Heart International Authorship & Disclosure Form

Authorship & Disclosure Form
Corresponding Author Name

First NameLast Name
Corresponding Author Email
example@example.com
In relation to the contribution of your article (“the Article”) entitled:
By:
(Please cite all associated authors. It is the responsibility of the corresponding author to ensure all co-authors are named here and in the manuscript.)
Which will be published in: Heart International

_________________________________________________________________

As the corresponding author you confirm the transfer of copyright and authorship criteria as listed below:
- You, the corresponding author warrants that his/her contribution is original. You sign for and accept responsibility forreleasing this material on behalf of all co-authors.
- You assign Touch Medical Media with full title guarantee all rights of copyright and related rights in your Article in all forms, including electronic and digital. You shall retain the right to use the substance of the above work in future works, including lectures, press releases and reviews, provided that you acknowledge its prior publication in the article
  cited above.
- You warrant that you have secured the necessary written permission from the appropriate copyright owner or authorities for the reproduction in the Article of any text, illustration or other material. You warrant that, apart from any such third party copyright material included in the Article, the Article is your original work, and cannot be construed as plagiarising any other published work, and has not been and will not be published elsewhere.
- In addition you warrant that the Article contains no statement that is abusive, defamatory, libellous, obscene, fraudulent, nor in any way infringes the rights of others, nor is in any other way unlawful or in violation of applicable laws.
- If applicable, you accept full responsibility for the integrity of the data and accuracy of the data analysis reported.
- If the Article was prepared jointly with other authors, you warrant that you have been authorised by all co-authors to sign this Agreement on their behalf, and to agree on their behalf the order of names in the publication of the Article. Any changes to the author list and order after submission must be approved by all authors and the reason for the changes detailed to the editor.
- You certify that all authors fulfill the recommendations for authorship as outlined by ICMJE (www.ICMJE.org), and that other contributors who do not meet the criteria are acknowledged in the relevant section.
- You confirm that all authors have declared any financial or other disclosures relevant to this article (including employment, consultancies, honoraria, grants, travel support and royalties) in the relevant section of the article. All funding sources supporting the work, article processing charges, and editorial/writing assistance are clearly stated in the Acknowledgments section.
By checking this box you hereby confirm on behalf of all named authors that there are no undisclosed conflicts of interest relevant to the work conducted or reported in this manuscript, and that the above criteria has been fulfilled by all authors listed in the manuscript.

I agree
Should be Empty: