Permission to Cite or Use NCCN Content

NEW PROCESS FOR SUBMITTING PERMISSIONS REQUEST FORMS – Please log in to access the Permissions Request Form. Please upload your PDF draft materials directly to the form. 

If your organization would like to use, reproduce, and/or distribute NCCN Content for any purpose, please review the applicable information below, log in to, and complete the Permissions Request Form. Please also view this Permissions 101 Webinar and informative slide set on how to properly cite NCCN Content and submit your materials for approval.

Permissions Request Form


NCCN Permissions Request Policies:

  • All materials that reference NCCN Content must go through the permissions request process (see Legal Notices)
  • All requests must be submitted online via the form below
  • Permission for use of NCCN Content is not guaranteed; NCCN must review intended use for accuracy and context
  • Permissions and use fees vary depending upon quantity, specific use, format, etc.
  • Materials submitted for review must be NCCN Content and not be credited to another source
  • NCCN makes every effort to process permissions requests within 7-10 business days
  • Submitted materials that do not reflect the most updated NCCN Guidelines version may be delayed
  • See NCCN Referencing Guidance for important information on how to properly reference NCCN Guidelines content
  • By downloading the NCCN Distress Thermometer and Problem List, you agree that you are a healthcare professional, researcher, hospital, or medical practice who will be using the NCCN Distress Thermometer and Problem List strictly for your personal use, which you represent and warrant being for non-promotional, educational use only (including with patients, in grants, for research).
  • The NCCN Distress Thermometer and Problem List may not be used for any commercial purpose, including publication in journals, text books, etc., without the express written permission of NCCN. If you would like to request permission for commercial use, please complete the Permission Request Form below.
  • If adaptations are being made to the NCCN Distress Thermometer or Problem List, all NCCN logos, trademarks, and names must be removed prior to production.
  • If incorporating the NCCN Distress Thermometer and Problem List into an Electronic Health Record (EHR) system, use is approved for individual hospital use only and not for further distribution by the EHR vendor.
  • Citing NCCN Content in academic publications (e.g., journal articles, conference abstracts, textbooks) for non-commercial purposes generally does not require written permission from NCCN.
  • However, permission is required for the use, copy, transfer, reproduction, adaptation, modification or distribution of NCCN Content such as original algorithms, tables, figures, charts, or substantial portions of NCCN Guideline Discussion texts. 
  • Permission is also required for citing NCCN Content in commercially sponsored articles and publications. You may not copy, transfer, reproduce, modify, or create derivative works of any part of the NCCN Content for any reason and may not use the NCCN Content for any commercial purpose without the express written permission of NCCN. If you would like to request permission, please complete the Permissions Request Form below.

If you would like to cite NCCN or NCCN Content for any purpose other than Academic Publication, please complete the Permission Request Form below.

Permission is not required for organizations to link directly to NCCN's homepage,, for non-commercial purposes. For permission to link to NCCN Content, please complete the Permissions Request Form below. Linking directly to any other NCCN webpage or NCCN Content is strictly prohibited without the express written permission of NCCN.


NCCN requests that the newest Guideline be used; however, older (not current) versions of Guidelines are available by request for certain situations (legal, books, articles, etc.). If you would like to cite an archived version of the NCCN Guidelines, please complete the Permissions Request Form below.


  1. How do I access the Permissions Request Form?
    Please log in to, or create an account if you do not already have one. After logging in, go to if you are not automatically directed back to this page. The Permissions Request Form will appear at the bottom of the page with your contact information pre-filled into the form. 

  2. Do I need to include my materials when submitting the Permission Request Form?
    Yes. Please do not submit a request for materials review without uploading your materials to the Permissions Request Form. If we receive a request without any materials attached, we will ask that you please submit a new Permissions Request Form, and the original request will be voided.

  3. When referencing similar NCCN Content across different materials, should consistent language be used throughout all materials?
    Yes. It is strongly recommended that consistent language regarding NCCN recommendations be used across similar materials, when possible. See NCCN Referencing Guidance for important information on how to properly reference NCCN Guidelines content. 

  4. I noticed the Guidelines version number changed for the citation I am submitting. Can I still submit what we have already developed?
    No. Content sent for review must reflect the most current version of the NCCN Guidelines. Please update your materials to match the content of the current Guidelines version. The only exception is if you are referencing archived content.

  5. I am developing materials in preparation for an anticipated drug approval or new FDA indication. Can I send my materials to NCCN for review prior to the approval?
    We do not approve materials in anticipation of potential inclusion in the NCCN Guidelines. All materials submitted must reflect NCCN recommendations within the currently published NCCN Guidelines.

  6. If I have submitted the citations/statements previously and I’m using the same language again in other materials, do I need to submit a new Permissions Request?
    Yes. Context for the citation is considered in clinical review so it is important to submit the new materials.

  7. Do I need to submit a separate Permission Requests for each of the two types of materials citing the same Guidelines in the same way?
    No. If you have different materials citing the same Guidelines in the same way, you can put them all in one Permissions Request for review at the same time.

  8. I cited a version of the NCCN Guidelines that was updated after our Permission Request was approved. Do I need to submit my materials again for NCCN Review?
    Yes. The approved materials should be updated with the current Guidelines version number and submitted again. If the content of the materials was impacted by the Guidelines update, it should be revised to reflect the current content of the Guidelines. All changes to the previously approved materials should be explicitly called out in the updated submission.

  9. When submitting updated materials that were previously approved, can I re-use the original Request Number (by replying to the email thread), or do I need to submit a new request using the Permissions Request Form?
    The same Request Number can only be re-used if the content in the updated materials is very similar to the previously approved content and your original submission was within one year. If the content has changed significantly, or if the original request was submitted more than one year ago, please submit a new request by completing the Permissions Request Form (which will generate a new Request Number). This will allow us to process your request more quickly.

  10. We will be citing an NCCN Guideline in different materials over the course of the year. Is there a fee for each submission separately, even though it’s the same Guideline?
    Yes, unless you have an Annual License. If you will be citing a particular Guideline more than 7 or 8 times a year, you should inquire about purchasing an annual license for that Guideline which will be more cost effective. If you are interested in an annual license, please contact


If you have any questions regarding permission to use NCCN Content or are interested in purchasing an annual license, please e-mail


Permissions Request Form

To request permission, please login (or create an account) to be directed to the Permissions Request Form

If you have an NCCN account, please login to access the Permissions Request Form.

If you do not have an NCCN account, please create an account to access the Permissions Request Form.