Appendix: MMSE, Copyright, and You!

Copyright or Copy’left’ – Is it okay to use the Mini Mental State Examination if you haven’t paid for it?

Are you still using a photocopied version of the MMSE?  You may be breaking copyright.  A Perspective article published in the December 29 issue of the New England Journal of Medicine, Copyright and Open Access at the Bedside (, discusses the legal implications of newly enforced copyright of the Mini Mental State Examination (MMSE) for clinicians.  The MMSE is now only available via a license ($1.23 per test) and is slowly disappearing from textbooks and other publications and can no longer be legally used without risking copyright infringement.

An article in the Lancet( Martin R, O’Neill D, Taxing Your Memory. Volume 373, Issue 9680, 13-19 June 2009, Pages 2009-2010) gives more background.