Permission to appear in acknowledgments

This form is to be completed by contributors to a manuscript submitted to the BC Medical Journal (BCMJ). 

A contributor is someone who was involved with the creation of a manuscript but who does not meet authorship criteria.

All contributors will be listed in an acknowledgments section in the manuscript. Examples of those who might be acknowledged as a contributor include a person who provided technical help, writing assistance, or a department chair who provided general support. 

Because readers may infer their endorsement of the data and conclusions, contributors must give written permission to be acknowledged.

Proposed manuscript title *

Manuscript’s corresponding author *

Title -- DrMsMrMx

Title

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Given

Family

Family

Contributor’s name *

Title -- DrMsMrMx

Title

Given

Given

Family

Family

Telephone *

Email *

Please provide details of your involvement with the manuscript *

I grant permission for my name to be published in the acknowledgments section of the above-named manuscript. *

As a contributor to the above-named manuscript, I grant permission for my name to be published in the acknowledgments section.

Date: December 27, 2024

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