The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected. The Permanente Journal offers free full-text access for all online content.

Although individual sharing of content is permitted, reprint permission is required for republishing or reprinting journal content. Use as a handout, reprinting, republishing, adapting, or any other use, requires permission. Usage includes, but is not limited to;

• Journal Reprints
• Handouts
• CD's
• Online Internet and Intranets

To obtain permission to republish, reprint, or adapt material published in The Permanente Journal, access and complete the online Reprint Permission Form.

If you have questions contact

Monica Leigh, Senior Managing Editor
The Permanente Journal

Adapted material must be approved by The Permanente Journal, send a copy of adaptation to: . Allow 3-4 weeks for processing.