Request for Permission to Republish

The copyright of all Wounds Canada resources is retained by Wounds Canada (Canadian Association of Wound Care). Users may download or print copies for their own, private use.

Users wishing to use reproduce or republish Wounds Canada material must seek prior approval for reproduction in any medium by completing this form.

Applicants for such permission should be aware that reproduction of Wounds Canada material must be verbatim, that is, unaltered, unless permission to revise material is given in writing.

Please note that should any additional forms, letters and/or provisions be required on behalf of Wounds Canada, an administration fee of $100.00 will apply.

The use of the Wounds Canada name or logo for the purposes of advertising or implied endorsement of any derived product or service is strictly prohibited.

All resources and materials provided by Wounds Canada are protected under copyright. Any unauthorized digitalization of these materials, in whole or in part, without the proper licensing agreements, is strictly prohibited and may result in legal action. Parties interested in utilizing these resources in any manner must seek and obtain appropriate licensing agreements with Wounds Canada. All rights reserved

This form has 7 sections. Please note that the information you provide isn't saved until you click Submit on the final page of the form.

Page 1 of 7

1. Applicant Information:

Invalid Input
Invalid Input
Invalid Input
I am a...
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Page 2 of 7

2. Table, figure or selection to be reproduced (in totality):

You can request up to 5 items per request. 

Invalid Input
Page 3 of 7

Item Request #1

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Item Request #2

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Item Request #3

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Item Request #4

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Item Request #5

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Page 4 of 7

Please indicate all intended uses of the material:

Select all that apply:







Invalid Input
Invalid Input
Page 5 of 7
Are you requesting permission to alter this material?
Invalid Input


Please indicate what type of modifications you are planning:

Translation
Invalid Input
Invalid Input
Abridgement
Please select one
Please provide details
Format
Please select one
Invalid Input
Other
Please choose one
Invalid Input
Invalid Input
Page 6 of 7
Invalid Input
Invalid Input
Are you are seeking permission to republish the material(s) within a larger document/publication?
Invalid Input

Please provide the details of that document /publication:

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Page 7 of 7

Legal Agreement for Use of this Wounds Canada material

By providing your digital signature below, you are agreeing to the following:

I/we agree that the Wounds Canada (Canadian Association of Wound Care) resources detailed in this request  will be used as it was developed by Wounds Canada unless express permission is granted for use in another format. When the document is published, the document will include the full name of the Wounds Canada product. Published materials will also include the phrase “Used with permission of Wounds Canada.” The permission granted through this process cannot be transferred to others or used for other purposes than expressed above and approved by Wounds Canada.

You can use your touch screen or mouse to sign below:

You must complete this field

 

Wounds Canada has permission to contact you
Invalid Input
Wounds Canada takes your privacy seriously. I agree that Wounds Canada and its authorized third parties will use the information you provided in accordance with our <a href="https://www.woundscanada.ca/policies-2">Privacy Policy</a> to send you communications which may include promotions, product information, and service offers.
Invalid Input
Invalid Input