HP Program Status Sheet

Name  ________________________ File No.________, is being educated to recognize the following infectious diseases using high potency homeopathic remedies. Clinical practice over 200 years indicates that this program is comparably as effective as conventional vaccines, and is non-toxic. The following chart indicates the current program status of the patient and has been dated and signed by the parent, and signed by the HP Supervisor who oversees administration of the program.

Recommended Age given Remedy Potency Remedy Label Date of Admin Initials Reaction if any
1 month Pertussin 200 A1
2 months Pertussin 200, 200,    200 A1
3 months Pneumococcinum 200 B1
4 months Pneumococcinum 200, 200, 200 B1
5 months Polio 200 C1
6 months Polio 200, 200, 200 C1
7 months Haemophilus 200 D1
8 months Haemophilus 200, 200, 200 D1
9 months Meningococcinum 200 E1
10 months Meningococcinum 200, 200, 200 E1
11 months Tetanus Toxin 200 F1
12 months Tetanus Toxin 200, 200, 200 F1
13 months Parotidinum 200 H1
14 months Parotidinum 200, 200, 200 H1
15 months Morbillinum 200 I1
16 months Morbillinum 200, 200, 200 I1
17  months Rest month or
Supplemental RX
Submit First Questionnaire Sheet
18 months Pertussin 10M, 10M, 10M A3
19 months Pneumococcinum 10M, 10M, 10M B3
20 months Polio 10M, 10M, 10M C3
21 months Haemophilus 10M, 10M, 10M D3
22 months Meningococcinum 10M, 10M, 10M E3
23 months Tetanus Toxin 10M, 10M, 10M F3
24 months Parotidinum 10M, 10M, 10M H3
25 months Morbillinum 10M, 10M, 10M I3
26 months Supplemental RX
Submit Second Questionnaire Sheet
28 months Pertussin 10M, 10M, 10M A3
30 months Pneumococcinum 10M, 10M, 10M B3
32 months Polio 10M, 10M, 10M C3
34 months Haemophilus 10M, 10M, 10M D3
36 months Meningococcinum 10M, 10M, 10M E3
38 months Tetanus Toxin 10M, 10M, 10M F3
40 months Parotidinum 10M, 10M, 10M H3
42 months Morbillinum 10M, 10M, 10M I3
44 months Supplemental RX
Submit Third Questionnaire Sheet

Remedy-Disease Relationship: Pertussin – Whooping Cough; Pneumococcinum – Pneumococcal Disease; Polio nosode – Polio; Haemophilus – Hib Influenzae type B; Meningococcinum – Meningococcal Disease; Tetanus Toxin – Tetanus; Parotidinum – Mumps; Morbillinum – Measles

Homeopath