JOURNAL OF CHIROPRACTIC EDUCATION AUTHORSHIP FORM Materials published in the Journal of Chiropractic Education in print and online (ISSN 1532-6586) are covered by copyright. All rights are reserved under United States and international copyright and other laws and conventions. Each author must read and sign for the statements on 1) copyright, 2) authorship attribution and contribution, 3) conflict of interest, and 4) funding statement. Each author should fax this completed form to (760) 888-0323 to initiate manuscript processing OR mail original copies signed in ink by all authors (each author may sign a separate form) to: Journal of Chiropractic Education 711 Mission Ave, #336, Oceanside, CA 92054-2833 For the manuscript entitled: _____________________________________________________________________ Assignment of Copyright In consideration of the action of the Journal of Chiropractic Education (J Chiropr Educ) in reviewing, handling, and editing all the contents of this submission, I hereby transfer, assign, or otherwise convey all copyright ownership including all rights and incidental thereto, exclusively to the J Chiropr Educ, in the event that this work is published by the J Chiropr Educ. I affirm that this submission has not been previously published elsewhere in any medium (paper or electronic); the content has not been simultaneously submitted for publication elsewhere in any form, and is not subject to copyright or any other rights except my (our) own to be transferred to the J Chiropr Educ. Authorship Attribution and Contribution I confirm that I have contributed directly to the intellectual content of this paper and satisfy authorship requirements as stated at www.icmje.org :1) I have provided substantial contributions to conception and design, or acquisition of data, or analysis and interpretation of data; 2) I have been involved with drafting the article or revising it critically for important intellectual content; and 3) I have given final approval of the version to be published (authors should meet conditions 1, 2, and 3). If requested, I will provide the data and will cooperate fully in providing the data on which the manuscript is based for review by the editor. I agree to allow the corresponding author to make decisions regarding prepublication of this paper. I have contributed in the following areas: (check all that apply) ___ Concept development (provided idea for the research or article, created the hypothesis) ___ Design (planned the methods to generate the results) ___ Supervision (provided oversight/responsible for the organization and implementation of the project and writing of the manuscript) ___ Data collection/processing (responsible for experiments, patient management, organization, or reporting data) ___ Analysis/interpretation (responsible for statistical analysis, evaluation, and presentation of the results) ___ Literature search (performed the literature search and retrieve of articles) ___ Writing (responsible for writing a substantive part of the manuscript) ___ Critical review (revised manuscript for intellectual content prior to submission (not merely spelling and grammar checking) ___ Other (list other specific novel contributions) Conflict of Interest: Any conflicts of interest and financial interests on my behalf that exist (or may be perceived to exist) in connection with the content of this paper have been clearly disclosed to the J Chiropr Educ in the cover letter to the editor. A worksheet to determine potential conflicts of interest is located on the reverse of this form. Funding Statements: Sources of outside support of the project have been clearly stated in the cover letter, and the role of funding organizations, if any, in the conduct of the study is described in the appropriate section of the manuscript. By signing, I confirm that I have read the instructions for authors as posted on the journal website www.journalchiroed.com have complied with their contents, and with all of the above content of this agreement.
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Conflicts of Interest Please answer the following questions (all authors must answer). 1. In the past five years, have you or a member of your family accepted the following from an organization that may in any way gain or lose financially from the results of your study or the conclusions of your review, editorial, or letter: ______ Reimbursement for attending a symposium? ______ A fee for speaking? ______ A fee for organizing education? ______ Funds for research? ______ Funds for a member of staff? ______ Fees for consulting? 2. Have you in the past five years been employed by an organization that may in any way gain or lose financially from the results of your study or the conclusions of your review, editorial, or letter? 3. Do you hold any stocks or shares in an organization that may in any way gain or lose financially from the results of your study or the conclusions of your review, editorial, or letter? 4. Have you acted as an expert witness on the subject of your study, review, editorial, or letter? 5. Do you have any other competing financial interests? If so, please specify. If you have answered "yes" to any of the above 5 questions, we consider that you may have a competing interest, which, in the spirit of openness, should be declared. Please draft a statement to publish with the article. Please place this statement on the Title page of the manuscript. It might, for example, read: Competing interests: RS is the CEO of ACME adjusting manipulation devices, has been reimbursed by ACME for travel to various seminars to speak about this product, and he owns shares in the company; TD has been paid by Shangri La Products for running the statistics for this study; JS receives no financial or other form of compensation from ACME, but uses the manipulation devices exclusively. If you did not answer "yes" to any of the four questions above, we will publish "Conflicts of Interest: The authors have no conflicts of interest to declare."
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