Oncology Nursing Society 125 Enterprise Drive ● Pittsburgh, PA 15275-1214 Toll Free: 866-257-4ONS ● Phone: 412-859-6100 ● Fax: 412-859-6163 pubpermissions@ons.org ● www.ons.org Request to Reuse Oncology Nursing Society (ONS) Content Permission from ONS is required to photocopy, distribute, post online, or otherwise share ONS copyrighted content or to reuse articles, tables, figures, excerpts, and other content from ONS books, journals, websites, web courses, and other ONS products. To request permission, please complete the form below and email it as an attachment to pubpermissions@ons.org. A royalty or licensing fee may apply. Please allow 2–4 weeks for processing. DATE OF REQUEST: IDENTIFICATION OF INFORMATION TO BE REUSED: Title of publication (book or journal), including volume and issue numbers: Title of book chapter or article: Author(s)/editor(s): Year of publication: Page number(s): What item(s) do you want to reproduce? (list table/figure number, appendix, entire article, etc.) INFORMATION ABOUT REQUESTOR: Name: Company or institution: Street address: City: State: Zip/postal code: Phone number: E-mail address: Country: Are you (or the person you are representing) a contributing author of the ONS material you wish to reuse? USE/REPUBLICATION INFORMATION: Material will be [check one] Reprinted for use in another publication Adapted for use in another publication [attach copy of adaptation] Photocopied for distribution [number of copies] Posted online: If yes, give time duration, name of website, and web address Other [please explain] Company or institution that will publish or otherwise reuse the content: Purpose (staff training, classroom teaching, patient education, etc.): Estimated number of potential viewers: Who will the viewers be? Will a purchase price, tuition, registration cost, or other fee be charged to view?: Expected date of publication or use: Number of individual hospitals in your system, facilities, schools, or other institutions that will use: If hospital(s) or other care facilities, how many “patient beds” at each location?: Distribution (North America only or worldwide): Language(s): The mission of the Oncology Nursing Society is to promote excellence in oncology nursing and quality cancer care Integrity ● Innovation ● Stewardship ● Advocacy ● Excellence ● Inclusiveness If a publication, type of publication in which material will be reproduced (book, journal, website, etc.): Title: Author: Publisher: Expected print run: Will electronic or online version be available?: If yes, please provide the estimated number of online viewers: Web address if “online only” or if online version of print version will be available: Further comments or explanation so we fully understand your request: If granted, permission would be subject to the following conditions: 1. Reproduced material would need to be clearly identified with the name of the copyright holder, author(s)/editor(s), year of publication, book/chapter/article title, and page number(s) where material appeared. 2. Permission would be granted for nonexclusive, one-time use only, as described in the request. Electronic or any other usage would require a separate request. 3. Permission would be granted for use in the English language only. Translations of materials would require a separate request. 4. Permission could only be granted if the material is original to an Oncology Nursing Society publication. If the requested material has appeared in our publication with credit or acknowledgment to another source, it would be the requestor’s responsibility to secure permission from that source, as well. The mission of the Oncology Nursing Society is to promote excellence in oncology nursing and quality cancer care Integrity ● Innovation ● Stewardship ● Advocacy ● Excellence ● Inclusiveness