Burlew Medical Library Article / Book Request Form

 

Document Delivery Request

Name: Department:
Email Address:    
Phone: Cost center #  
  Date  Requested: Date Needed  by:

NOTE:  Urgent requests should be called in to the library

Who will pay?
Delivery Options 
Mail Hold in library and call  email
CHOC courier FAX        FAX #
PLEASE INDICATE WHICH SERVICES YOU ARE REQUESTING: 
Pull Only what is in our Library ( no charge)
 Copy Only what is in our library  (charge - $.25 per page)
Copy what is in our library AND obtain items NOT in Our Library ( charges = $6.00 - $14.00/article)
Allow 1 week for receipt of articles not in our library
Obtain  RUSH  ( 4-8 hours) (surcharge = $6.00 -$20.00/article)
NOTE: Urgent RUSH fax requests should be called in to the library

 
SPECIAL NOTES:

______________________________________________

List references needed here: please include a complete citation Including Unique Identifier (UI) if known, all Source (SO) information such as journal title, volume and issue number, pages and date, author & title: OR  Book author, title, date of publication.

 

Article Book Request Results

 

For your legal protection, see copyright notice below.

Notice: Warning concerning copying restrictions

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified by law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any other purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of the copyright law.