JOURNAL OF IZMIR FACULTY OF MEDICINE
COPYRIGHT TRANSFER FORM

Article Title: ………………………………………………………………………………………………………...
a) The study sent to the journal is the original study of the authors.
b) Relevant authors have contributed to this study individually, and each one assumes a separate responsibility.
c) All authors have seen and approved the final version of the study.
d) The author(s) confirm that neither the study nor any parts of its content are currently under consideration or
published in another journal.
e) The text, figures, tables, or documents in this work do not violate the Copyrights of third parties.
f) The study sent to the journal with a request for publication cannot be withdrawn after the evaluation process
has started.
g) The author(s) agrees and undertakes to transfer all kinds of financial and public transmission rights on the
article in any way, such as reproduction, printing, publication, distribution, and transmission via the internet to
the Journal of Izmir Faculty of Medicine
h) The patent right of the author(s), and the right to use all or part of the published article in their books or
elsewhere without paying are reserved. The author(s) reserve the right to reproduce the article for their purposes,
provided that they do not sell it.
i) If the author(s) want to use a part of their article published in the journal in another publication, Permission is
granted on the condition that the Journal of the Izmir Faculty of Medicine is specified as the publisher and the
journal is cited. As the author(s), in the claims or lawsuits to be filed by third parties due to copyright
infringement, The Journal of İzmir Faculty of Medicine and the Editors of the Journal have no responsibility, all
responsibility belongs to the author(s). In addition, the author(s) commit that there is no criminal or illegal
statement in the article and any illegal materials and methods were not used while conducting the research. The
author(s) confirm that all legal permissions related to the study were obtained and that author(s) acted following
ethical rules.
Note: The copyright form must be signed by all authors and submitted to the journal as a separate *.pdf file with
the full text of the article. The contract of the articles that are not suitable for publication will be deemed invalid.

STATEMENT OF CONFLICT OF INTEREST AND FUNDING

As the author, contact all contributing authors to determine if there is a conflict of interest. If there is a conflict,
please specify it below. If there is no conflict of interest, please specify as ‘’the authors do not declare a conflict
of interest’’. It is recommended that the conflict of interest form available at http://www.icmje.org/conflicts-of-
interest/ should be filled by the author(s) as an option.
. Is there financial support? Specify the source of financial support, if any:
…………………………..….…………………………………….
ACKNOWLEDGMENT
If there are any explanations and/or names to be included in the acknowledgments section, please specify:
………………………………………………………………………………………………….
ETHICS COMMITTEE APPROVAL STATEMENT
Has the ethics committee approval been received? Is it added to the materials and method section with the
institution information?
……………………………………….……………………….….…….…………………

*For the contributions of the author(s) to the article, use the following items;
1. Concept - 2. Design - 3. Audit - 4. Financing - 5.Materials - 6. Data Collection and/or processing - 7. Analysis
and/or interpretation - 8. Literature Review - 9. Writing - 10. Critical Review
Authors, Name,
Surname

Contribution Date Signature

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