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Ophthalmic Surgery, Lasers and Imaging - copyright

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Ophthalmic Surgery, Lasers and Imaging - copyright
M A N U S C R I P T T R A N S M I T T A L S T A T E M E N T
Carmen A. Puliafito, MD, Editor-in-Chief
Editorial Office:
New England Eye Center, Tufts University School of Medicine, 750 Washington Street, Boston, MA 02111
Telephone: (617) 636-7952 Fax: (617) 636-4866
This form must be completed and submitted to the editorial office at the time the manuscript is
submitted. Manuscripts cannot be reviewed until this form is submitted. This form may be photocopied.
Each author must read and sign each section of this consolidated form: statement on authorship responsibility, statement of propri-
etary interest, and either copyright transfer agreement or federal employment statement, as appropriate. If necessary, photocopy this
form to distribute to coauthors for their signatures.
AUTHORSHIP RESPONSIBILITY. "I certify that I have participated sufficiently in the conception and design of this work and the
analysis of the data (where applicable and within my area of expertise), or the writing of the manuscript, to take responsibility for it. I
believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for submission for pub-
lication. Neither this manuscript nor one with substantially similar content under my authorship has been published or is being con-
sidered for publication elsewhere. The primary data used in the preparation of this article is readily accessible and interpretable and is
available for the editors or their assignees on request.''
STATEMENT OF PROPRIETARY INTERESTS. "I certify that I have no affiliation with or financial involvement in any organiza-
tion or entity with a direct financial interest in the subject matter or materials discussed in the manuscript (e.g., employment, consul-
tancies, stock ownership, honoraria) except as discussed in an attachment.
There is is not an attachment to this document regarding such interests.''
ASSIGNMENT OF COPYRIGHT: "In consideration of SLACK Incorporated taking action in reviewing and editing this submitted
manuscript, the author(s) undersigned hereby transfers, assigns, or otherwise conveys copyright ownership to SLACK Incorporated in
the event that said work is published by SLACK Incorporated. The copyright so conveyed includes worldwide rights to any and all
subsidiary forms of publication now known or hereafter developed, including print, electronic, CD-ROM, and Internet. These rights
include using the material in whole or in part, to prepare derivative works, and to publish the material individually or as part of a col-
lective work. The author(s) declares that the manuscript is original, has not been submitted to or is not under consideration by anoth-
er publication, has not been previously published in any format, including electronic, and contains no matter that is, to the best of the
author's knowledge, libelous or unlawful or that infringes upon any U.S. copyright.''
Manuscript Title (Please type complete title) ____________________________________________________________
__________________________________________________________________________________________________
Corresponding author, address, telephone and FAX ______________________________________________________
__________________________________________________________________________________________________
Author(s) Signature(s)
Date
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U.S. Government Employees: The authors of this work were employees of the U.S. federal government when this work was con-
ducted and prepared for publication. As a result, this work may be in the Public Domain under the laws of the United States, and
there may not be in this case a copyright to transfer. A separate statement attesting to these details has been signed by all the authors
and is attached.
Senior Author ________________________________________________________Date__________________





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