Permission to Cite or Use NCCN Content

If your organization would like to use, reproduce, and/or distribute NCCN Content for any purpose, please review the applicable information below 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.
  • Material requested must be NCCN Content and not be credited to another source
  • NCCN makes every effort to respond to permissions requests within 2-5 business days
  • Submitted materials that do not reflect the most updated NCCN Guidelines version may be delayed
  • 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. When referencing similar NCCN content across multiple pieces, should consistent language be used across all pieces?
    Yes. It is strongly recommended that consistent language regarding NCCN recommendations be used across similar pieces, when possible, as this will help expedite review. See NCCN Referencing Guidance for important information on how to properly reference NCCN Guidelines content.

  2. 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 and be legible, or it may be immediately rejected. Please update your piece to match the content of the current Guidelines version. The only exception is if you are referencing archived content.

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

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

  5. Do I have to submit a separate Permission Requests for each of the two (2) pieces citing the same Guidelines in the same way?
    No. If you have several pieces citing the same Guidelines in the same way, you can put them all in one (1) Permissions Request for review at the same time.

  6. I cited a version of the NCCN Guidelines that was updated after our Permission Request was approved. Do I need to submit another Permission Request?
    Yes. The approved piece should be updated with the current Guidelines version number and submitted for re-review. If the content of the piece was impacted by the Guidelines update, the piece should be revised to reflect the current content of the Guidelines. ALL changes to the previously approved piece should be explicitly called out in the submission for re-review.

  7. 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 via 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 via the Permissions Request Form (which will generate a new Request Number). This will allow us to process your request more quickly.

  8. We will be citing an NCCN Guideline in several pieces over the course of the year. Do we have to pay 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 and eliminate the need for a separate permissions agreement each time you submit a request. 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

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