AMERICAN PSYCHIATRIC PUBLISHING, INC.
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| REQUEST FOR PERMISSION TO REPRINT TEXT FROM
APA/APPI BOOKS AND JOURNALS INCLUDING ALL EDITIONS OF THE DSM
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PART I. Contact Information:
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PART II. Material to be Reproduced:
(Note: Sections of DSM-IV-TR that may NOT be reprinted include complete
chapters or Appendices A, G, and H.)
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PART III. Description of Your Proposed Product:
Please provide a general description of your proposed Product and then answer
the specific questions below. Please attach to your request sample pages or a
copy of the proposed Product or a more detailed description.
Attachment:
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PART IV. Acknowledgements and Signature:
I acknowledge that submission of this Request for Permission or receipt of a permission fee quote does not
constitute permission, and that any use of any copyrighted text owned by APA or
APPI is unauthorized unless and until I am in receipt of a signed Permission
letter or Electronic Product License Agreement.
I further acknowledge that my proposed use may be such that I may be required
to enter into an Electronic Product License Agreement in APA or APPI's sole
discretion.
I further acknowledge that if any usage or administrative fees are assessed by
APA or APPI, the signed permission may be withheld until such fees are paid.
Disagree
Agree
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