Instructions: Complete the following information in full. Your request will be reviewed by ACS Staff to determine whether use will be allowed, either through execution of a Permissions Agreement or a License Agreement.

In most cases, payment of a fee will be required. Depending on the use, an administrative fee of $250-$500 will be assessed for approved permissions requests. More information on fees for requests that will require a License Agreements will be provided once the request is reviewed.

Once reviewed by ACS Staff, more information may be requested. Alternatively, information on next steps and, if applicable, an overview of required fees will be provided.


Please allow at least 10 business days for an update.
Before completing the below request form, please review the ACS Cancer Programs Content Use Permission Requirements guidelines.

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* 1. Name of Individual/Entity Submitting Request

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* 2. Contact Name (Individual/Representative)

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* 3. Contact's Email Address

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* 4. Contact's Phone Number

Materials Requested: Select the standards manual(s) for which permission of use is being sought. If only select standards are being requested, please list all applicable standards.

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* 5. Optimal resources for Breast Care (2024 Standards)

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* 6. Optimal resources for Cancer Care (2020 Standards)

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* 7. Optimal resources for Rectal Cancer Care (2020 Standards)

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* 8. National Accreditation Program for Breast Centers Standards Manual (2018 Edition)

Use of Materials: Please provide details on the reason for the request and how the materials will be used

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* 9. Requested Manner of Use

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* 10. Requested Purpose

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* 11. Requested Duration

General Comments

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* 12. Please provide any relevant information not covered by the questions above

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