clinicalpracticeguidelinespermissionsagreement Page Content This Permissions Agreement grants ECRI Institute ("ECRI") the perpetual, non-exclusive right to prepare derivative summaries (i.e., Guideline Briefs) of your organization's clinical practice guidelines (guidelines) and to display and distribute these summaries on the ECRI website. Your organization agrees to grant ECRI the right to produce Guideline Briefs that include content from your clinical practice guidelines, for your organization's current and future guidelines that meet the ECRI Inclusion Criteria. Your organization agrees to provide ECRI with an electronic unlocked full-text version of your organization's clinical practice guidelines. Your organization represents and warrants that it is the author(s) of the guidelines, and/or that it possesses all rights necessary to grant the rights herein to ECRI. Your organization represents and warrants that the guidelines do not infringe upon any copyright, trademark or other proprietary right of any third party. Your organization also represents and warrants that by entering into this Agreement it is not violating any agreements with third parties. ECRI agrees to provide attribution to your organization as the author/developer/owner(s) of such clinical practice guidelines. ECRI agrees to inform users about standard terms governing downloading, use, and reproduction of clinical practice guidelines. Please have an authorized representative from your organization check this box, to confirm that you understand and agree to the terms and conditions herein. Content Review Granting ECRI permission to prepare summaries of your organization's guidelines will NOT preclude your organization from reviewing ECRI-developed summaries. Your organization may choose to review summary content prior to it being posted on the ECRI website OR to forgo review of the summary content. ECRI's goal is to expediently post your organization's content so it is quickly disseminated to our global audience. Please indicate your preference below. Allow my organization to review content (e.g., Guideline Briefs, TRUST scorecards) prior to posting to ECRI's website (1-week review period). Allow ECRI to post content to its website without my organization's review. Contact Information * Organization Name: * Address: Address 2: * City or APO/AFO: * State/Province/Region: * Country select AALAND ISLANDSAFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOWINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGO, Democratic Republic of (was Zaire)CONGO, Republic ofCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIA (local name: Hrvatska)CUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFRENCH SOUTHERN TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHEARD AND MC DONALD ISLANDSHONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRAN (ISLAMIC REPUBLIC OF)IRAQIRELANDISRAELITALYJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAUMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OFMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA, FEDERATED STATES OFMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINIAN TERRITORY, OccupiedPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT HELENASAINT KITTS AND NEVISSAINT LUCIASAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIA AND MONTENEGROSEYCHELLESSIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDSSPAINSRI LANKASUDANSURINAMESVALBARD AND JAN MAYEN ISLANDSSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB REPUBLICTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESUNITED STATES MINOR OUTLYING ISLANDSURUGUAYUZBEKISTANVANUATUVATICAN CITY STATE (HOLY SEE)VENEZUELAVIET NAMVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)WALLIS AND FUTUNA ISLANDSWESTERN SAHARAYEMENZAMBIAZIMBABWE * Zip/Postal Code * Authorized Signatory/Grantee Name * Phone Number: Fax Number: * E-mail Address: This Agreement shall be effective as of the date it is submitted, and shall remain in force unless terminated by either party by giving prior written notice to the other party of not less than sixty (60) calendar days. If this Agreement is terminated, ECRI shall be permitted to continue to use, and distribute, those guidelines that were provided hereunder up through the date of termination. ECRI will maintain this agreement on file and make it available to the guideline developer upon request. No fees shall be paid by ECRI to your organization in exchange for ECRI's use of the guidelines. Any questions, please contact Lisa Haskell (email@example.com).