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Do I need special permission to use IDDSI resources? 
 
A: No. All documents on the IDDSI website have been developed by IDDSI and are for public use. You do not need to seek permission from IDDSI to share these documents and images.
 
However, when referencing IDDSI on your printed materials, website, promotion information, communications, you must reference www.iddsi.org as the source and cite the Creative Commons BY SA 4.0 license as follows: 
 
© The International Dysphagia Diet Standardisation Initiative 2019 @ https://iddsi.org/framework. Licensed under the Creative Commons Attribution Sharealike 4.0 License https://creativecommons.org/licenses/by-sa/4.0/legalcode
 
Derivative works extending beyond language translation are NOT PERMITTED 
 
Supplementary Notice: Modification of the diagrams or descriptors within the IDDSI Framework is DISCOURAGED and NOT RECOMMENDED. Alterations to elements of the IDDSI framework may lead to confusion and errors in diet texture or drink selection for patients with dysphagia. Such errors have previously been associated with adverse events including choking and death. Q: Do I need special permission to use IDDSI resources? – Standards Frequently