { D 5 3 7 PAA / d