Full text access is free in HTML pages; however the Journal allows immediate open access to content in HTML + PDF
and allows EPub access only to paid subscribers.
To access the article in PDF format , you should be a subscriber to North American Journal of Medical Sciences. You can subscribe online for a year. If you are already a subscriber you can login to access the articles.
You could recommend your institutionís library to subscribe the journal so that you can have unrestricted access. Click here to recommend the journal.