Policy for Use & Charges

Please click HERE to view the complete permissions and charges for use of NPUAP publications and products.

Request for Permission to Use NPUAP Product

Name & Title_______________________________________________________________________



City, State, Zip______________________________________________________________________


I hereby request permission for use of ______________________________________________________

Intended use:

_____Educational material for internal policy or training materials

_____Educational material for use by educational for-profit individual or agency

_____Educational material for use by educational for-profit multi-agency system

_____Educational material for free distribution by for-profit individual/group

_____Component of a saleable product

_____Other: please explain

_____Publication in a book chapter, _____manuscript,

_____educational resource, _____other edition in preparation and in all future editions, print or electronic, of the following:

Table, figure or selection to be reprinted (in totality):


Publication title:____________________________________________________________________

Article title:_______________________________________________________________________

Volume, page # & year:_______________________________________________________________



Will be identified in publication as figure/table:_____________________________________________

Legal Agreement for Use of the NPUAP

_____By typing AGREE in this box, you agree to the following.

I/we agree that the NPUAP____________________________________________________ will be used as it was developed by the National Pressure Ulcer Advisory Panel (NPUAP) unless express permission is granted for use in another format. When the NPUAP document is printed, the document will include the full name of the NPUAP product. Printed materials will also include the phrase “Used with permission of the National Pressure Ulcer Advisory Panel & date.” The permission granted through this process cannot be transferred to others or used for other purposes than expressed above and approved by the NPUAP. © NPUAP

Return to:
Ana Mattson, Program Coordinator
4 Lan Drive, Suite 310
Westford, MA  01886
E-mail: ana@npuap.org

Permission approved:________________________________________  Date_______

Approved by BOD, 6/17/10